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Randomized Controlled Trial
. 2017 Nov 13;7(1):15473.
doi: 10.1038/s41598-017-15158-2.

Motivational interviewing and urine cotinine feedback to stop passive smoke exposure in children predisposed to asthma: a randomised controlled trial

Sasha G Hutchinson  1 , Gerard van Breukelen  2 , Constant P van Schayck  3 , Brigitte Essers  4 , S Katharine Hammond  5 , Jean W M Muris  3 , Frans J M Feron  6 , Edward Dompeling  7
Affiliations
Randomized Controlled Trial

Motivational interviewing and urine cotinine feedback to stop passive smoke exposure in children predisposed to asthma: a randomised controlled trial

Sasha G Hutchinson et al. Sci Rep. .

Abstract

We tested the effectiveness of a program consisting of motivational interviewing (MI) and feedback of urine cotinine to stop passive smoking (PS) in children at risk for asthma. Fifty-eight families with children 0-13 years with a high risk of asthma and PS exposure were randomised in a one-year follow-up study. The intervention group received the intervention program during 6 sessions (1/month) and the control group received measurements (questionnaires, urine cotinine, and lung function) only. The primary outcome measure was the percentage of families stopping PS (parental report verified and unverified with the child's urine cotinine concentration <10 μg/l) in children during the intervention program. The analyses were performed with Mixed Logistic Regression. After 6 months, a significant group difference was observed for the unverified parental report of stopping PS in children: 27% of parents in the intervention group versus 7% in the control group. For the verified parental report, the difference was similar (23% versus 7%) but was not statistically significant. Despite a limited sample size, the results suggest that the intervention program is probably an effective strategy to stop PS in children. A program longer than 6 months might be necessary for a longer lasting intervention effect.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Figure 1
Figure 1
Flow Chart. Flow chart randomised controlled trial.
Figure 2
Figure 2
Amount of cigarettes smoked in the presence of the child indoors and amount of cigarettes smoked by parents (actively). (A) Median amount of cigarettes smoked in the presence of the child indoors. (B) Predicted mean square root of the amount of the cigarettes smoked in the presence of the child indoors, based upon the Generalized Linear Mixed-effects Models (GLMM) model analysis of all available data after square root transform and without imputing missing values. (C) Median amount of cigarettes smoked by parents (active smoking). (D) Predicted mean square root of the amount of the cigarettes smoked by parents based upon the GLMM analysis of all available data after square root transform and without imputing missing values.
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References

    1. Sennhauser FH, Braun-Fahrlander C, Wildhaber JH. The burden of asthma in children: a European perspective. Paediatr Respir Rev. 2005;6:2–7. doi: 10.1016/j.prrv.2004.11.001. - DOI - PubMed
    1. Burke W, Fesinmeyer M, Reed K, Hampson L, Carlsten C. Family history as a predictor of asthma risk. Am J Prev Med. 2003;24:160–169. doi: 10.1016/S0749-3797(02)00589-5. - DOI - PubMed
    1. Tinuoye O, Pell JP, Mackay DF. Meta-analysis of the association between secondhand smoke exposure and physician-diagnosed childhood asthma. Nicotine Tob Res. 2013;15:1475–1483. doi: 10.1093/ntr/ntt033. - DOI - PubMed
    1. Martinez, F. D. Gene by environment interactions in the development of asthma. Clin Exp Allergy 28 Suppl 5, 21–25, discussion 26–28 (1998). - PubMed
    1. Martinez FD. Development of wheezing disorders and asthma in preschool children. Pediatrics. 2002;109:362–367. - PubMed

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