Measuring for change: A multi-centre pre-post trial of an air quality feedback intervention to promote smoke-free homes
Por:
Dobson, R, O'Donnell, R, Tigova, O, Fu, M, Enriquez, M, Fernandez, E, Carreras, G, Gorini, G, Verdi, S, Borgini, A, Tittarelli, A, Veronese, C, Ruprecht, A, Vyzikidou, V, Tzortzi, A, Vardavas, C, Semple, S, Castellano, Y, Ballbe, M, Amalia, B, Paniello, B, Lopez, MJ, Continence, X, Arechavala, T, Henderson, E, Gallus, S, Lugo, A, Liu, XQ, Bosetti, C, Davoli, E, Borroni, E, Colombo, P, Clancy, L, Keogan, S, Byrne, H, Behrakis, GD, Behrakis, P, Vyzikidou, VK, Bakelas, G, Mattiampa, G, Boffi, R, De Marco, C, Bertoldi, M, Cortini, B, Lachi, A, Chellini, E, Nicolas, AL, Trapero-Bertran, M, Guerrero, DC, Radu-Loghin, C, Nguyen, D, Starchenko, P, Soriano, JB, Ancochea, J, Alonso, T, Pastor, MT, Erro, M, Roca, A, Perez, P, Castillo, EG
Publicada:
1 jul 2020
Resumen:
Introduction: Second-hand smoke exposure in the home is a serious cause of ill-health for children. Behaviour change interventions have been developed to encourage parents to keep homes smoke-free. This study evaluates a novel air quality feedback intervention using remote air quality monitoring with SMS and email messaging to promote smoke-free homes among families from deprived areas.
Methods: This paper presents a pre-post study of this intervention. Using internet connected monitors developed with the Dylos DC1700, daily SMS and weekly email feedback provided for 16 days to participants recruited in four European countries. Participants were recruited based on their stage of change, in order to target those most able to achieve smoke-free homes. The primary outcome measure was median change in mean fine particulate matter (PM2.5) concentration between baseline and follow-up periods, while secondary outcome measures included change in time over the World Health Organisation (WHO) guideline limit for PM2.5 exposure over 24 h (25 mu g/m(3)) in those periods and the number of homes where PM2.5 concentrations reduced. Telephone interviews were conducted with participants in Scotland post-intervention to explore intervention experience and perceived effectiveness.
Results: Of 86 homes that completed the intervention study, 57 (66%) experienced pre-post reductions in measured PM2.5. The median reduction experienced was 4.1 mu g/m(3) (a reduction of 19% from baseline, p = 0.008). Eight homes where concentrations were higher than the WHO guideline limit at baseline fell below that level at follow-up. In follow-up interviews, participants expressed positive views on the usefulness of air quality feedback.
Discussion: Household air quality monitoring with SMS and email feedback can lead to behaviour change and consequent reductions in SHS in homes, but within the context of our study few homes became totally smoke-free.
Filiaciones:
Dobson, R:
Univ Stirling, Inst Social Mkt & Hlth, Stirling, Scotland
Univ Stirling UNISTIR, Stirling, Scotland
O'Donnell, R:
Univ Stirling, Inst Social Mkt & Hlth, Stirling, Scotland
Univ Stirling UNISTIR, Stirling, Scotland
Tigova, O:
Inst Catala Oncol ICO, Tobacco Control Unit, Barcelona, Spain
Inst Invest Biomed Bellvitge IDIBELL, Tobacco Control Res Grp, Barcelona, Spain
CIBERES, Consortium Biomed Res Resp Dis, GIBER Enfermedades Resp, Madrid, Spain
Catalan Inst Oncol ICO, Tarragona, Spain
Bellvitge Biomed Res Inst IDIBELL, Barcelona, Spain
Fu, M:
Inst Catala Oncol ICO, Tobacco Control Unit, Barcelona, Spain
Inst Invest Biomed Bellvitge IDIBELL, Tobacco Control Res Grp, Barcelona, Spain
Univ Barcelona, Sch Med & Hlth Sci, Barcelona, Spain
CIBERES, Consortium Biomed Res Resp Dis, GIBER Enfermedades Resp, Madrid, Spain
Catalan Inst Oncol ICO, Tarragona, Spain
Bellvitge Biomed Res Inst IDIBELL, Barcelona, Spain
Enriquez, M:
Inst Catala Oncol ICO, Tobacco Control Unit, Barcelona, Spain
Inst Invest Biomed Bellvitge IDIBELL, Tobacco Control Res Grp, Barcelona, Spain
CIBERES, Consortium Biomed Res Resp Dis, GIBER Enfermedades Resp, Madrid, Spain
Catalan Inst Oncol ICO, Tarragona, Spain
Bellvitge Biomed Res Inst IDIBELL, Barcelona, Spain
Fernandez, E:
Inst Catala Oncol ICO, Tobacco Control Unit, Barcelona, Spain
Inst Invest Biomed Bellvitge IDIBELL, Tobacco Control Res Grp, Barcelona, Spain
Univ Barcelona, Sch Med & Hlth Sci, Barcelona, Spain
CIBERES, Consortium Biomed Res Resp Dis, GIBER Enfermedades Resp, Madrid, Spain
Catalan Inst Oncol ICO, Tarragona, Spain
Bellvitge Biomed Res Inst IDIBELL, Barcelona, Spain
Carreras, G:
Prevent & Res Inst ISPRO, Oncol Network, Florence, Italy
Ist Studio Prevenz & Rete Oncol ISPRO, Milan, Italy
Gorini, G:
Prevent & Res Inst ISPRO, Oncol Network, Florence, Italy
Ist Studio Prevenz & Rete Oncol ISPRO, Milan, Italy
Verdi, S:
Prevent & Res Inst ISPRO, Oncol Network, Florence, Italy
Ist Studio Prevenz & Rete Oncol ISPRO, Milan, Italy
Borgini, A:
Fdn IRCCS Ist Nazl Tumori, Milan, Italy
Fdn IRCCS Ist Nazl Tumori INT, Milan, Italy
Tittarelli, A:
Fdn IRCCS Ist Nazl Tumori, Milan, Italy
Fdn IRCCS Ist Nazl Tumori INT, Milan, Italy
Veronese, C:
Fdn IRCCS Ist Nazl Tumori, Milan, Italy
Fdn IRCCS Ist Nazl Tumori INT, Milan, Italy
Ruprecht, A:
Fdn IRCCS Ist Nazl Tumori, Milan, Italy
Fdn IRCCS Ist Nazl Tumori INT, Milan, Italy
Vyzikidou, V:
Hellen Canc Soc, Athens, Greece
Hellen Canc Soc, George D Behrakis Res Lab HCS, Athens, Greece
Tzortzi, A:
Hellen Canc Soc, Athens, Greece
Hellen Canc Soc, George D Behrakis Res Lab HCS, Athens, Greece
Vardavas, C:
Hellen Canc Soc, Athens, Greece
Semple, S:
Univ Stirling, Inst Social Mkt & Hlth, Stirling, Scotland
Univ Stirling UNISTIR, Stirling, Scotland
Castellano, Y:
Catalan Inst Oncol ICO, Tarragona, Spain
Bellvitge Biomed Res Inst IDIBELL, Barcelona, Spain
Ballbe, M:
Catalan Inst Oncol ICO, Tarragona, Spain
Bellvitge Biomed Res Inst IDIBELL, Barcelona, Spain
Amalia, B:
Catalan Inst Oncol ICO, Tarragona, Spain
Bellvitge Biomed Res Inst IDIBELL, Barcelona, Spain
Paniello, B:
Catalan Inst Oncol ICO, Tarragona, Spain
Bellvitge Biomed Res Inst IDIBELL, Barcelona, Spain
Lopez, MJ:
Publ Hlth Agcy Barcelona ASPB, Barcelona, Spain
Continence, X:
Publ Hlth Agcy Barcelona ASPB, Barcelona, Spain
Arechavala, T:
Publ Hlth Agcy Barcelona ASPB, Barcelona, Spain
Henderson, E:
Publ Hlth Agcy Barcelona ASPB, Barcelona, Spain
Gallus, S:
Ist Ric Farmacol Mario Negri IRCCS IRFMN, Rome, Italy
Lugo, A:
Ist Ric Farmacol Mario Negri IRCCS IRFMN, Rome, Italy
Liu, XQ:
Ist Ric Farmacol Mario Negri IRCCS IRFMN, Rome, Italy
Bosetti, C:
Ist Ric Farmacol Mario Negri IRCCS IRFMN, Rome, Italy
Davoli, E:
Ist Ric Farmacol Mario Negri IRCCS IRFMN, Rome, Italy
Borroni, E:
Ist Ric Farmacol Mario Negri IRCCS IRFMN, Rome, Italy
Colombo, P:
Gallup Int Assoc, Ist DOXA, Worldwide Independent Network, Rome, Italy
Clancy, L:
TobaccoFree Res Inst Ireland TFRI, Dublin, Ireland
Keogan, S:
TobaccoFree Res Inst Ireland TFRI, Dublin, Ireland
Byrne, H:
TobaccoFree Res Inst Ireland TFRI, Dublin, Ireland
Behrakis, GD:
Hellen Canc Soc, George D Behrakis Res Lab HCS, Athens, Greece
Behrakis, P:
Hellen Canc Soc, George D Behrakis Res Lab HCS, Athens, Greece
Vyzikidou, VK:
Hellen Canc Soc, George D Behrakis Res Lab HCS, Athens, Greece
Bakelas, G:
Hellen Canc Soc, George D Behrakis Res Lab HCS, Athens, Greece
Mattiampa, G:
Hellen Canc Soc, George D Behrakis Res Lab HCS, Athens, Greece
Boffi, R:
Fdn IRCCS Ist Nazl Tumori INT, Milan, Italy
De Marco, C:
Fdn IRCCS Ist Nazl Tumori INT, Milan, Italy
Bertoldi, M:
Fdn IRCCS Ist Nazl Tumori INT, Milan, Italy
Cortini, B:
Ist Studio Prevenz & Rete Oncol ISPRO, Milan, Italy
Lachi, A:
Ist Studio Prevenz & Rete Oncol ISPRO, Milan, Italy
Chellini, E:
Ist Studio Prevenz & Rete Oncol ISPRO, Milan, Italy
Nicolas, AL:
Polytech Univ Cartagena UPCT, Cartagena, Colombia
Trapero-Bertran, M:
Polytech Univ Cartagena UPCT, Cartagena, Colombia
Guerrero, DC:
Polytech Univ Cartagena UPCT, Cartagena, Colombia
Radu-Loghin, C:
European Network Smoking & Tobacco Prevent ENSP, Brussels, Belgium
Nguyen, D:
European Network Smoking & Tobacco Prevent ENSP, Brussels, Belgium
Starchenko, P:
European Network Smoking & Tobacco Prevent ENSP, Brussels, Belgium
Soriano, JB:
Hosp Univ La Princesa IISP, Madrid, Spain
Ancochea, J:
Hosp Univ La Princesa IISP, Madrid, Spain
Alonso, T:
Hosp Univ La Princesa IISP, Madrid, Spain
Pastor, MT:
Hosp Univ La Princesa IISP, Madrid, Spain
Erro, M:
Hosp Univ La Princesa IISP, Madrid, Spain
Roca, A:
Hosp Univ La Princesa IISP, Madrid, Spain
Perez, P:
Hosp Univ La Princesa IISP, Madrid, Spain
Castillo, EG:
Hosp Univ La Princesa IISP, Madrid, Spain
Green Published, gold
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