Smokefree Homes and Cars: protecting children and families 3rd, March 2011, Dundee Hilton Hotel
A conference to better equip communities to reduce exposure to second-hand tobacco smoke (SHS) in private homes and cars
Conference report
Event overviewPage 2
Event evaluationPage 2
Conclusion Page 3
Appendix 1Learning outcomesPage 4
Appendix 2Event Page 6
Appendix 3Delegate list Page 8
Action on Smoking & Health (Scotland) (ASH Scotland) is a registered Scottish charity (SC 010412) and a company limited by guarantee (Scottish company no 141711).
Event overview
More than half of babies and young children from poorer backgrounds are regularly exposed to Second-hand smoke (SHS) in the home, with a fifth of UK children from families with a professional background also exposed. Exposure to SHS in childhood is associated with reduced lung function, middle ear disease, increased risk of respiratory symptoms and a higher incidence of respiratory tract infections. SHS exposure has also been shown to be a cause of cot death.
This event allowed participants to sharpen their knowledge of the issues around SHS and learn what people in health boards and local communities are doing to reduce children’s exposure levels. An opportunity was given to cultivate skills in giving sensitive advice to householders through on-the-day brief advice training.
The STCA is part-funded by Cancer Research UK.REFRESH (Reducing families' exposure to second-hand smoke in the home) a Big Lottery Funded project managed by ASH Scotland in conjunction with Aberdeen and EdinburghUniversities, helped to manage and fund the event. REFRESH was able to utilise the event to disseminate information about the project to a much wider audience than if working alone and thus meet a key project aim more effectively. REFRESH also gathered useful information from delegates on the key areas to include in its forthcoming ‘how to guide’ for practitioners, which aims to better equip professionals to raise the issue of SHS exposure in the home with parents and carers.
Planning for the event was carried out by an STCA planning group comprising STCA Advocates and with representation from ASH Scotland, REFRESH, Queen’s Nursing Institute for Scotland, Royal College of Midwives, British Lung Foundation Scotland, Roy Castle Lung Cancer Foundation and NHS Health Scotland.
The planning group brought valuable experience in the field of public health, sponsored key presenters and provided help-in-kind that not only enhanced the event but delivered a quality training experience at lower cost.
The funding from NHS Education Scotland ensured that the conference was free of charge. In addition, Roy Castle Lung Cancer Foundation invited applications for free training from networks and organisations in Scotland and up to 24, mainly NHS staff will receive two days of training to equip them to train others in smoke-free brief advice.
Event evaluation
Eighty-six people participated in the event. The majority of participants were employed by the NHS and came from a variety of backgrounds, Paediatricians, midwives, health visitors, stop-smoking practitioners, nurses, university researchers and community health workers.
In an on-line evaluation survey following the event to which 38 delegates submitted responses:
50% of delegates rated the conference experience as excellent overall and 45% as good.
79% of delegates rated the presenters as excellent and 21% as good
31% strongly agreed with the assertion that the event had been successful in updating knowledge and skills with 69% of delegates agreeing
34% said they would do things differently as a result of the event with 42% saying that their approach had been reinforced by what they had heard
The six people who opted for brief advice training found it good or excellent.
Examples of positive comments:
I thought the event was well organised and the content was very informative. It was good to see that there are a lot of schemes in place to inform and support parents of the dangers of passive smoking. I left the event feeling that this is something that I would really like to bring forward within my setting. It was a very friendly relaxed day with good discussion.
I thought that the speakers were really well organised and did very well at keeping to their time slot but still managing to get across all the information they wanted.
I attended the brief advice training session. Lots of useful info was packed in to a relatively short space of time. It worked very well. It will definitely be of use to me in my practice and I am grateful for the handouts which will be excellent memory-joggers.
Generally, it will enable me to better promote smoke-free homes as well as generic stop smoking support in brief interventions at information events and in stop smoking support groups.
Conclusion
This is the second STCA inspired event funded by NES and has again evaluated favourably. Representatives from NHS boards and community health initiatives from across Scotland have taken new knowledge, skills and enthusiasm back to their work-base to give a boost to smoke-free advocacy and cessation referral.
The planning of the event generated help in kind support from the Roy Castle Lung Cancer Foundation to the value of £6000 to enable 24 health promotion advocates to be trained to give others training in brief advice.
A topical newsletter is being compiled from material submitted by conference speakers and with acknowledgement of NES funding, will be published in early June 2011 for use by those engaged in smoke-free homes advocacy.
Appendix 1
Learning Outcomes for Smokefree Homes and Cars
With NHS KSF below
Participants will:
- develop their knowledge base around the harm caused by second-hand tobacco smoke inhalation
- understand the part that smokefree homes initiatives play in Scotland’s tobacco control strategy
- appreciate the progress made to date in changing public attitudes towards smoking in the presence of children
- be able to describe several initiatives underway outside their own health board area to address second-hand smoking in homes and cars
- be able to describe some of the most recent findings regarding the harm caused by second-hand smoke exposure
- be able to articulate the benefits of working in a multi-agency partnership to address passive smoke exposure in the home
- recognise the challenges associated with addressing resistance to implementing smokefree homes, both within organisations which could provide support and within the community
- feel more confident in advocating within their organisation or community for support for smokefree homes initiatives
- be aware of training available to address smoking in the home
- Additionally, those participants who undertake brief advice training on the day of the event will:
feel more confident about giving brief advice to those considering making their home smokefree.
Knowledge Skills Framework (KSF) outlines: Learning Outcomes for Smokefree Homes and Cars Conference
Learning outcomes 1 – 9 have the potential to provide evidence for application of the following KSF
Core / C1 / Communication / Level 2Core / C2 / Personal & People Development / Level 2
Core / C3 / Health, Safety & Security
Core / C4 / Service Improvement / Level 2
Core / C5 / Quality
Core / C6 / Equality & Diversity
Health & Wellbeing 1 / Level 2
Learning Outcome 10 adds in the following HWB3 level 2
Health & Wellbeing 3 / Level 2For the competencies for public health practice:
Area 1: Professional and ethical practice
4: Continually develop and improve own and others’ practice in public health.
Area 2: Technical competencies in public health practice
8 Identify risks to health, wellbeing and safety, providing advice on how to prevent, ameliorate or control them - demonstrating:
- knowledge of the risks to health, wellbeing and safety relevant to own area of work and of the varying scale of risk
- knowledge of the different approaches to preventing risks and how to communicate risk to different audiences.
Area 3: Application of technical competencies to public health work
9.Work collaboratively to plan and / or deliver programmes to improve health and wellbeing outcomes for populations / communities / groups / families / individuals.
Appendix 2
Smoke-free homes and cars: protecting children and families
09:15 – 10.00Earl Grey Foyer / Registration / Coffee and snack in the conference suite.
Please view the displays in the Earl Grey main room
10.00 / Bronwen Cohen, Chief Executive of Children in Scotland / Introduction and reflection on progress in reducing exposure to second-hand smoke in Scotland.
10.15 / Steve Turner Clinical Senior Lecturer, Department of Child Health, AberdeenUniversity / What are the health effects of SHS exposure on children?
10.35 / Jude Robinson, Deputy Director of Health and Care Research Unit, University of Liverpool
Neneh Rowa-Dewar, EdinburghUniversity Post-Graduate Research Student / Changing attitudes to smoking, smoke-free cars and homes.
Have attitudes changed since smoke-free public places?
The attitudes of young people to secondhand smoke.
11.15 / Brenda Friel Health Improvement Senior (Tobacco Control) NHS Greater Glasgow and Clyde / The NHS Greater Glasgow and Clyde initiative to reduce smoke exposure in homes and cars.
11.35 – 12.00 Coffee in Earl Grey Foyer
12.00 / Rachel O’Donnell
Policy and Research Manager, ASH Scotland / The Big Lottery funded REFRESH Project.
Reducing families' exposure to second-hand smoke in the home: what is the project about and what can it contribute to prevention work in Scotland.
12.30 / Sheila Duffy, Chief Executive of ASH Scotland
Steve Turner, Jude Robinson, Rachel O’Donnell, Brenda Friel / Questions to the panel.
12.45 / Bronwen Cohen / Conclusion to the morning session.
12.45 – 13.30 Lunch and a chance to view displays and network.
Focus meetings / Choice of three options (repeated once). Two 65 minute slots ending at 15.50. Change at 14.35 with a 10 minute movement break.Focus 1 and 2 will run twice and Focus 3 will run once in the second time slot.
The smaller focus meetings are designed to encourage greater dialogue between delegates and between delegates and presenters. The training option offers an opportunity to gain practical skills in delivering brief advice to people considering making their homes smoke-free.
Brief advice training
Discovery Room: looking on to the Tay / Staff from NHS Greater Glasgow and Clyde / Learning how to give advice on going smoke-free, discuss and rehearse.
OR
Focus 1
Earl Grey main room
More information and ideas
Chaired by James Cant, Director British Lung Foundation Scotland or David Robertson, ASH Scotland Alliances Manager / Susan McKie / British Lung Foundation Scotland: life of a lung.
Partnership Working and Smoke-free Homes in Dumfries and Galloway.
Table debates: arguing in favour and against banning smoking in cars or in outdoor children’s play areas.
Focus 2
Earl Grey 4
Communicating the message
Chaired by Pamela Galloway or Anne Finnie Co-chairs STCA Cessation in Pregnancy group / Miriam Bell and Eileen Streets, Roy Castle Fag Ends Project
Kay Samson, Tobacco Issues Coordinator, NHS Fife / Smoke-free families from Roy Castle Lung Cancer Foundation.
Public information provision. A video from NHS Fife.
Group based mini-workshop to identify what is needed in an information leaflet to support practitioners in providing brief advice.
Focus 3
Earl Grey 3
Involving others
Chaired by Jude Robinson, University of Liverpool / Lynda Bathgate from the Cot Death Trust
Lisa Gill RCLCF
Brenda Friel / Experiences of making use of training.
Your experiences and your perceptions of difficulties in transmitting the message and involving others in spreading the message.
Roy Castle Lung Cancer Foundation: Training for brief advice and train the trainer.
NHS GGC: the importance of training in spreading the message successes and challenges.
Conference ends at 16.00
Appendix 3
Delegate List (not comprehensive since there were absences and un-registered delegates)
Linda Bates, Development Officer (PATH), ASH Scotland
Heather Bath, Health Improvement Senior-Tobacco Control, NHS Greater Glasgow and Clyde
Lynda Bathgate, Community Services Nurse, The Cot Death Trust
Miriam Bell, Performance and Delivery Manager, The Roy Castle Lung Cancer Foundation
Jennifer Black, Alliances Administrator, ASH Scotland
Lesley Brogan, Cloud Nine Project Worker, West Lothian Drug and Alcohol Service
Joanne Buchan, Senior Training and Development Officer, ASH Scotland
James Cant, Director, British Lung Foundation Scotland and Northern Ireland
Elaine Carnegie, Asthma Policy Officer, Asthma UK
Evelyn Clark, Community Midwife, NHS
Susan Clocherty, Health Improvement Lead, Children and Young People, Renfrewshire CHP
Bronwen Cohen, CEO, Children in Scotland
Helena Connelly, Smoking Cessation Coordinator, NHS Lothian
Judy Corbett, National Training and Development Manager, ASH Scotland
Cathy Creedican, Health Visitor, Fife NHS
Christine Dallas, Community Health Worker, Dundee Healthy Living Initiative
Sue Downie, Health Promotion Officer, NHS Ayrshire and Arran
Carol Dryden, Consultant Paediatrician, NHS Lanarkshire
Sheila Duffy, Chief Executive, ASH Scotland
Susan Dye, Community Health Nurse, Dundee Healthy Living Initiative
Bill Edwards, Senior Health Promotion Officer, NHS Tayside
Cai Fang Zhang, PhD Student in Nursing Studies, University of Edinburgh
Anne Finnie, Stop for Life Midwife, NHS Lothian
Sibylle Fleitmann, Independent Consultant Tobacco Control, Women against Tobacco Association, Germany
Kirsty Forbes, Health Improvement Practitioner, NHS Greater Glasgow and Clyde
Irene Fraser, Registered Midwife, NHS Grampian
Brenda Friel, Health Improvement Senior (Tobacco Control) NHS Greater Glasgow and Clyde
Sharon Fulton, Health Visitor, NHS Fife
Tracey Furness, Smoke Free Homes Project Worker, NHS Tayside
Pamela Galloway, Smoking Cessation Midwife, NHS Fife
Celia Gardiner, Health Improvement Programme Manager (Tobacco), NHS Health Scotland
Lisa Gill, Training and Youth Advocacy Lead, The Roy Castle Lung Cancer Foundation
Rachel Gill, Health Improvement Officer – Neighbourhoods, NHS Grampian
Natalie Goodman, Tobacco Control Partnerships Manager, Gateshead Council
John Graham, Assistant Support Worker, Action for Children Dundee Youth Housing Support Service
Elaine Graves, Support Worker, Action for Children Dundee Youth Housing Support Service
Maureen Heddle, Tobacco and Cannabis Support Worker, Aberdeen Foyer
Angie Heeney, Projects Coordinator, Queens Nursing Institute Scotland
Elaine Humphrey, Specialist Midwife Alcohol/Tobacco, NHS Ayrshire and Arran
Wilma Johnston, Community Midwife, Tollcross Health Centre
Heather Kirk, Acting Depute, Our Lady’s Primary School
Donna Lang, Health Improvement Practitioner-Tobacco, NHS Greater Glasgow and Clyde
Jim Leary, Community Development Officer, Coal Industry Social Welfare Organisation
Kevin Leslie, Youth and Tobacco Advisor, NHS Grampian
Bill Logan, Smoke-free Homes Worker, West Lothian Drug and Alcohol Service
Colin Lumsdaine, Senior Health Promotion Specialist, NHS Lothian
Kevin Lyle, Trainee Health Promotion Officer, NHS Ayrshire and Arran
Jeanne Mackay, Smoking Cessation Advisor, NHS Western Isles
Katie Mackintosh, Health Correspondent, Holyrood Magazine
Denise May, Smoking Prevention Officer, NHS Highland
Ian McAlpine, Regional Manager Scotland, Coal Industry Social Welfare Organisation
Wendy McCartney, Smoking Cessation Co-ordinator, NHS Fife
Karen McDermott, Smoking Cessation Advisor, Dundee Healthy Living Initiative
Marion McGovern, Projects and Communications Administrator, ASH Scotland
Susan McKie, Tobacco Control Officer, Smoking Matters
Fiona McLean, Health Improvement Practitioner (Tobacco), NHS Greater Glasgow and Clyde
Ann McMillan, Health Improvement Senior (Tobacco Control) NHS Greater Glasgow and Clyde
Jane McPherson, Staff Midwife, NHS Lothian
Caroline McRae, Nursery Deputy Manager, NHS Grampian
Lynsey Mills, Research Assistant, University of Aberdeen
Wendy Moncrieff, Sister Midwife, Neonatal Unit, Stirling Royal Infirmary
Joanne O’Donnell, Smoking Cessation Co-ordinator, Western Isles NHS
Rachel O’Donnell, Policy and Research Manager, ASH Scotland
Jane Oliver, Health Improvement Programme Officer, NHS Health Scotland
Rhona Pollok, Health Improvement Officer, Perth and Kinross Council
Robbie Preece, Health Improvement Senior-Tobacco, Glasgow CHP
Brian Pringle, Director Projects and Service Development, ASH Scotland
Hannah Pugh, Development Officer, British Lung Foundation
Sheila Rattray, Community Midwife, AberdeenMaternityHospital (Grampian)
David Robertson, Alliances Manager, ASH Scotland
Dr Jude Robinson, Senior Lecturer in Health Sciences, University of Liverpool
Catriona Rooke, UKCTCS Research Fellow, University of Edinburgh
Neneh Rowa-Dewar, PhD Student, University of Edinburgh
Kay Samson, Tobacco Co-ordinator, NHS Fife
Gillian Scott, Specialist Midwife (Alcohol/Tobacco) NHS Ayrshire and Arran
Andy Scott, Tobacco Prevention Officer, NHS Fife
April Shaw, Senior Research Officer, ASH Scotland
Janine Shiels, 4th Year Student Nurse, AbertayUniversity
Mandy Simpson, Specialist Nurse, NHS Tayside
Irene Stewart, Health Improvement Practitioner, NHS Greater Glasgow and Clyde
Eileen Streets, Director of Tobacco Control, The Roy Castle Lung Cancer Foundation
Jackie Turnbull, Smoking Cessation Life Coach, Keep Well Stirling
Steve Turner, Senior Clinical Lecturer in Child Health, University of Aberdeen
Inga Wilson, Research Fellow, University of Aberdeen
Janet Wilson, Local Alliances Officer, ASH Scotland
Action on Smoking & Health (Scotland) (ASH Scotland) is a registered Scottish charity (SC 010412) and a company limited by guarantee (Scottish company no 141711).
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