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Tobacco use is responsible for over 450,000 deaths annually
and accounts for more than 30% of U.S. cancer deaths.
Kentucky has the highest rate of adult smoking in the
nation.
Purpose: The purpose of this
pilot study was to reduce smoking rates and secondhand smoke
exposure among Kentucky adults receiving home health care.
Specific aims are to: 1. test the effects of an in-home
tobacco prevention and cessation intervention on smoking,
quit patterns and home exposure to secondhand smoke, 2.
determine if sociodemographic characteristics are associated
with smoking, quit patterns, and home exposure to secondhand
smoke and 3. examine the relationships of self-efficacy with
quit patterns and home exposure to secondhand smoke.
Method: A one-group
pretest-posttest quasi-experimental design was used. A
sample of 10 subjects who reported smoking in their home
within the past 30 days was recruited from a home health
agency client population. Subjects participated in an
in-home smoking prevention and cessation intervention based
on the United States Public Health Service Report. The
intervention was delivered by a home health nurse with
follow-up intervention phone calls by a research assistant.
Participants were interviewed in their homes and provided
urine samples for cotinine measurement at baseline and one
and six months post-intervention. Data were also collected
using the Home Health Smoking Cessation Participant Survey,
the Fagerstrom Tolerance Questionnaire, the Partner
Interaction Questionnaire and selected demographic
variables.
Findings and Discussion: The
results of this pilot study will be discussed along with the
process of overcoming challenges in smoking cessation
research in home health care settings. |
