Implementation of a Community-Based Secondhand Smoke Reduction Intervention for Caregivers of Urban Children with Asthma: Process Evaluation, Successes and Challenges

Autor/inn/en	Blaakman, Susan; Tremblay, Paul J.; Halterman, Jill S.; Fagnano, Maria; Borrelli, Belinda
Titel	Implementation of a Community-Based Secondhand Smoke Reduction Intervention for Caregivers of Urban Children with Asthma: Process Evaluation, Successes and Challenges
Quelle	In: Health Education Research, 28 (2013) 1, S.141-152 (12 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0268-1153
DOI	10.1093/her/cys070
Schlagwörter	Outcomes of Treatment; Child Health; Community Health Services; Smoking; Intervention; Diseases; Child Caregivers; Interviews; Formative Evaluation; Urban Youth; Program Implementation; Program Effectiveness; Program Evaluation; Counseling; Counseling Effectiveness; Motivation Techniques; Fidelity; Nurses; Health Promotion; Prevention; Health Behavior; Health Education; Public Health; Elementary School Students + Suchen Sie Ihr Suchwort? Rauchen; Disease; Krankheit; Caregiver; Caregivers; Carer; Child; Children; Kinderbetreuung; Interviewing; Interviewtechnik; Urban area; Urban areas; Youth; Stadtregion; Stadt; Jugend; Programme evaluation; Programmevaluation; Counselling; Beratung; Motivationsförderung; Gesundheitsfürsorge; Gesundheitshilfe; Reihenuntersuchung; Prävention; Vorbeugung; Health behaviour; Gesundheitsverhalten; Gesundheitsaufklärung; Gesundheitsbildung; Gesundheitserziehung; Gesundheitswesen
Abstract	Many children, including those with asthma, remain exposed to secondhand smoke. This manuscript evaluates the process of implementing a secondhand smoke reduction counseling intervention using motivational interviewing (MI) for caregivers of urban children with asthma, including reach, dose delivered, dose received and fidelity. Challenges, strategies and successes in applying MI are highlighted. Data for 140 children (3-10 years) enrolled in the School Based Asthma Therapy trial, randomized to the treatment condition and living with one or more smoker, were analyzed. Summary statistics describe the sample, process measures related to intervention implementation, and primary caregiver (PCG) satisfaction with the intervention. The full intervention was completed by 79% of PCGs, but only 17% of other smoking caregivers. Nearly all (98%) PCGs were satisfied with the care study nurses provided and felt the program might be helpful to others. Despite challenges, this intervention was feasible and well received reaching caregivers who were not actively seeking treatment for smoking cessation or secondhand smoke reduction. Anticipating the strategies required to implement such an intervention may help promote participant engagement and retention to enhance the program's ultimate success. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10