MCH Best. NPM 14.2: Smoking in the Household
Strategy. School-based Counseling + Education Materials
Approach. Provide in-person counseling in a school setting + educational materials to reduce child exposure to secondhand smoke in the home.
Overview. Research indicates that interventions providing individualized counseling to parents or group counseling to parent/child dyads in a school setting can produce positive outcomes to reduce children’s exposure to tobacco smoke in their homes, and reduce parental cigarette consumption.1,2
Evidence. Emerging. Initial research showed positive results for providing counseling in a school-based setting to parents, and parent/child dyads, to reduce child exposure to second-hand smoke. Further research is needed to identify critical components and confirm effects. Access the peer-reviewed evidence through the MCH Digital Library. (Read more about understanding evidence ratings).
Target Audience. Parents or parent/child dyads.
Outcome. Reduction of secondhand tobacco smoke exposure in the home and reduction of parental smoking. 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 is currently 1 ESM 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 in a school setting + educational materials 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 Caldwell AL, Tingen MS Nguyen JT, Andrews JO, Heath J, Waller JL, Treiber FA. (2018). Parental Smoking Cessation: Impacting Children’s Tobacco Smoke Exposure in the Home. Pediatrics. 2018 Jan;141(Suppl 1):S96-S106. doi: 10.1542/peds.2017-1026M.
2 Chen YT, Hsiao FH, Lee CM, Wang RH, Chen PL. Effects of a parent-child interactive program for families on reducing the exposure of school-aged children to household smoking. Nicotine & Tobacco Research 2016;18(3):330–40.