Cancer Clinical Trial
Official title:
Tobacco Trials at St. Jude: Parent Willingness to Participate Among Families of Children With Cancer, Sickle Cell Disease, or Survivors of Childhood Cancer
Little is known about what factors influence parental decisions to participate or to decline participation in tobacco trials offered in the pediatric clinical setting. Further, it is unclear what proportion of parents treated in our setting would elect to receive formal assistance with quitting smoking or consider alternative approaches that could facilitate eventual smoking cessation. While the recommendation to parents is generally to quit smoking, some may be unwilling or unable to quit and prefer more achievable alternative treatment goals. Some parent smokers may be unlikely to participate in an intervention aimed only at cessation but would be willing to participate in an intervention focused on establishing smoke-free environments for their child. Parents are typically not offered a choice regarding the type of intervention they receive and many interventions are not tailored to their readiness to quit smoking or designed to reach multiple family members in the home who may also smoke. Quitting smoking and establishing smoke-free homes and cars are distinct, yet challenging, goals for parents and families. Both approaches can directly, or indirectly, help parents to quit smoking, reduce the child's exposure to second-hand smoke (SHS), and initiate an important dialogue with families about tobacco control. How parental acceptability of smoking interventions is affected by the context of their child's treatment for cancer or SCD, as well as survivorship, warrants further study.
Following a Behavioral Ecological Model (BEM), this study will assess factors that influence
parent's willingness to participate in tobacco trials that emphasize cessation or promotion
of smoke-free homes/cars while identifying barriers for implementing these strategies.
Information will be obtained from questionnaires completed by parents. This information will
be used to suggest an appropriate emphasis for intervention, refine our recruitment
strategies, design interventions that maximize participation rates and retention, and better
direct our resources and future tobacco control efforts for patients and their families.
PRIMARY OBJECTIVE:
- To estimate the proportion of smoking parents of children with cancer, children with
sickle cell disease (SCD), and childhood cancer survivors who are willing to
participate in tobacco trials offered in the context of their child's medical care.
;
Observational Model: Cohort, Time Perspective: Prospective
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