Reducing levels of second-hand smoke exposure among deprived communities in the UK Respiratory Exposure to tobacco smoke
Conditions
Interventions
The intervention group clusters (i.e. mosques) will be offered the SFH package and training on how to adapt the SFH activities into their daily role and routine at mosques. Mosques in the intervention
Sponsors
University of York (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Mosques: 1.1. Have a mosque committee and an appointed Imam 1.2. Are located in a area with Muslim residents of Pakistani and/or Bangladeshi ethnic groups 1.3. At least one mile apart from another participating mosques; please note: Some mosques serve different denominations (Barelvi, Deobandi, Shia etc.) and happen to be in one mile radius. A mosque serving a different denomination would be included even if it is within a one mile radius of another mosque. 1.4. Hold regular Friday prayers with an average of at least 50 attendees 1.5. Hold regular Qur?an classes for children 1.6. Hold or to be able to organise women?s circle(s) 2. Households: 2.1. Residents of the participating household must have at least one adult resident who smokes cigarettes or other forms of tobacco on a regular basis and at least one child or a non-smoking adult 2.2. A male adult attends the mosque or a female adult who attends the women circle or a child who attends the Qur?an classes at least once a week
Exclusion criteria
Exclusion criteria: 1. Mosques: 1.1. Have taken part in a "Smoke Free Homes" activity before 1.2. Within a one mile radius of another cluster (participating mosques), unless the mosques serves different denominations (Barelvi, Deobandi, Shia etc.) 2. Households: 2.1. All household adult residents smoke cigarettes or other forms of tobacco on a regular basis, and there is no child resident 2.2. There are no residents in the household who smoke on a regular basis 2.3. Household members are regularly attending more than one mosque that is in the trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Our proposed project will carry out a pilot MCLASS trial with the aim to assess the feasibility of conducting a large definitive trial to investigate the effectiveness of the Smoke Free Homes intervention in a mosque setting and to answer the following key research questions: 1. Number of clusters (mosques) and the size of each cluster (participants) for the main trial 1.1. What are the recruitment and attrition rates for mosques (clusters) and participants? 1.2. How willing are mosques and participants to be randomised? 1.3. What is the likely effect size in relation to the primary outcome measure (i.e. salivary cotinine)? 1.4. What is the Intra-class coefficient (ICC) for the primary outcome among participants? 1.5. What is the likely potential of contamination between clusters? 2. Feasibility and resource requirements to deliver the intervention and assess its outcomes 2.1. What are the costs associated with delivering ?Smoke Free Homes? through mosques? 2.2. What is the feasibility and acceptability of measuring the primary outcome (salivary cotinine)? 2.3. What is the response rate for the household survey to assess smoking behaviour? 3. Integration of ?Smoke Free Homes? in mosques 3.1. What are the facilitators & barriers for integration of ?Smoke Free Homes? into mosque practice and how might facilitators be enhanced / barriers be addressed? 3.2. What are the views and experiences of faith leaders and participants regarding the intervention? 3.3. What are people?s (i.e. men, women and children) views and attitudes on the appropriateness of religious leaders taking on a health promotion role? The primary outcome measure in a definitive trial would be salivary cotinine levels in nonsmokers in the households at follow up. This will allow us to assess the levels of exposure in households to compare intervention and control group outcomes, particularly groups who are at high risk of SHS (i.e. children). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Smoking restrictions at home: We will assess the level of smoking restrictions at home through a questionnaire directed at the adults in the households 2. Smoking status of adults? and their intention to quit: We will assess the smoking status of the adults living in participating households. 3. Family health service use: We will ask about the health service use of members of the household in the three months before the intervention and in the three months during the intervention. 4. In addition we will measure a number of other variables, which will be built into our enquiry tools for assessing the above outcomes. These will include children (gender, ethnicity), family (structure and composition e.g. number of adults, children, their age and gender, socioeconomic status, employment status, number of rooms in the house) and neighbourhood variables (e.g. availability of smoke free environments, rural, urban, cigarette shops etc.). In addition, we will also ask about the frequency and mode of contact with the mosques i.e. prayers, study circles, Qur?an classes. | — |
Countries
United Kingdom
Outcome results
None listed