title: Full and home smoking ban adoption after a randomized controlled trial targeting secondhand smoke exposure reduction.
abstract: BACKGROUND
  The current study examined home and full (i.e., home plus car) smoking ban adoption as secondary outcomes to a randomized controlled trial targeting reduced secondhand smoke exposure (SHSe) for children under treatment for cancer.
  
  
  METHODS
  Families with at least 1 adult smoker who reported SHSe for their children (n = 119) were randomized to control or intervention conditions and followed for 1 year with 5 assessments. Both groups were advised of the negative health outcomes associated with SHSe; the intervention group provided more in-depth counseling from baseline to 3 months. Parents reported on household and car smoking behavior, demographic, psychosocial, and medical/treatment-related information.
  
  
  RESULTS
  Regardless of group assignment, there was an increase in home (odds ration [OR] = 1.16, p = .074) and full (OR = 1.37, p = .001) smoking ban adoption across time. Families in the intervention group were more likely to adopt a full ban by 3 months, but this difference was nonsignificant by 12 months. Married parents (OR = 2.33, p = .006) and those with higher self-efficacy for controlling children's SHSe (OR = 1.11, p = .023) were more likely to have a home smoking ban; parents who reported smoking fewer cigarettes were more likely to adopt a home (OR = 1.62, p < .0001) or full (OR = 7.32, p = .038) ban.
  
  
  CONCLUSIONS
  Smoking bans are in-line with Healthy People 2020's tobacco objectives and may be more feasible for parents with medically compromised children for immediate SHSe reduction. Furthermore, interventions targeting full smoking bans may be a more effective for comprehensive elimination of SHSe.
authors.affiliation: Department of Psychology, University of North Florida, Jacksonville, FL; jody.nicholson@unf.edu.
authors.forename: Jody S
authors.initials: JS
authors.lastname: Nicholson
authors.affiliation: Department of Psychology, University of Mississippi, Oxford, MS;
authors.forename: Michael J
authors.initials: MJ
authors.lastname: McDermott
authors.affiliation: Department of Biostatistics, St. Jude Children's Research Hospital, Memphis, TN;
authors.forename: Qinlei
authors.initials: Q
authors.lastname: Huang
authors.affiliation: Department of Biostatistics, St. Jude Children's Research Hospital, Memphis, TN;
authors.forename: Hui
authors.initials: H
authors.lastname: Zhang
authors.affiliation: Department of Pediatrics, University of South Florida, Tampa, FL.
authors.forename: Vida L
authors.initials: VL
authors.lastname: Tyc
mesh_terms: D000328:Adult; D016902:Air Pollution, Indoor / Q000517:prevention & control; D002648:Child; D005191:Family Characteristics; D005192:Family Health; D005500:Follow-Up Studies; D006798:Housing; D006801:Humans; D009369:Neoplasms / Q000150:complications / Q000628:therapy; D016017:Odds Ratio; D010290:Parents / Q000523:psychology; D010353:Patient Education as Topic; D016032:Randomized Controlled Trials as Topic; D020377:Self Efficacy; D000074606:Smoking Prevention; D014028:Tobacco Smoke Pollution / Q000517:prevention & control*; D014029:Tobacco Use Disorder
chemical_list: D014028:Tobacco Smoke Pollution