Elements | SafeCare elements | Shared elements | Smoke-free home elements |
---|---|---|---|
Participants | Parents of young children involved with child welfare | Parents of children 0–5 years who are at increased risk for SHS exposure | Targets low-income households with at least one smoker and at least one nonsmoker |
Focus | Parent skill training for new parenting behaviors | Parent behavior change | Implement smoke-free home rules and change smoking behavior |
Target for session delivery | Individual parent and child | Individual parent | Parent as household change agent |
Mode of delivery | In-person at home | In-home | Telephone and mail to homes |
Dosage | Weekly for 18–20 weeks | Brief | Once every 2 weeks for 6 weeks |
Length | 18 sessions | ≥ 6 weeks | Four contacts in 6 weeks |
Content | Explain, practice, model, and feedback approach to target behaviors for child safety and health and parent–child interactions | Structured curricula with protocol guidance for intervention deliverers. Parent-friendly content to help generalize skill change | “Five-Step Guide to a Smoke-Free Home” booklet, challenges and solutions booklet, stickers, signs pledges, newsletter, photonovella and coaching to set goals |
Process assessment | Observational and satisfaction measures | Program evaluation embedded in delivery | Relevance, usefulness, satisfaction |
Theoretical underpinnings | Social cognitive theory97 | Social cognitive theory | Social cognitive theory, TTM99 |
Provider | Bachelor’s degree or above | Bachelor’s degree sufficient | None specified |
Fidelity monitoring | Score audio recorded sessions with fidelity checklist | Audio recordings of coaching | Documentation of mailing sent, audio recording of coaching calls, and feedback |