Smokers with children with asthma: Parental perceptions about prototype intervention messages focused on reducing child tobacco exposure and use.
Ashley H Clawson, Elizabeth L McQuaid, Shira Dunsiger and 1 others
PMID 30198313WHAT IT FOUND
Parents who smoke and have a child with asthma rated feedback about child smoking risk as similarly motivating and helpful as other messages.
Personalized wording did not beat generic wording. All child-directed messages were acceptable.
Key findings
01Parents did not rate any parent-directed message type as more motivating or helpful than another; messages that appeared personalized were not rated more favorably than generic messages.
02Parents rated every child-directed message as highly acceptable, with no significant differences among message types.
03Subgroup differences emerged: mothers rated general child-smoking-risk feedback as more motivating than personalized child secondhand-smoke feedback, and parents not ready to quit rated feedback to the child about parent views on child smoking as more acceptable than some other child-directed messages.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample was highly educated and mostly White, so it may not represent families with less education or different backgrounds. Parents reported their own smoking and their child's exposure; the study did not use biomarkers or a clinical asthma evaluation. The messages were fictitious prototypes, not delivered in a real intervention, and no active personalization was used. The study measured perceptions, not behavior, so it cannot show that the messages reduce secondhand smoke exposure or prevent tobacco use. Many eligible respondents were removed for completing the survey too quickly. The final sample was 300 caregivers. Children with asthma were not asked to rate the child-directed messages.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not conclude that these feedback messages reduce secondhand smoke exposure or prevent tobacco use. The study only asked parents to rate fictitious message prototypes, and the main comparisons showed no significant differences among message types.