MCHbest. NPM 14.2: Smoking in the Household
Strategy. Home Visits + Education Materials + Telephone Counseling
Approach. Provide in-person counseling via home visits + educational materials + telephone counseling to reduce child exposure to secondhand smoke in the home.
Overview. Research indicates that interventions using in-person counseling via home visits + educational materials + telephone counseling can be effective in reducing child exposure to secondhand smoke in the home. Examples of studies with positive outcomes used a variety of counseling approaches, including behavioral theory and social learning theory; and a variety of materials, including pamphlets on quitting and self-help manuals to establish a smoke-free home.1-2
Evidence. Moderate. Research has consistently showed positive results for this strategy. The strategy of using home visits + educational materials + telephone counseling to reduce children’s exposure to secondhand smoke in the home has been tested more than once and results trend positive overall. Access the peer-reviewed evidence through the MCH Digital Library. (Read more about understanding evidence ratings).
Target Audience. Parents/caregivers.
Outcome. Reduction of secondhand tobacco smoke exposure. For detailed outcomes related to each study supporting this strategy, click on the peer-reviewed evidence link above and read the "Intervention Results" for each study.
Examples from the Field. Access descriptions of current ESMs that use this strategy directly or intervention components that align with this strategy. You can use these ESMs to see how other Title V agencies are addressing the NPM.
Arizona reports on the percent of pregnant women who receive a home visit who reported smoking and who received a cessation referral. Similarly, Wyoming reports the number of pregnant women who receive a home visit (Healthy Baby Home Visitation program) who are referred to the Wyoming Quitline services.
Sample ESMs. Using the approach “Provide in-person counseling via home visits + educational materials + telephone counseling to reduce child exposure to secondhand smoke in the home,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework (for suggestions on how to develop programs to support this strategy, see The Role of Title V in Adapting Strategies):
Note. ESMs become stronger as they move from measuring quantity to measuring quality (moving from Quadrants 1 and 3, respectively, to Quadrants 2 and 4) and from measuring effort to measuring effect (moving from Quadrants 1 and 2, respectively, to Quadrants 3 and 4).
1 Abdullah ASM, Lam TH, Mak YW, Loke AY. A randomized control trial of a smoking cessation intervention on parents of young children - a preliminary report (POS2-011). Society for Research on Nicotine and Tobacco 10th Annual Meeting, 2005 February 18-21; Phoenix, AZ. 2005:65.
2 Yu S, Duan Z, Redmon PB, Eriksen MP, Koplan JP, Huang C. (2017). mHealth Intervention is Effective in Creating Smoke-Free Homes for Newborns: A Randomized Controlled Trial Study in China. Scientific Reports. 2017 Aug 31;7(1):9276. doi: 10.1038/s41598-017-08922-x.