The Dads in Gear Program: An Innovative Men-centered Approach to Smoking Cessation

Study Overview
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Brief Summary
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The purpose of this feasibility study is to evaluate Dads in Gear, a tailored program to support expectant and new fathers efforts to quit smoking. The 8 week group program integrates peer support and resources to support cessation, physical activity, and knowledge and skills related to fathering.

Detailed Description
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Using a prospective, non-comparative design, the DIG program is implemented and evaluated in 6 communities in this feasibility study. The program is offered by trained facilitators to fathers who currently smoke and want to quit. The RE-AIM framework is used to guide the evaluation. Open-ended questions in participant surveys, and semi-structured interviews and weekly telephone de-briefs with facilitators provide data for a process evaluation. Estimates of effectiveness include smoking behavior, fathering and physical activity measures at baseline, end of program, and 3-month follow up.

Official Title
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The Dads in Gear Program: An Innovative Men-centered Approach to Smoking Cessation

Conditions
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Smoking Cessation

Intervention / Treatment
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* Behavioral: Dads in Gear Program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Fathers of any age Currently smoking and want to quit smoking, or recently quit smoking (within last 2 months) Have at least one child under 5 years old or expecting a child (Men do not have to be residing with their children to be eligible) Able to attend the group program Exclusion Criteria: - Non smokers
Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Intervention Model: Single Group Assignment
Interventional Model Description: Prospective, non-comparative design
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Dads in Gear Program<br>An 8 week group program to support men's smoking cessation efforts. | Behavioral: Dads in Gear Program<br> <br> * Other names: DIG program;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in smoking status from baseline to end of 8 week program | Self-reported smoking status using the following questions: Are you currently smoking? [Response: Yes/No]. If NO, how long have you been smoke-free? [Response: ___ # of days ___ # of weeks] | Baseline, and at end of 8 week program | 
| Smoking status at 3 months following end of 8 week program | Self-reported smoking status using the following questions: Are you currently smoking? [Response: Yes/No]. If NO, how long have you been smoke-free? [Response: ___ # of days ___ # of weeks] | 3 month follow-up | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Smoking behaviour - quit attempts during 8 week program | Self-reported frequency of quit attempts (smoke free for at least 24 hours) (questionnaire item) | End of 8 week program | 
| Smoking behaviour - quit attempts between end of program and 3 month follow-up | Self-reported frequency of quit attempts during previous 3 months (smoke free for at least 24 hours) (questionnaire item) | At 3 month follow-up | 
| Confidence to stay smoke free at end of 8 week program | Self-reported confidence to stay smoke free (questionnaire item) | End of 8 week program | 
| Confidence to stay smoke free at 3 month follow-up | Self-reported confidence to stay smoke free (questionnaire item) | 3 month follow-up | 
| Change in Fathering Self-Efficacy from baseline to end of 8 week program | Fathering Self-efficacy Scale developed by Sevigney et al. (2016) is a measure of men's perceptions of their abilities (self-efficacy) related to parenting and fatherhood. Two of the three sub-scales in this tool will be used: Positive engagement (12 items; with scores ranging from 12 - 120) and direct care (4 items, with scores ranging from 4 - 40). A 10-point Likert scale response format is used for each item. The item scores in each sub-scale will be summed to obtain sub-scale scores. Sub-scale scores are summed for total Father Self-Efficacy score (range 16-160). Higher scores indicate better self-efficacy. | Baseline and at end of 8 week program | 
| Fathering Self-efficacy at 3 month follow-up | Fathering Self-efficacy Scale developed by Sevigney et al. (2016) is a measure of men's perceptions of their abilities (self-efficacy) related to parenting and fatherhood. Two of the three sub-scales in this tool will be used: Positive engagement (12 items; with scores ranging from 12 - 120) and direct care (4 items, with scores ranging from 4 - 40). A 10-point Likert scale response format is used for each item. The item scores in each sub-scale will be summed to obtain sub-scale scores. Sub-scale scores are summed for total Father Self-Efficacy score (range 16-160). Higher scores indicate better self-efficacy. | 3 month follow-up | 
| Change in physical activity from baseline to end of 8 week program | Godin Physical activity leisure time questionnaire | Baseline, and at end of 8 week program | 
| Physical activity at 3 month follow-up | Godin Physical activity leisure time questionnaire | 3 month follow-up | 
| Change in sedentary behavior from baseline to end of 8 week program | Self-reported time spent sitting during past 7 days on a weekday (questionnaire item). | Baseline, and end of 8 week program | 
| Sedentary behavior at 3 month follow-up | Self-reported time spent sitting during past 7 days on a weekday (questionnaire item). | 3 months follow-up | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Fathers, Masculinity, Gender role, Health Behaviour, Family health