Özet:

Objective: This study protocol is aimed at comparing the effect of exposure feedback according to a Zero Tolerance Program (Sıfır Tolerans Programı, SToP) on urinary cotinine levels in children aged 5 and younger (0-5 age). Methods: This study protocol is planned as an active control group, single-blind (participant), randomized control trial, and stratified block randomization (1:1). The study is planned to be carried out between April 2023 and April 2024 and includes 58 participants in total from the SToP group (n = 29) and the secondhand smoke (SHS) exposure feedback group (n: 29), which is the active control group. The primary outcome is the urinary cotinine level of children, which will be measured by a cotinine-sensitive rapid test kit. The Knowledge Form on Exposure to SHS, Attitude Form on Exposure to Secondhand Smoke, Beliefs about Third-Hand Smoke Scale, and Secondhand Smoke Exposure Risk Algorithm will be used to measure secondary outcomes. Secondhand smoke exposure feedback, reminder objects, informative materials, and telephone messages will be given to the SToP group. The active control group will only take SHS exposure feedback. Results: The difference in the children’s urinary cotinine level, parents’ knowledge, attitudes, and beliefs, and children’s exposure risk between the SToP group and SHS exposure feedback group will be evaluated after the interventions. Findings will be presented in terms of our hypotheses. Conclusion: This study protocol will show whether there is a viable intervention for parents on how SToP intervention, which is a sustainable program for children at high risk of SHS exposure, can reduce exposure

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