O’Donnell R, Bintoro BS, Rustandi AW, Farahdilla ZA, Sadewa DMA, Padmawati RS, et al. COmmunities Facilitating incREasing Smoke-free Homes (CO-FRESH): co-developing a toolkit with local stakeholders in Indonesia and Malaysia. BMJ Global Health. 2025;10:e018102. https://doi.org/10.1136/bmjgh-2024-018102
The aim of this study was to co-develop a toolkit to increase the uptake of smoke-free homes within small village/town communities in Indonesia and Malaysia. We co-created online training materials to equip local health professionals to tackle smoking in the home; a local public information campaign on the benefits of a smoke-free home; methods to provide household air quality feedback to highlight the impact of smoking in the home; and information on local services to support families to create smoke-free homes. Communities welcomed the concept of tackling smoking in the home; however, there was limited knowledge about how second-hand smoke moved around the home and could enter indoor spaces from outdoor smoking. There were differences in the conceptualisation of what defined a ‘smoke-free’ home, alongside the delineation of indoor and outdoor spaces within the home setting. In addition, findings of high background air pollution levels mean that household air quality measurement may not be suited to providing SHS information in these communities. The CO-FRESH toolkit now requires evaluation to determine effectiveness and how it can be implemented at scale.
O’Donnell R, Howell R, Henderson T, et al. Use of nicotine replacement therapy to create a smoke-free home: study protocol for a pilot randomised controlled trial of a smoke-free home intervention in Scotland. BMJ Open 2025;15:e107161. https://doi.org/10.1136/bmjopen-2025-107161
This protocol paper details the methods of a pilot randomised controlled trial to test the feasibility of providing parents, carers and relatives with posted-to-home nicotine replacement therapy alongside fortnightly telephone support to reduce children’s exposure to second-hand smoke. Participants are being recruited through existing National Health Service (NHS) Lanarkshire initiatives and social media. Findings will inform new approaches that are timely and important, providing valuable evidence to help reduce children’s exposure to second-hand smoke in the home in Scotland and elsewhere.