Building SmokeFree Home Environments Josie dAvernas Program Training and Consultation Centre Ontario - PowerPoint PPT Presentation

Title: Building SmokeFree Home Environments Josie dAvernas Program Training and Consultation Centre Ontario


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Building Smoke-Free Home EnvironmentsJosie
dAvernasProgram Training and Consultation
CentreOntario Tobacco Strategyjdavernas_at_golden.n
et
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QUESTION 1What is your personal tolerance level
for ETS?
a)
b)
c)
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QUESTION 2Second-hand smoke is

• Less dangerous than direct smoking?
• More dangerous than direct smoking?
• About the same?

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Environmental Tobacco Smoke (ETS)
Sidestream smoke from smouldering cigarette
Exhaled smoke from the smoker
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QUESTION 3Compared to adults, children are

• Less harmed by second-hand smoke?
• More harmed by second-hand smoke?
• No difference?

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The need to protect children from ETS

• Childrens physiology makes them more vulnerable
  to the effects of ETS
• respiration rate
• immature immune systems

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The need to protect children from ETS

• In children, ETS is responsible for
• 7 of all ear infections
• 20 of all tonsillectomies
• 14 of all tube insertions in ears
• 13 of physician visits for coughs
• Source diFranza Lew, Pediatrics, 1996

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The need to protect children from ETS

• Children
• are more
• dependent
• on others
• their
• communicn
• skills are
• less well-
• developed

I said Hamburger with fries
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The need to protect children from ETS

• Future smoking behaviour can be predicted by
  parental smoking.

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QUESTION 4Its best for a pregnant woman who
smokes to

• Quit smoking for the sake of the baby?
• Keep smoking because the stress of quitting is
  harder on the baby than the smoking?
• Cut down, but not quit?

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Maternal smoking in pregnancy can lead to

• spontaneous abortion
• low birthweight
• higher risk of death in perinatal period
• Sudden Infant Death Syndrome SIDS

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Developing a smoke-free homes campaign

• Key Considerations

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• Soft sell
• or
• Hard line?

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Soft sell Hard line

• message can be misinterpreted
• little risk of reaction effects
• credible to all
• may encourage complacency

• message is undeniable
• higher risk of reaction effects
• some may disregard message, thinking the claims
  are exaggerated

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friends homes

• What makes up the home environment?

family home
workplace
family vehicle
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• Education
• or
• Legislation?

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• Who should we target?

(Should we be intensive and targeted or
broad-based and low contact?)
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Segmentation of Canadian Parent Population
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How do we move beyond awareness to action?

• by addressing common myths and barriers

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Some common myths barriers

• Normal healthy kids are not affected by
  second-hand smoke
• If I cant see or smell it, its gone
• If I cant make my home completely smoke-free,
  theres no point in doing anything
• Im not comfortable telling people not to smoke
  in the house. How else can I let them know?
• Im not being a good host if guests have to go
  outside to smoke

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Developing a smoke-free homes campaign

• A Glimpse at Some
• Successful Campaigns

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1. Background

• Almost all health units in Ontario have developed
  and implemented smoke-free homes campaigns in
  recent years
• PTCC reviewed these campaigns to analyze the
  various elements employed, with a view to
  promoting the best of for widespread adoption

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2. Typical campaign elements

• Media-based awareness
• Kits to homeowners/renters
• Signs (window clings, fridge magnets)
• Brochures
• Memo pads and pens
• Fact sheets
• Family contracts pledging smoke-free spaces
• Smoke-free restaurant guides
• Childrens activity sheets
• Contest (in some cases)

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3. Sample promotional activities

• Media releases
• Ads on radio, transit, television, internet,
  billboards
• Tear-off prescription pads promoting smoke-free
  homes via physicians offices
• Kits distributed at prenatal classes
• Kits distributed to homes via schools with nurses
  doing presentations
• Invitation to call for a kit (at community
  locations, on www, in ads)
• Contest

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4. Example of a contest

• Established sponsors and prizes letters to 140
  businesses yielded 15 interested sponsors and 25
  prizes (diamond pendant, colour TV, home security
  system, theatre tickets, gift certificates)
• Media launch (press release and event)
• Ads on radio, transit, television, internet,
  billboards ad invited them to call for a kit
  and registration form
• Interactive display at malls and workplaces
  (staffed) 28 of entries received this way
• Contestants pledged to make or keep home
  smoke-free for 2.5 month period no validation
  of self-report
• Media celebration to close contest on World
  Health Day

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Results of contest

• 2,637 entries received
• 81 of entrants already had smoke-free homes
  before the contest
• Good media coverage
• Total cost of campaign approximately 15,000 plus
  substantial volunteer contributions of time
  in-kind

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5. Slogans and logos

• Many different slogans and logos used
• Our children the air they breathe
• Thanks Mommy and Daddy for a Smoke-free Home
• Clean Air for Kids
• Helping our Kids Breathe Easy
• Kids Need Breathing space, Take Your Butt Outside
• If you Smoke, Take it Outside
• Think about Second-hand Smoke Its not enough
  to open a window, its better to leave the room,
  its best to go outside
• Open the Door to a Smoke-free Home
• Welcome to our Smoke-free Home
• Focus tested these to identify the best of for
  widespread dissemination across Ontario

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6. Conclusions

• SHS in homes is a significant risk to a
  significant portion of the population
• A well-designed media component is considered
  essential
• Program materials should do two things catch
  attention and provide information
• Fewer items are considered more impactful than
  multi-component kits
• Core recommended items include window clings for
  the home and car, and an easy to read brochure
  with action steps
• Supportive items include information on where to
  go for help to quit, posters, and contests
• Unnecessary elements include childrens activity
  sheets, guides to local smoke-free restaurants,
  contracts pledging to be smoke-free
• Visuals are important, as is colour
• Avoid attributions on stickers and clings
• Use the international nonsmoking symbol
• Use second-hand smoke rather than
  environmental tobacco smoke

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6. Conclusions

• Profiling the needs of children is effective
• Look for ways to target those who dont already
  have smoke-free homes
• Work with health care professionals so they will
  encourage parents to provide smoke-free home
  environments

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