title: A process evaluation of an intervention to promote home smoking bans among low income households.
abstract: Exposure to secondhand smoke occurs primarily in the home due to passage of smoke-free legislation. Creation of a total household smoking ban can reduce associated health conditions such as asthma, lung cancer, heart disease and stroke. This paper describes the results of a randomized control trial of a minimal intervention to create smoke-free homes. 2-1-1 callers were invited to participate in the trial and were randomized to an intervention (mailings and a coaching call) or a control group (no intervention). We assessed reach, dose, fidelity, and receptivity to the intervention through program records and a 3-month follow-up survey with intervention participants. For the intervention materials, materials were mailed to 244 participants (99.2%) and 227 participants (92.3%) received the coaching call intervention. 92.3% received all intervention components. Participants who had full household bans at 3 months were more likely to conduct behaviors leading to a smoke-free home (i.e., making a list of reasons, having a family talk, posting a pledge) than were those with no/partial ban. The intervention materials also were rated higher in relevance and usefulness by non-smokers than smokers. Results demonstrate that this minimal intervention had high fidelity to the delivery of components and relatively high receptivity.
authors.affiliation: Rollins School of Public Health, Emory University, 1518 Clifton Rd, Atlanta, GA 30322, United States. Electronic address: cescoff@emory.edu.
authors.forename: Cam
authors.initials: C
authors.lastname: Escoffery
authors.affiliation: Rollins School of Public Health, Emory University, 1518 Clifton Rd, Atlanta, GA 30322, United States. Electronic address: lbundy@emory.edu.
authors.forename: Lujca
authors.initials: L
authors.lastname: Bundy
authors.affiliation: Rollins School of Public Health, Emory University, 1518 Clifton Rd, Atlanta, GA 30322, United States. Electronic address: regine.haardoerfer@emory.edu.
authors.forename: Regine
authors.initials: R
authors.lastname: Haardoerfer
authors.affiliation: Rollins School of Public Health, Emory University, 1518 Clifton Rd, Atlanta, GA 30322, United States. Electronic address: cjberg@emory.edu.
authors.forename: Carla J
authors.initials: CJ
authors.lastname: Berg
authors.affiliation: University of Texas School of Public Health, 7000 Fannin St., Suite 2668, Houston, TX 77030, United States. Electronic address: lara.staub@uth.tmc.edu.
authors.forename: Lara S
authors.initials: LS
authors.lastname: Savas
authors.affiliation: University of North Carolina at Chapel Hill, 200 N. Greensboro Street, Suite D-13, Carrboro, NC 27510, United States. Electronic address: rebeccawilliams@unc.edu.
authors.forename: Rebecca S
authors.initials: RS
authors.lastname: Williams
authors.affiliation: Rollins School of Public Health, Emory University, 1518 Clifton Rd, Atlanta, GA 30322, United States. Electronic address: mkegler@emory.edu.
authors.forename: Michelle C
authors.initials: MC
authors.lastname: Kegler
mesh_terms: D000328:Adult; D005260:Female; D005845:Georgia; D006293:Health Promotion / Q000379:methods*; D015277:Hotlines; D006798:Housing; D006801:Humans; D008297:Male; D017064:Process Assessment, Health Care; D000074606:Smoking Prevention
keywords: Process evaluation; Smoke-free home; Smoking restrictions