An cRCT of SHS Among Primary School Students (SHS-cRCT)
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|ClinicalTrials.gov Identifier: NCT03380234|
Recruitment Status : Active, not recruiting
First Posted : December 21, 2017
Last Update Posted : March 29, 2019
|Condition or disease||Intervention/treatment||Phase|
|Secondhand Smoke Thirdhand Smoke Smoking||Other: Worksheets Other: Whatsapp messages Other: Online quizzes Other: Leaflet||Not Applicable|
Around 12 primary schools in Hong Kong will be randomly selected and recruited and the 3 grades (P2-4) in each of the recruited schools will be randomly allocated to intervention or control arms. After the consenting process and baseline survey, we will conduct a 3-month intervention and then 2-month boosters which include 8 worksheets, around 15 online question quizzes and 30 WhatsApp messages. After 3-month and 6-month follow-up periods, we will assess the differences of children's exposure to environmental tobacco smoke (including SHS and THS at home, SHS at home from neighbours and SHS outside home), children's SHS-related knowledge and attitude, intention to smoke, respiratory symptoms, parents' smoking cessation, and family happiness. According to the results of baseline survey, we will also invite all the students exposed to SHS at home to provide their hair samples before intervention and at the 6th month in order to obtain objective results (hair nicotine measurements).
Aims of this study: (1) To reduce children's exposure to environmental tobacco smoke. (2) To reduce objectively measured exposure to tobacco smoke (hair nicotine) among children who are exposed to SHS at home at baseline. (6-month, laboratory test). (3) To promote SHS-related knowledge and attitudes, and avoidance of SHS among children. (4) To reduce children's intention to smoke. (5) To reduce children's respiratory symptoms. (6) To promote smoking cessation (past 7 days) of parents. (child report) (7) To promote children's perception of family happiness.
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||3432 participants|
|Intervention Model:||Parallel Assignment|
|Intervention Model Description:||Cluster randomised controlled trial|
|Masking:||None (Open Label)|
|Official Title:||Reducing Exposure to Tobacco Smoke Among Primary School Students - a Cluster Randomised Controlled Trial|
|Actual Study Start Date :||September 20, 2018|
|Estimated Primary Completion Date :||July 2019|
|Estimated Study Completion Date :||July 2019|
8 worksheets and around 15 online quizzes and 30 WhatsApp messages.
Worksheets will be distributed to students for them and their parents to complete together. During the first 3 months, the teachers will distribute 1 worksheet every two weeks to the intervention grades, and 1 worksheet in the 4th and 5th months as boosters. The worksheets will deliver information about tobacco smoke, SHS and THS, inviting students and their family members to complete other interesting tasks together.
Other: Whatsapp messages
A mobile phone number of this study is also provided on the worksheets, through which participants can receive WhatsApp/WeChat/instant messages (1-2 times every week) designed to encourage behavioural change . They can then forward selected messages to other members of their household, especially smokers.
Other: Online quizzes
At the end of each worksheet, a QR code is inserted. By scanning this code, students or parents will be invited to answer 2-3 simple quizzes which allow us to assess students' knowledge obtained from the intervention materials and their avoidance of environmental tobacco smoke.
Control students will receive the following minimal intervention to reduce their intention to smoke and SHS - a leaflet on smoking and SHS published by the Department of Health.
A leaflet on smoking and SHS published by the Department of Health will be mailed to the control grades.
- To reduce children's exposure to environmental tobacco smoke. [ Time Frame: 3 and 6-month ]In the 3th and 6th month, students will conduct a survey to assess their exposure to environmental tobacco smoke.
- To reduce the hair nicotine levels of students who are exposed to SHS at home at baseline. [ Time Frame: 6-month ]At the 6th months, parents will be invited to post their children's hair for laboratory test and identify the change of the nicotine levels (objective measurement) before and after intervention.
- To promote SHS-related knowledge and attitudes, and avoidance of SHS among children. [ Time Frame: 3 and 6-month ]In the 3th and 6th month, students will conduct a survey to assess their SHS-related knowledge and attitudes, and avoidance of SHS.
- To reduce children's intention to smoke. [ Time Frame: 3 and 6-month ]In the 3th and 6th month, students will conduct a survey to assess children's intention to smoke.
- To reduce children's respiratory symptoms. [ Time Frame: 3 and 6-month ]In the 3th and 6th month, students will conduct a survey to assess children's respiratory symptoms.
- To promote smoking cessation (past 7 days) of parents. (child report) [ Time Frame: 6-month and 12-month3 and 6-month ]In the 3th and 6th month, students will conduct a survey to report their parents' smoking cessation.
- To promote children's perception of family happiness. [ Time Frame: 3 and 6-month ]In the 3th and 6th month, students will conduct a survey to report their perception of family happiness.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03380234
|Local primary schools|
|Hong Kong, Hong Kong|
|Principal Investigator:||Sai Yin Ho, PhD||School of Public Health, the University of Hong Kong|