Smoking Cessation
Conditions
Keywords
Fathers, Masculinity, Gender role, Health Behaviour, Family health
Brief summary
The purpose of this feasibility study is to evaluate Dads in Gear, a tailored program to support expectant and new fathers efforts to quit smoking. The 8 week group program integrates peer support and resources to support cessation, physical activity, and knowledge and skills related to fathering.
Detailed description
Using a prospective, non-comparative design, the DIG program is implemented and evaluated in 6 communities in this feasibility study. The program is offered by trained facilitators to fathers who currently smoke and want to quit. The RE-AIM framework is used to guide the evaluation. Open-ended questions in participant surveys, and semi-structured interviews and weekly telephone de-briefs with facilitators provide data for a process evaluation. Estimates of effectiveness include smoking behavior, fathering and physical activity measures at baseline, end of program, and 3-month follow up.
Interventions
BEHAVIORALDads in Gear Program
Sponsors
Canadian Cancer Society (CCS)
University of British Columbia
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Intervention model description
Prospective, non-comparative design
Eligibility
Sex/Gender
MALE
Healthy volunteers
Yes
Inclusion criteria
* Fathers of any age * Currently smoking and want to quit smoking, or recently quit smoking (within last 2 months) * Have at least one child under 5 years old or expecting a child (Men do not have to be residing with their children to be eligible) * Able to attend the group program
Exclusion criteria
\- Non smokers
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Smoking status at 3 months following end of 8 week program | 3 month follow-up | Self-reported smoking status using the following questions: Are you currently smoking? \[Response: Yes/No\]. If NO, how long have you been smoke-free? \[Response: \_\_\_ # of days \_\_\_ # of weeks\] |
| Change in smoking status from baseline to end of 8 week program | Baseline, and at end of 8 week program | Self-reported smoking status using the following questions: Are you currently smoking? \[Response: Yes/No\]. If NO, how long have you been smoke-free? \[Response: \_\_\_ # of days \_\_\_ # of weeks\] |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Smoking behaviour - quit attempts between end of program and 3 month follow-up | At 3 month follow-up | Self-reported frequency of quit attempts during previous 3 months (smoke free for at least 24 hours) (questionnaire item) |
| Confidence to stay smoke free at end of 8 week program | End of 8 week program | Self-reported confidence to stay smoke free (questionnaire item) |
| Confidence to stay smoke free at 3 month follow-up | 3 month follow-up | Self-reported confidence to stay smoke free (questionnaire item) |
| Change in Fathering Self-Efficacy from baseline to end of 8 week program | Baseline and at end of 8 week program | Fathering Self-efficacy Scale developed by Sevigney et al. (2016) is a measure of men's perceptions of their abilities (self-efficacy) related to parenting and fatherhood. Two of the three sub-scales in this tool will be used: Positive engagement (12 items; with scores ranging from 12 - 120) and direct care (4 items, with scores ranging from 4 - 40). A 10-point Likert scale response format is used for each item. The item scores in each sub-scale will be summed to obtain sub-scale scores. Sub-scale scores are summed for total Father Self-Efficacy score (range 16-160). Higher scores indicate better self-efficacy. |
| Change in physical activity from baseline to end of 8 week program | Baseline, and at end of 8 week program | Godin Physical activity leisure time questionnaire |
| Physical activity at 3 month follow-up | 3 month follow-up | Godin Physical activity leisure time questionnaire |
| Change in sedentary behavior from baseline to end of 8 week program | Baseline, and end of 8 week program | Self-reported time spent sitting during past 7 days on a weekday (questionnaire item). |
| Sedentary behavior at 3 month follow-up | 3 months follow-up | Self-reported time spent sitting during past 7 days on a weekday (questionnaire item). |
| Fathering Self-efficacy at 3 month follow-up | 3 month follow-up | Fathering Self-efficacy Scale developed by Sevigney et al. (2016) is a measure of men's perceptions of their abilities (self-efficacy) related to parenting and fatherhood. Two of the three sub-scales in this tool will be used: Positive engagement (12 items; with scores ranging from 12 - 120) and direct care (4 items, with scores ranging from 4 - 40). A 10-point Likert scale response format is used for each item. The item scores in each sub-scale will be summed to obtain sub-scale scores. Sub-scale scores are summed for total Father Self-Efficacy score (range 16-160). Higher scores indicate better self-efficacy. |
| Smoking behaviour - quit attempts during 8 week program | End of 8 week program | Self-reported frequency of quit attempts (smoke free for at least 24 hours) (questionnaire item) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Program Fidelity | During 8 week program implementation | Semi-structured telephone interviews with facilitators during program implementation |
Outcome results
None listed