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A nurse-led brief advice to mothers of sick children in preventing household secondhand smoke exposure and encouraging fathers to quit smoking in Hong Kong
ISRCTN ISRCTN72290421
DOI 10.1186/ISRCTN72290421
ClinicalTrials.gov identifier
EudraCT number
Public title A nurse-led brief advice to mothers of sick children in preventing household secondhand smoke exposure and encouraging fathers to quit smoking in Hong Kong
Scientific title A randomised control trial (RCT) of a nurse-led brief advice to mothers of sick children in preventing household secondhand smoke exposure and encouraging fathers to quit smoking in Hong Kong
Acronym HSRC
Serial number at source 611004
Study hypothesis Brief advice provided by nurses to mothers of sick children could be effective in improving household secondhand smoke exposure (SHS) and indirectly encouraging fathers to quit smoking.
Lay summary Background and study aims
Passive smoking represents a serious health hazard and is a substantial threat to child health increasing risk of acute respiratory illness in children. Nurses are in a vital position to conduct health education to improve children’s health, which is a legitimate activity in a pediatric ward. This study assesses the effectiveness of nurses providing health education intervention to mothers of sick children aiming to prevent the children from exposure to secondhand smoke (SHS) and to help the fathers quit.

Who can participate?
The subjects are non-smoking mothers of sick children who admitted to the paediatric ward and with a smoking husband living in the same household. Sick children who were admitted to the hospital with other relatives (other than the mother) or maids were excluded from the study.

What does the study involve?
The non-smoking mothers are randomly assigned into two groups. One group (intervention group) the nurses provide mothers with a 3-mins standardized health advice on the health hazard of SHS exposure, one purpose-designed booklet to suggest mothers take actions to prevent SHS exposure of their sick children and other suggestions for them to encourage and assist their husbands stop smoking and a self-help smoking cessation booklet for mothers to bring back to their husband; and a telephone reminder to the mothers one week later.
Another group (control group) only receives normal care provided by nurses, and there is no specific advice on secondhand smoke exposure during normal care. Both groups are contacted by nurse counselors at 3-, 6-, and 12-month by telephone for follow-up interviews.

What are the possible benefits and risks of participating?
There is no risk for mothers to participate the study. We will not provide incentives to participants, but we hope the mothers in the intervention group can have immediate direct benefit by reducing their children from SHS exposure and helping their husband stop smoking.

Where is the study run from?
This study is conducted by School of Nursing, The University of Hong Kong. Participants are recruited in the pediatric wards and outpatient departments of four major acute hospitals under the Hong Kong Hospital Authority: Queen Mary Hospital, Pamela Youde Nethersole Eastern Hospital, Kwong Wah Hospital and Yan Chai Hospital.
.
When is study starting and how long is it expected to run for?
The recruitment of participant was started in November 1997 and completed in September 1998. The 12-month telephone interview ended in September 1999.

Who is funding the study?
Research Fund Secretariat, Food and Health Bureau, Hong Kong

Who is the main contact?
Professor Sophia Chan
nssophia@hku.hk
Ethics approval Ethics Committee of the Faculty of Medicine, University of Hong Kong, September 1997, ref: EC-150
Study design Prospective multi-centred single-blinded two-armed randomized controlled trial
Countries of recruitment Hong Kong
Disease/condition/study domain Sick children in the paediatric wards / outpatient departments, with non-smoking mothers and smoking fathers
Participants - inclusion criteria 1. Non-smoking mothers who bring their sick child to the hospital
2. The child's father is a current smoker
3. Mother, father and child are living together in the same household
4. The mother speaks and reads Cantonese Chinese
Participants - exclusion criteria Sick children who were admitted to the hospital with other relatives (other than the mother) or with maids
Anticipated start date 01/11/1997
Anticipated end date 30/09/1999
Status of trial Completed
Patient information material Not available in web format, please use the contact details below to request a patient information sheet
Target number of participants 1840
Interventions The intervention group received a health education intervention provided by nurses, which included:
1. Giving standardised health advice
2. Two purpose-designed health education booklets (SHS booklet for the mother and Quit Smoking booklet for the father
3. A purpose-designed sticker
4. A telephone reminder one week later

No intervention was given to the control group except the normal care provided by nurses. No advice on SHS was given during normal care.
Primary outcome measure(s) The 7-day point-prevalence quit rate of the child' s father proxy reported by spouse at 12-month follow-up
Secondary outcome measure(s) 1. The 7-day point-prevalence quit rate of the child' s father at 3- and 6-month follow-up proxy reported by spouse
2. The mother's behavior in protecting the child from exposure to SHS, such as moving the child away from the smoking fathers and /or other smokers
3. Change in the smoking habits of the child's father such as reduction in smoking (in general, at home, and near the child)
Sources of funding Health Services Research Fund, Hong Kong SAR Government (Hong Kong) ref: HSRC 611004
Trial website
Publications 2003 results in http://www.ncbi.nlm.nih.gov/pubmed/14702863
2006 results in http://www.ncbi.nlm.nih.gov/pubmed/16671973
2008 results in http://www.ncbi.nlm.nih.gov/pubmed/18785372
2013 results in http://www.ncbi.nlm.nih.gov/pubmed/23565835
Contact name Prof  Sophia  Chan
  Address 4/F William MW Mong Block
School of Nursing
University of Hong Kong
21 Sassoon Road
Pokfulam
  City/town -
  Zip/Postcode 852
  Country Hong Kong
Sponsor Food and Health Bureau (Hong Kong)
  Address Research Fund Secretariat
Research Office
18/F, Murray Building
Garden Road
  City/town -
  Zip/Postcode 852
  Country Hong Kong
  Sponsor website: http://www.fhb.gov.hk/grants/english/welcome/welcome.html
Date applied 22/07/2012
Last edited 01/07/2013
Date ISRCTN assigned 30/07/2012
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