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Program delivers healthy behaviors door-to-door
Date:3/1/2010

RESH (Family Rules for Establishing Smoke-free Homes), was directed by Collins and looked at whether an intensive, individualized approach to smoking cessation given right in the homes of smokers with young children would be as feasible and effective as the current standard of simply providing self-help materials through community pediatric and WIC clinics.

"Our counselors explicitly demonstrated the steps one can take to create a smoke-free home and coached smokers through those steps taking into account individual and family-level factors that could either facilitate or undermine the behavior change process," Collins said.

His research, presented at the Society for Nicotine and Tobacco Research's annual meeting on Feb 27, looked at the second smoke exposure rates of 229 mothers with young children. All participants received self-help materials, the standard of care in many underserved communities, but about half the group was randomly assigned to receive intensive behavioral counseling through FRESH's 16-week intervention. Counseling focused on enhancing motivation for smoking behavior change, coaching smokers through the steps of creating a smoke-free home, preparing mothers to quit smoking through skills training to manage urges to smoke, and reinforcing social contingencies that support a smoke-free environment.

The group that had the intensive, one-on-one interventions in their homes reported smoking an average of two cigarettes per day indoors (versus five cigarettes per day among those in the self help group), exposing their children to less second-hand smoke. Further, children of women in this group had lower levels of urine cotinine, a biomarker used to determine second-hand smoke exposure.

"Proactive behavioral interventions within the community, like Philadelphia FRESH, can be effective by providing health education, skills training to help smokers learn to manage stress without smoking, coaching to motivate and guid
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Contact: Renee Cree
rencree@temple.edu
215-707-1583
Temple University
Source:Eurekalert

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