Engaging Parents who Quit Smoking in Anti-smoking Socialization of Children: A Novel Approach to Relapse Prevention
Menée auprès de 689 participants ayant un enfant âgé de 8 à 10 ans et ayant arrêté de fumer après avoir contacté un service en ligne d'aide au sevrage tabagique, cette étude évalue l'intérêt, pour prévenir le risque de rechute, de les inciter à sensibiliser les enfants aux dangers du tabagisme
Introduction : Data from a randomized controlled trial designed primarily to test the effect of an anti-smoking socialization parenting program on child initiation of smoking were used to test the subsidiary hypothesis that providing anti-smoking socialization to children would lower the odds of relapse within a sub-sample of parents who had recently quit smoking. Methods : Over 13 months, 11 state Quitlines provided contact information for callers who were parents of 8 to 10 year old children. Of 1604 parents enrolled in the trial, 689 (344 treatment; 345 control) had quit smoking cigarettes for ≥ 24 hours after calling a Quitline. Their data were used to test for group differences in 30-day abstinence measured using telephone interviews conducted 7 and 12 months post-baseline. Analyses of parents with complete follow-up data and intent-to-treat analyses incorporating parents lost to follow-up are presented. Results : Among 465 parents with complete follow-up data, treatment group parents had twice the odds of being abstinent 12 months post-baseline (adjusted OR = 2.01; p = .001) relative to controls. Intent-to-treat analysis with all 689 parents, in which those lost to follow-up were coded as having relapsed, showed a smaller though significant treatment effect on 30-day abstinence at 12 months (adjusted OR = 1.58; p = .017). Conclusions : This study is the first to observe that engaging parents who have quit smoking in anti-smoking socialization of children can lower their odds of relapse. Additional research is needed to replicate this finding and to identify the psychological mechanisms underlying the observed effect.