TY - JOUR

T1 - Muslim communities learning about second-hand smoke (MCLASS)

T2 - Study protocol for a pilot cluster randomised controlled trial

AU - Ainsworth, Hannah

AU - Shah, Sarwat

AU - Ahmed, Faraz

AU - Amos, Amanda

AU - Cameron, Ian

AU - Fairhurst, Caroline

AU - King, Rebecca

AU - Mir, Ghazala

AU - Parrott, Steve

AU - Sheikh, Aziz

AU - Torgerson, David

AU - Thomson, Heather

AU - Siddiqi, Kamran

PY - 2013/9/13

Y1 - 2013/9/13

N2 - Background: In the UK, 40% of Bangladeshi and 29% of Pakistani men smoke cigarettes regularly compared to the national average of 24%. As a consequence, second-hand smoking is also widespread in their households which is a serious health hazard to non-smokers, especially children. Smoking restrictions in households can help reduce exposure to second-hand smoking. This is a pilot trial of 'Smoke Free Homes', an educational programme which has been adapted for use by Muslim faith leaders, in an attempt to find an innovative solution to encourage Pakistani- and Bangladeshi-origin communities to implement smoking restrictions in their homes. The primary objectives for this pilot trial are to establish the feasibility of conducting such an evaluation and provide information to inform the design of a future definitive study.Methods/Design: This is a pilot cluster randomised controlled trial of 'Smoke Free Homes', with an embedded preliminary health economic evaluation and a qualitative analysis. The trial will be carried out in around 14 Islamic religious settings. Equal randomisation will be employed to allocate each cluster to a trial arm. The intervention group will be offered the Smoke Free Homes package (Smoke Free Homes: a resource for Muslim religious teachers), trained in its use, and will subsequently implement the package in their religious settings. The remaining clusters will not be offered the package until the completion of the study and will form the control group. At each cluster, we aim to recruit around 50 households with at least one adult resident who smokes tobacco and at least one child or a non-smoking adult. Households will complete a household survey and a non-smoking individual will provide a saliva sample which will be tested for cotinine. All participant outcomes will be measured before and after the intervention period in both arms of the trial. In addition, a purposive sample of participants and religious leaders/teachers will take part in interviews and focus groups.Discussion: The results of this pilot study will inform the protocol for a definitive trial.Trial registration: Current Controlled Trials ISRCTN03035510.

AB - Background: In the UK, 40% of Bangladeshi and 29% of Pakistani men smoke cigarettes regularly compared to the national average of 24%. As a consequence, second-hand smoking is also widespread in their households which is a serious health hazard to non-smokers, especially children. Smoking restrictions in households can help reduce exposure to second-hand smoking. This is a pilot trial of 'Smoke Free Homes', an educational programme which has been adapted for use by Muslim faith leaders, in an attempt to find an innovative solution to encourage Pakistani- and Bangladeshi-origin communities to implement smoking restrictions in their homes. The primary objectives for this pilot trial are to establish the feasibility of conducting such an evaluation and provide information to inform the design of a future definitive study.Methods/Design: This is a pilot cluster randomised controlled trial of 'Smoke Free Homes', with an embedded preliminary health economic evaluation and a qualitative analysis. The trial will be carried out in around 14 Islamic religious settings. Equal randomisation will be employed to allocate each cluster to a trial arm. The intervention group will be offered the Smoke Free Homes package (Smoke Free Homes: a resource for Muslim religious teachers), trained in its use, and will subsequently implement the package in their religious settings. The remaining clusters will not be offered the package until the completion of the study and will form the control group. At each cluster, we aim to recruit around 50 households with at least one adult resident who smokes tobacco and at least one child or a non-smoking adult. Households will complete a household survey and a non-smoking individual will provide a saliva sample which will be tested for cotinine. All participant outcomes will be measured before and after the intervention period in both arms of the trial. In addition, a purposive sample of participants and religious leaders/teachers will take part in interviews and focus groups.Discussion: The results of this pilot study will inform the protocol for a definitive trial.Trial registration: Current Controlled Trials ISRCTN03035510.

KW - Bangladeshi

KW - Cluster randomised control trial

KW - Ethnicity

KW - Faith leaders

KW - Mixed-methods

KW - Muslim

KW - Pakistani

KW - Pilot

KW - Second-hand smoking

KW - Smoking

U2 - 10.1186/1745-6215-14-295

DO - 10.1186/1745-6215-14-295

M3 - Journal article

C2 - 24034853

AN - SCOPUS:84883714111

VL - 14

JO - Trials

JF - Trials

SN - 1745-6215

IS - 1

M1 - 295

ER -