About this trial
This study evaluates whether the Smokefree Family Living (SFL) intervention improves quit rates (smoking cessation) and exposure to tobacco contamination that stays in items such as, carpets, walls, and furniture, even after the smoke has cleared (third-hand smoke (THS)) among Chinese American smokers and their non-smoking household members. Smoking remains high among Chinese American males with limited ability to speak English. This causes the non-smoking household members to be exposed to THS, which contains many of the same harmful components as smoking and becomes more toxic as it ages. SFL is tailored for Chinese Americans and combines the contents of the Quit Smoking for a Healthy Family (QS) intervention with additional THS education and cleaning strategies. QS focuses on smoking cessation through educational sessions and support. THS education and cleaning strategies provide information on THS and how to clean the home for THS. SFL may help Chinese American smokers and their non-smoking household members learn about the importance of quitting and the dangers of THS, this may improve smoking cessation and reduce THS exposure
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Must be 18 years of age or older.
Must self-identify as Chinese or of Chinese descent (ethnic or cultural identification, not national origin).
Must be able to understand in spoken Chinese (Cantonese and/or Mandarin) or English.
Able to attend educational sessions in person or via video conferencing.
Disqualifiers
Currently participating in another smoking cessation program.
Non-residents of California.
Participants unwilling to provide follow-up contact for assessments at 6 and 12 months.
Lack of willingness or ability to complete training or deliver intervention sessions as required by the study protocol.
Trial design
Sequential
Treatments tested in this trial
Smoking cessation education
Other interventionQuit Smoking for a Healthy Family (QS) and Smokefree Family Living (SFL) education sessions to promote smoking cessation and reduce tobacco smoke exposure.
Survey Administration
BehavioralAdministered for ancillary studies
Telephone-Based Intervention
BehavioralParticipants will receive follow-up calls
Urine Specimen Collection
Procedure/SurgeryUndergo urine sample collection at baseline
Silicone Wrist Band
Other interventionNon-smoking family/household members will wear a silicone wristband for 2 days at each assessment for ancillary studies
Interview
Other interventionSelected participants will take part in an interview for ancillary studies
Focus Group
Other interventionParticipants will review and comment on materials under development to be used in randomized clinical trial.
Treatment groups
Trial outcomes
Primary outcomes
Proportion of participants who have quit smoking at 6 months
The smoking cessation rate is defined as the proportion of smokers who report quitting smoking, with biochemically verified 30-day point prevalent abstinence at the 6-month follow-up. Smoking rates will be reported by arm.
Secondary outcomes
Change in levels of tobacco smoke biomarkers for second-(SHS)hand smoke exposure
The change in level of tobacco smoke exposure will be assessed among non-smoking family/household members by reviewing levels of urinary 4-(Methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL) at baseline and at 6 months.
Proportion of participants who have quit smoking at 12 months
The smoking cessation rate is defined as the proportion of smokers who report quitting smoking, with verified 30-day point prevalent abstinence by biochemical markers (e.g., urinary NNAL and cotinine tests) at the 12-month follow-up. Smoking rates will be reported by arm.
Sponsors and contacts
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University of California, San Francisco
Lead sponsor
Tobacco Related Disease Research Program
Collaborator