Creating smoke-free homes for families involved with child protective services

Establishing Smoke-free Homes With Families Involved in Child Protective Services: Effectiveness-implementation Trial of an Integrated Program

This study is testing a program that helps families involved with child protective services create smoke-free homes to protect young children from secondhand smoke and improve their overall well-being.

Quick facts

• Phase: Not applicable
• Study type: Interventional
• Enrollment: 268 (estimated)
• Ages: 18 Years to 89 Years
• Sex: All
• Sponsor: Georgia State University (Academic / other)
• Locations: 1 site (Atlanta, Georgia)
• Trial ID: NCT05000632 on ClinicalTrials.gov

What this trial studies

Smoke Free SafeCare (SFSC) is an intervention that combines two evidence-based programs: Some Things are Better Outside (STBO), which promotes smoke-free home rules, and SafeCare, which aims to reduce child maltreatment and improve outcomes for mothers and children. The program targets low-socioeconomic status households where smoking and child maltreatment often co-occur. By integrating these approaches, the study seeks to reduce secondhand smoke exposure and enhance the well-being of children aged 0 to 5 years. The intervention includes a brief coaching call and printed materials to facilitate the adoption of smoke-free rules.

Who should consider this trial

Good fit: Ideal candidates for this study are caregivers aged 18 or older who smoke or have someone in their home who smokes and have children aged 0 to 5 years.

Not a fit: Patients who do not smoke and do not have children in the specified age range may not receive any benefit from this study.

Why it matters

Potential benefit: If successful, this intervention could significantly improve the health and safety of children in high-risk households by reducing exposure to secondhand smoke and preventing child maltreatment.

How similar studies have performed: While there have been successful interventions targeting either smoking behaviors or child maltreatment separately, this combined approach is novel and has not been extensively tested.

Eligibility criteria

Provider Inclusion Criteria:

* SafeCare providers in this study must 1) have completed the SafeCare workshop and passed field Certification (9 sessions of SafeCare delivered with fidelity according to the SafeCare Fidelity Checklist); 2) be employed at an accredited SafeCare agency in a target state based on Centers for Disease Control and Prevention (CDC) adult smoking data or prior SafeCare research documenting high smoking rates.

Caregiver Inclusion Criteria:

* Caregivers in this study must meet the following inclusion criteria to participate: 1) Referred to a SafeCare Provider study participant; 2) Reports in-home smoking behavior by herself or another person (person must reside in the home 3 or more nights a week) 3) Caregiver must be aged 18 or older and 4) Mother must be a parent to a child between the ages of 0 and 5 (or 0 - 9 if in the state of Oklahoma).

Provider Exclusion Criteria:

* SafeCare providers will be excluded if they have planned for significant employment leave, resignation, or promotion during the study period.

Caregiver Exclusion Criteria:

* We will exclude those who 1) Report that no one smokes in the home; 2) Demonstrate an inability to understand their responsibilities as outlined in the consent form. This will be determined as the research staff verbally go through the consent form with the mothers. If mothers do not understand the consent form and subsequent procedures, they will be excluded.

Where this trial is running

Atlanta, Georgia

• Georgia State University — Atlanta, Georgia, United States (Recruiting)

Study contacts

• Principal investigator: Shannon Self-Brown, PhD — Georgia State University
• Study coordinator: Manderley Recinos

Conditions Child Maltreatment; Smoking Behaviors