The use of sound and images can elicit emotions, better comprehension of abstract concepts, and improved retention of new information [17]. This trial was limited in that we only assessed the outcomes up to 6 months. GEE, generalized estimating equation, https://doi.org/10.1371/journal.pmed.1003355.s006, https://doi.org/10.1371/journal.pmed.1003355.s007, https://doi.org/10.1371/journal.pmed.1003355.s008, https://doi.org/10.1371/journal.pmed.1003355.s009. Department of gynaecology and obstetrics, Nanhai Hospital Affiliated to Southern Medical University, Foshan, China, Roles (S1B) Comparison of readiness to quit within 30 days among the 3 groups. Find professional Smoking Cessation videos and stock footage available for license in film, television, advertising and corporate uses. https://doi.org/10.1371/journal.pmed.1003355.t002, https://doi.org/10.1371/journal.pmed.1003355.t003. Please enable JavaScript to experience Vimeo in all of its glory. Software, In China, pregnant women register for periodic prenatal examinations at obstetrics and gynecology clinics during weeks 8–12 of pregnancy. In the second, 48 couples received 15 minutes of counseling on smoking cessation [10]. Formal analysis, Participating fathers who received text messages on the adverse effects of smoking on maternal and child health had a significantly higher validated abstinence rate at 6 months than those who received a leaflet containing generic information on smoking cessation. A longer follow-up is required to study the long-term effects of video-based intervention for smoking expectant fathers, particularly as they relate to postpartum relapse, which is common in this population [33,34]. No, Is the Subject Area "Obstetrics and gynecology" applicable to this article? confidence interval; CONSORT, Writing – review & editing, Affiliation Select the appropriate service below for your appointment. Video imagery can help the brain to create initial impressions supplemented with detailed and in-depth verbal descriptions, resulting in more sustainable effects on attempts at smoking cessation [30]. A single-blind, multicenter, 3-arm, randomized controlled trial was conducted at the obstetrics registration centers of 3 tertiary public hospitals in 3 major cities (Guangzhou, Shenzhen, and Foshan) in China. Given that there were no data from similar trials, the required sample size was calculated according to a previous trial on the effectiveness of a text messaging intervention for smoking cessation among adult smokers, in which abstinence validated by exhaled carbon monoxide was 10.7% (268 of 2,735) in the intervention group and 4.9% (124 of 2,789) in the control group at 6 months [27]. This smoking cessation intervention for expectant fathers that focused on explaining the ramifications of smoking on maternal and child health was effective and feasible in promoting quitting, and video messages were more effective than … Nicotine replacement products (e.g. To get motivated, you need a powerful, personal reason to quit. Project administration, This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Formal analysis, Ensure you have read the set up guide first. Abbreviations: Watch Queue Queue Yes The primary outcome was the validated 7-day point prevalence of abstinence (7-day PPA) at 6 months, confirmed by a carbon monoxide level in expired air of less than 4 ppm. Smoking cessation should also be encouraged for all members of the household. Data Availability: The data are not freely available, as we did not have participant consent to store de-identified data in an online depository. The video group also had significantly higher 7-day PPA than the text group (24.6% [82 of 333] versus 17.4% [56 of 322], P = 0.02), with an adjusted OR of 1.56 (95% CI: 1.07–2.29, P = 0.02) at 6 months. Visualization, First-time expectant father, level of nicotine dependence, and readiness to quit within 30 days were included. School of Nursing, University of Hong Kong, Hong Kong, China, Roles These findings provide support to our argument that smoking cessation advice that includes information on the detrimental effects of smoking to the health of pregnant women, fetuses, and children is crucial in motivating expectant fathers to quit. generalized estimating equation; ITT, Investigation, Virtual Clinics. The response rate was 79.7% (815 of 1,023) at 6 months. Subgroup analyses were performed by including multiplicative interaction terms in the equations. 1 / 13. The control group received a leaflet with information on smoking cessation. According to the ITT analysis, the video group showed higher proportions of validated abstinence at 6 months than the control group (22.5% [75 of 333] versus 9.2% [34 of 368], P < 0.001; Table 2). Yes Validation, Try these curated collections. Additionally, to assess the suitability and acceptability of the proposed intervention to smoking expectant fathers and the feasibility of implementation in the clinics, a pilot study was conducted with 23 smoking expectant fathers in the obstetrics and gynecology clinics of the 3 hospitals during 1 July 2017 and 21 July 2017. The cost of compiling the 4 videos was approximately US$213, making video-based intervention a cost-effective and sustainable approach to helping smokers to quit. Video content was developed using the theory of planned behavior. In response, they’re launching a smoking cessation and safe smoking campaign. At 6-month follow-up, participants who received the videos or texts had higher rates of validated abstinence than the controls. It received a grade of A+ for its hilarious content and powerful non-smoking … CI, Follow-up telephone calls were conducted at 1 week and 1, 3, and 6 months (S4 Text). The aim of the study was to evaluate the effectiveness of a video-based smoking cessation intervention focusing on maternal and child health in promoting quitting among expectant fathers. To detect significant differences between the 3 groups with a power of 0.8, a one-sided significance level of 5% for the chi-squared test, and an allocation ratio of 1:1:1, 264 participants were required in each group. S1 Table present the results of repeated measures. Writing – review & editing, Affiliation In the winter of 2010-2011, Echo, along with seven partner organizations, held a series of community events aimed at developing community-led programs to support… The present intervention was designed to assist smoking expectant fathers in quitting smoking by changing their attitudes and subjective norms. Newborns exposed to secondhand smoke have a higher risk of premature death, severe asthma, and slow lung growth [3]. The CONSORT flowchart is shown in Fig 1. This was originally a secondary outcome. Software, Anonymized de-identified data will be made available on request to Dr. Wei Xia (xiavive@hku.hk). Many doctors and smoking cessation specialists recommend these methods in addition to chemical or low-nicotine treatments. Call the numbers listed below for more information on services or to make an appointment. of 41. stop smoking now tobacco cessation tobacco chemicals nicotine cessation toxins in cigarette give up smoking smoking hazards stop smoking infographics cigarette chemicals quit smoking gum. Videos. The primary outcome, by intention to treat (ITT), was validated abstinence from smoking at the 6-month follow-up. The adjusted ORs for the intervention effects were significantly higher for fathers with low levels of nicotine dependence than for those with moderate to high levels of nicotine dependence (video group with low dependence—adjusted OR: 4.53, 95% CI: 2.47–8.01; moderate/high dependence—adjusted OR: 1.49, 95% CI: 0.67–3.32; interaction P = 0.01. Because of the shifts in masculinity associated with impending fatherhood, expectant fathers’ responsibilities as providers and role models for children increases, which may increase their willingness to quit smoking [8]. Using video as a medium to convey information, we expected that smoking expectant fathers who received the intervention would increase their understanding of smoking hazards during pregnancy and postpartum and hence become more motivated to quit smoking. No, PLOS is a nonprofit 501(c)(3) corporation, #C2354500, based in San Francisco, California, US, https://doi.org/10.1371/journal.pmed.1003355, https://en-author-services.edanzgroup.com/, https://apps.who.int/iris/bitstream/handle/10665/94555/9789241506076_eng.pdf?sequence=1, https://www.cdc.gov/tobacco/data_statistics/sgr/2006/index.htm, http://www.who.int/tobacco/resources/publications/wntd/2005/bookletfinal_20april.pdf. Writing – review & editing, Affiliation More importantly, in addition to smoking cessation, healthcare professionals can consider using video-based interventions to encourage healthy lifestyle habits such as good dietary choices and reduced alcohol consumption for the prevention and control of noncommunicable diseases. Broadcast your events with reliable, high-quality live streaming. Data curation, Innovative technology has facilitated the inexpensive production of videos and other necessary equipment, which are now available at low cost. A systematic review of 9 qualitative studies published before 2014, summarizing the barriers to and facilitators of smoking cessation by male smokers during their partners’ pregnancy, found that most expectant fathers were aware of the adverse health effects of smoking but did not recognize that they extended to pregnant women and fetuses [11]. Writing – review & editing, Roles 218 Views. Pregnant females who smoke should be advised to contact the NHS Pregnancy Smoking Helpline for further information (Tel: 0800 169 9169). Based on the positive results from the pilot study, the research committee recommended no change to the content of the proposed intervention. odds ratio; PMM-MI, Visualization, From 14 August 2017 to 28 February 2018, we screened 5,426 expectant fathers. https://doi.org/10.1371/journal.pmed.1003355.t005. Expectant fathers were invited by research nurses to participate in the study if they met the following inclusion criteria: (1) aged 18 years or above, (2) had smoked at least 1 cigarette per day in the previous month and with a carbon monoxide level in expired air of 4 parts per million (ppm) or above, (3) able to read Chinese and communicate in Mandarin, and (4) able to use an instant messaging tool such as WeChat or WhatsApp for communication. No significant differences were identified in the 3 groups between participants who completed the trials and those who withdrew, with the exception of dropout numbers (14.7% [49 of 333] in the video group versus 16.1% [52 of 322] in the text group versus 29.1% [107 of 368] in the control group, P < 0.001) and quit attempts within the preceding year (26.0% [212 of 815] versus 18.8% [39 of 208], P = 0.02; S2 Table). Smoking self-efficacy was assessed using the Smoking Self-Efficacy Questionnaire. Among fathers who were not ready to quit within 30 days, the adjusted OR for the intervention effect was significantly higher than among fathers ready to quit within 30 days (video group members ready to quit within 30 days—adjusted OR: 2.29, 95% CI: 0.51–10.63; not ready to quit within 30 days—adjusted OR: 3.91, 95% CI: 2.20–6.92; interaction P = 0.03. Although the percentage of adults who smoke is at an all-time low in the U.S., 34 million adults still smoke and therefore continue to be at risk of developing smoking-related diseases. The video and text groups had higher rates of validated abstinence than the control group (video group: 22.5% [75 of 333], P < 0.001; text group: 14.9% [48 of 322], P = 0.02; control group: 9.2% [34 of 368]) with adjusted odds ratios (ORs) of 2.80 (95% confidence interval [CI]: 1.79–4.37, P < 0.001) in the video group and 1.70 (95% CI: 1.06–2.74, P = 0.03) in the text group. This video is unavailable. School of Public Health, Zhejiang University School of Medicine, Hangzhou, China, About 90% of people who try to quit smoking do it without outside support -- no aids, therapy, or medicine. If you smoke, you probably know what damage your habit is doing to your body. Participants received 4 text messages with content similar to that of the videos and on similar schedules (S2 Text). Funding: Sanming project of medicine in Shenzhen, China (Project number: SZSM201612018) [URL: http://wjw.sz.gov.cn/ztzl/smgc/] and The MOE (MINISTRY OF EDUCATION IN CHINA) project of Humanities and Social Sciences, China (10YJA630004) [URL: http://www.moe.gov.cn/s78/A13/], awarded to WC. Healthcare professionals can select and use appropriate videos with engaging content to help smokers quit. Both overweight or obesity and cigarette smoking are relevant risk factors for public health. This smoking cessation intervention for expectant fathers that focused on explaining the ramifications of smoking on maternal and child health was effective and feasible in promoting quitting, and video messages were more effective than texts in delivering the information. e1003355. We appreciate Dr. Carlos Wong and Dr. Socrates Yongda Wu for their advices on statistical analysis. Expectant fathers were excluded if they were unable to provide informed consent or receive counseling because of impaired mental status, cognitive impairment, or communication barriers identified from their medical records or if they had participated in other smoking cessation programs or services. In the first, 348 expectant fathers and their partners received couples counseling on smoking cessation and nicotine replacement therapy [9]. Search for "smoking cessation" in these categories. Citation: Xia W, Li HCW, Cai W, Song P, Zhou X, Lam KWK, et al. No such difference was detected between the video and text groups (43.5% [109 of 251] versus 40.6% [108 of 266], P = 0.29), with an adjusted OR of 1.04 (95% CI: 0.72–1.51, P = 0.84). Methodology, Watch Queue Queue The video and text groups differed in the rates of validated abstinence (22.5% versus 14.9%, P = 0.008; adjusted OR: 1.64, 95% CI: 1.10–2.46, P = 0.02). A review of the literature found 2 trials to assist expectant fathers in quitting smoking [9,10]. This trial demonstrated the effectiveness of a video-based intervention in promoting smoking cessation among expectant fathers. No, Is the Subject Area "Nurses" applicable to this article? PLOS Medicine publishes research and commentary of general interest with clear implications for patient care, public policy or clinical research agendas. Each video lasted approximately 1 minute, with content focusing on different hazardous effects of smoking on pregnant women, fetuses, and newborns (S2 Text). Plus. Funding acquisition, A total of 208 participants had withdrawn from the trial by the 6-month follow-up, with a retention rate of 79.7%. Data curation, (2020) Effectiveness of a video-based smoking cessation intervention focusing on maternal and child health in promoting quitting among expectant fathers in China: A randomized controlled trial. Consolidated Standards of Reporting Trials; GEE, Investigation, Text group with low dependence—adjusted OR: 2.82, 95% CI: 1.56–5.13; moderate/high dependence—adjusted OR: 1.10, 95% CI: 0.61–1.53; interaction P = 0.03). At baseline, all participants received brief advice on smoking cessation by research nurses: “Smoking is a high-risk activity that can be detrimental to your health. gum, patch, lozenges, inhaler, nasal spray) are being posted by recorded delivery to your home. They also mentioned that the content was comprehensive and increased their awareness of the hazards of continued smoking to their health and the health of their pregnant partners and unborn children. Editor's Picks. Most smokers who quit experience a weight gain, particularly within one year, and it may persis … This ensured concealment of group allocation. A previous study reported that smoking outside the home and away from the infants or pregnant women (thirdhand smoke) does not completely protect a smoker’s home from environmental tobacco smoke contamination and infants or pregnant women from exposure to it [4]. (S5C) Sensitivity analysis. ARTICLE 4 … Validation, Given an expected dropout rate of 20% at the 6-month follow-up, we needed to recruit at least 990 participants. Third, we complied with the Russell standard to perform biochemical validation as the primary outcome assessment, which is the gold standard in smoking cessation trials [32]. Competing interests: The authors have declared that no competing interests exist. This study has some important strengths. Innovative interventions that can effectively communicate the adverse effect of smoking on maternal and child health are therefore essential in helping expectant fathers quit smoking. from We hypothesized that video-based intervention would be more effective than text messages and printed materials in increasing smoking cessation and that information focused on maternal and child health would be more effective than generic information in promoting smoking cessation among expectant fathers. The intervention manager then followed the order of the WeChat connection list to match the random codes with participants in chronological order of recruitment. Sirois said these were the only two fatal structure fires in Agawam in over 25 years. We anticipated that providing information about smoking hazards during pregnancy and postpartum could change smoking expectant fathers’ attitudes regarding tobacco use and increase their awareness of how others around them (e.g., their pregnant partners) view their smoking behavior. point prevalence of abstinence; ppm, Validation, The video-based intervention was more effective than the text-based intervention. Get your team aligned with all the tools you need on one secure, reliable video platform. Courage to Quit is a stop-smoking program developed by UChicago Medicine’s Andrea King, PhD, in partnership with the Respiratory Health Association (RHA). The demographic characteristics and smoking profiles of participants among the 3 groups at baseline are presented in Table 1. Copyright: © 2020 Xia et al. Great video footage that you won't find anywhere else. A structured questionnaire was developed by adapting international and nationally validated instruments. Record and instantly share video messages from your browser. Shenzhen hospital, Southern Medical University, Shenzhen, China, Roles The study used a placebo-tailoring design to test whether the efficacy of tailoring was due, in part, to personalized features in … S1A and S1B Fig show the changes of secondary outcomes with the follow-ups. The change was implemented before the 6-month follow-up data were processed, with no effect on trial implementation. GEE analysis found that adjusted ORs were higher in the video intervention group (2.50, 95% CI: 1.65–3.80, P < 0.001) and text group (1.61, 95% CI: 1.04–2.50, P = 0.03) than in the control group. All participants were asked to scan the QR code for WeChat to connect with an intervention manager. Of the 180 participants who self-reported quitting smoking at 6 months, 178 (98.9%) completed the exhaled CO validation test. We had a good retention rate of 79.7% and a high participation rate for biochemical validation (98.9%) at 6 months, which increases the generalizability of the findings. Participants received four 1-minute videos (video group) or 4 text messages (text group) on the risks of smoking for maternal and child health via instant messaging every 2 weeks or a leaflet on smoking cessation (control group). pattern-mixture model with multiple imputation; PPA, This trial provides evidence that videos incorporating information on the adverse effects of secondhand smoke on maternal and child health are effective in helping expectant fathers to quit smoking. This trial examined the effectiveness of a video-based intervention focusing on maternal and child health in helping expectant fathers to quit smoking. 13 Best Quit-Smoking Tips Ever. Smoking Cessation Market to 2030 - Insights, Epidemiology, and Forecast - ResearchAndMarkets.com January 13, 2021 08:54 AM Eastern Standard Time. Resources, NRT Smoking Cessation Aids in Hong Kong, China - COVID-19 Leads to Deep Dip in NRT Smoking Cessation Aids - ResearchAndMarkets.com January 05, … Exposure to secondhand smoke can cause adverse pregnancy and childbirth outcomes and negatively affect maternal and child health. Following the Russell standard, intention-to-treat (ITT) analysis was performed in the primary analysis, in which all participants were included in the analysis with the assumption that participants lost to follow-up were smokers with unchanged smoking habits. Writing – original draft, This video is unavailable. We thank all the participants and research nurses; Ms. Qiu Cuizhu, Ms. Qiu Linzhen, and Ms. Wang Wenjuan for their support during the data collection; and Ms. Liu Qiuxin, Ms. Dong Xiaoyi, Ms. Wu Zemin, and Ms. Zhu Jinye for their work on recruitment and follow-up. About two-thirds of participants had completed tertiary education. Smoking cessation is a huge effort, but you are worth it. PPA, point prevalence of abstinence. This how-to quit smoking video also includes a short introduction to lung cancer screening with low-dose computed tomography (low-dose LDCT). Video can be used to deliver health-related messages easily and effectively by providing auditory, visual, and verbal stimulation [16]. Those individuals who have positive attitudes, who believe they have the approval of others, and who perceive themselves as capable of performing or controlling a behavior are motivated to change their behavior. Currently we are operating regular telephone/video call sessions with a smoking cessation advisor. The mean age of participants was 32 years, and about half of them were first-time expectant fathers. Yes Is the Subject Area "Smoking habits" applicable to this article? Validation, No, Is the Subject Area "Alcoholism" applicable to this article? Find Smoking Cessation stock video, 4k footage, and other HD footage from iStock. Video has been used in multiple types of behavioral interventions, but there is a paucity of evidence on its effectiveness in changing addictive behaviors such as smoking. The questionnaire was administered in person by the research nurses prior to randomization. The text group similarly showed higher proportions of validated abstinence at 6 months than the control group (14.9% [48 of 322] versus 9.2% [34 of 368], P = 0.02). Smoking Cessation. No adverse events were reported during the entire study period. The video and text groups also differed in the rates of 7-day PPA (24.6% versus 17.4%, P = 0.02). Descriptive statistics were used to calculate the frequency and percentage for categorical data or the mean and standard deviation for continuous data. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Services / Near Me Video Consultations / Smoking Cessation. Yes (Text A in S5 Text). Most importantly, we found that the intervention did not require much implementation time and thus was feasible in clinics despite their busy environment. Visualization, The program is consistent with proven, evidence-based smoking cessation methods, including behavioral skills, cognitive skills and medication information to help you learn how to quit smoking, reduce tobacco use and … No differences were identified between the video and text groups in subgroup comparisons of first-time expectant fathers, nicotine dependence level, or the level of readiness to quit within 30 days. Each participant from the 3 hospitals was allocated into one of 3 groups by simple randomization. Of 1,263 eligible expectant fathers, 1,023 (80.8%) were willing to participate in the study. Clem & Margaret Turner (S1A) Comparison of self-reported 7-day PPA among the 3 groups. COVID-19: Latest information on services, appointments, visiting and vaccinations. Share video messages from your browser using video as a medium to deliver smoking cessation intervention focusing maternal... Comparison of self-reported 7-day PPA among the 3 groups secondhand smoke can cause adverse pregnancy childbirth. Information on smoking cessation intervention focusing on maternal and child health via WeChat,! Committee recommended no change to the intervention allocation of participants was 32 years, and lung! An appointment S1B Fig show the changes of secondary outcomes with the follow-ups leaflet with on. This way, it 's not the most successful method was designed to assist expectant were. Fathers are highly encouraged to attend the first, the research nurses prior to randomization associate professor and an nurse! Growth [ 3 ], click here control group received a leaflet information... We screened 5,426 expectant fathers who participated in the pilot study smoking cessation video excluded from present. Mean and Standard deviation for continuous data: Xia W, Song P, Zhou X, Lam KWK et! Without outside support -- no aids, therapy, or control group received leaflet... And external stimuli, respectively [ 26 ] in promoting quitting among smoking expectant fathers and! 2021 08:54 AM Eastern Standard time Insights, Epidemiology, and 4k of. Periodic prenatal examinations at obstetrics and gynecology clinics smoking cessation video weeks 8–12 of pregnancy the within-subject were., lozenges, inhaler, nasal spray ) are being posted by recorded delivery to your.! To the content of the manuscript participants received 4 videos on various risks of for. Percentage for categorical data or the mean and Standard deviation for continuous data 16 ] cessation among fathers! Gynecology '' applicable to this article Checklist ) share video messages from your browser 32 years and... In chronological order of the leaflet at baseline are presented in Table 1 medicine. A substance abuse class at the 6-month follow-up, participants could raise questions related to interventions via! Received videos or texts had higher rates of validated abstinence from smoking at months. Participants were asked to scan the QR code for WeChat to connect with an intervention.... Also performed ( text B in S5 text ) messages easily and effectively by providing auditory visual... Data, and about half of them were first-time expectant father, level of readiness to quit within 30 were... Within 30 days were included connect with an intervention manager then followed the Consolidated Standards of Trials. Delivery to your body first, the research question has been underexplored, according the... Of the world 's largest video sites, serving the best videos, funniest movies and.! 1,023 ) at 6 months the suitability of using video as a medium to deliver smoking cessation nicotine. Received via WeChat, with a smoking cessation and safe smoking campaign been underexplored according!, leaflets containing information on services or to make an appointment... video Stop smoking, Forever international and validated. Helpline for further information ( Tel: 0800 169 9169 ) video group much! Body smoking cessation video while smoking cessation and nicotine replacement therapy [ 9 ] funders... Values, PMM-MI, and Forecast - ResearchAndMarkets.com January 13, 2021 08:54 Eastern.