İkinci El Tütün Duman Maruziyet Riski Yüksek Çocukların Ebeveynlerine Uygulanan Sıfır Tolerans Programının Maruziyet Geri Bildirimi Vermeye Göre Çocuğun İdrar Kotinin Düzeyine Etkisi: Randomize Kontrollü Deneyin Çalışma Protokolü

Year 2023, , 287 - 296, 29.12.2023

Sebahat Gözüm , Ercan Asi

https://doi.org/10.5152/JANHS.2023.23390

Abstract

Amaç: Bu çalışma protokolünün amacı ebeveynlere uygulanan Sıfır Tolerans Programına (SToP) göre maruziyet geri bildirimi vermenin çocukların idrar kotinin düzeyine etkisinin karşılaştırılmasıdır.

Yöntemler: Aktif kontrol gruplu, tek kör (katılımcı), randomize kontrollü deney olan bu çalışma protokolünde tabakalı blok randomizasyon (1:1) yapılacaktır. Nisan 2023- Nisan 2024 tarihleri arasında yürütülmesi planlanan çalışmaya SToP girişim grubu (n:29) ve aktif kontrol grubu olan ikinci el sigara dumanı maruziyet geribildirim grubundan (n:29) toplamda 58 katılımcı dâhil edilmesi planlanmıştır. Birincil sonuç için kotinin duyarlı hızlı test kiti, ikincil sonuçlar için ise İkinci El Dumana Maruz Kalmaya İlişkin Bilgi formu, İkinci El Dumana Maruz Kalmaya İlişkin Tutum formu, Üçüncü El Sigara Dumanına Yönelik İnançlar (ÜESDYİ) Ölçeği ve İkinci El Sigara Dumanı Maruz Kalma Risk Algoritması (İESDM-RA) kullanılacaktır.

Bulgular: SToP grubu ile ikinci el sigara dumanı maruziyet geribildirim grubu arasındaki çocukların idrar kotinin düzeyi, ebeveynlerin bilgi, tutum ve inançları ve çocukların maruz kalma riskindeki fark, müdahalelerden sonra değerlendirilecektir. Bulgular hipotezlerimiz doğrultusunda sunulacaktır.

Sonuç: Bu protokol ikinci el sigara duman maruziyet riski yüksek çocuklar için sürdürülebilir bir program olan SToP girişimlerinin maruziyeti nasıl azaltılabileceği konusunda ebeveynlere uygulanabilir bir müdahale olup olmadığını gösterecektir.

Keywords

Çocuk, kotinin, eğitim, ebeveynler, ikinci el sigara dumanı

The Effect of a Zero Tolerance Program Applied to Parents of Children at High Risk of Secondhand Smoke Exposure on the Child’s Urine Cotinine Level According to Exposure Feedback: A Study Protocol for a Randomized Controlled Trial

Abstract

Objective: This study protocol is aimed at comparing the effect of exposure feedback according to a Zero Tolerance Program (Sıfır Tolerans Programı, SToP) on urinary cotinine levels in children
aged 5 and younger (0-5 age).

Methods: This study protocol is planned as an active control group, single-blind (participant), randomized control trial, and stratified block randomization (1:1). The study is planned to be carried
out between April 2023 and April 2024 and includes 58 participants in total from the SToP group (n = 29) and the secondhand smoke (SHS) exposure feedback group (n: 29), which is the active control group. The primary outcome is the urinary cotinine level of children, which will be measured by a cotinine-sensitive rapid test kit. The Knowledge Form on Exposure to SHS, Attitude Form on
Exposure to Secondhand Smoke, Beliefs about Third-Hand Smoke Scale, and Secondhand Smoke Exposure Risk Algorithm will be used to measure secondary outcomes. Secondhand smoke exposure feedback, reminder objects, informative materials, and telephone messages will be given to the SToP group. The active control group will only take SHS exposure feedback.

Results: The difference in the children’s urinary cotinine level, parents’ knowledge, attitudes, and beliefs, and children’s exposure risk between the SToP group and SHS exposure feedback group
will be evaluated after the interventions. Findings will be presented in terms of our hypotheses.

Conclusion: This study protocol will show whether there is a viable intervention for parents on how SToP intervention, which is a sustainable program for children at high risk of SHS exposure,
can reduce exposure

Keywords

Child, cotinine, education, parents, secondhand smoke

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