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. There are 11 ESMs across all states/jurisdictions that align with components of this intervention strategy. Access descriptions of these ESMs through the MCH Digital Library. You can use these ESMs to see how other Title V agencies are addressing the NPM.
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.