NCT03380234

Brief Summary

This is a school- and family-based prospective trial among Primary/Grade 2-4 (P2-4) students in randomly selected 12 schools in Hong Kong. This study will assess the intervention effects on 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.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
3,432

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Sep 2018

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 11, 2017

Completed
10 days until next milestone

First Posted

Study publicly available on registry

December 21, 2017

Completed
9 months until next milestone

Study Start

First participant enrolled

September 20, 2018

Completed
1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 30, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 30, 2019

Completed
Last Updated

February 12, 2020

Status Verified

February 1, 2020

Enrollment Period

1.2 years

First QC Date

December 11, 2017

Last Update Submit

February 10, 2020

Conditions

Keywords

SmokingSecondhand smokeThirdhand smokeChildrenCluster randomised controlled trial

Outcome Measures

Primary Outcomes (1)

  • To reduce children's exposure to environmental tobacco smoke.

    In the 3th and 6th month, students will conduct a survey to assess their exposure to environmental tobacco smoke.

    3 and 6-month

Secondary Outcomes (6)

  • To reduce the hair nicotine levels of students who are exposed to SHS at home at baseline.

    6-month

  • To promote SHS-related knowledge and attitudes, and avoidance of SHS among children.

    3 and 6-month

  • To reduce children's intention to smoke.

    3 and 6-month

  • To reduce children's respiratory symptoms.

    3 and 6-month

  • To promote smoking cessation (past 7 days) of parents. (child report)

    6-month and 12-month3 and 6-month

  • +1 more secondary outcomes

Study Arms (2)

Intervention

EXPERIMENTAL

8 worksheets and around 15 online quizzes and 30 WhatsApp messages.

Other: WorksheetsOther: Whatsapp messagesOther: Online quizzes

Control

OTHER

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.

Other: Leaflet

Interventions

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.

Intervention

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 \[15\]. They can then forward selected messages to other members of their household, especially smokers.

Intervention

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.

Intervention
LeafletOTHER

A leaflet on smoking and SHS published by the Department of Health will be mailed to the control grades.

Control

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • \) exposed to secondhand smoke at home from smokers inside home in any of the past 7 days; 2) living with at least 1 smoker; 3) Never smoking or using e-cigarettes.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Local primary schools

Hong Kong, Hong Kong

Location

MeSH Terms

Conditions

Smoking

Condition Hierarchy (Ancestors)

Behavior

Study Officials

  • Sai Yin Ho, PhD

    School of Public Health, the University of Hong Kong

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: Cluster randomised controlled trial
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principle investigator and associate professor

Study Record Dates

First Submitted

December 11, 2017

First Posted

December 21, 2017

Study Start

September 20, 2018

Primary Completion

November 30, 2019

Study Completion

November 30, 2019

Last Updated

February 12, 2020

Record last verified: 2020-02

Data Sharing

IPD Sharing
Will not share

Locations