A social care programme’s impact on quit-smoking intention in multi-problem households: exploring the scarcity theory 263 8 Study population The city of Rotterdam hosts the largest percentage of low-income households (15.3%) in Dutch municipalities.9 Among them its estimated that over 2000 families face problems at the socioeconomic, psychosocial and parental domain simultaneously. Families facing multi-problem situations were referred to the social care organization by the municipality or social institutions or selfreported to the social care organization. Coaches then contact and visit families in their home environment. The study population consisted of multi-problem families in the Rotterdam neighbourhoods Delfshaven and IJsselmonde, and in neighbouring municipality Nissewaard. Eligible participants were those with sufficient knowledge of the Dutch language and who were willing to provide informed consent. All users of the app (see setting) provided informed consent to anonymously analyse the app data. Study design Clients of the social care organizations participated in coaching trajectories using the GrowPad app. Anonymous app data was analysed, and pre- and post-coaching trajectory questionnaires were used to evaluate change over time in healthrelated issues. The application is used as standard care, and therefore provides information about all its users and not solely of the questionnaire participants. The Erasmus MC Medical Ethics Committee (MEC-2018-11-44) decided that the study is not subject to the Dutch Human Research Law (WMO). App The following information was retrieved from the app: the total number of goals, plans and actions per plan, the number of goals, plans and action per GrowthField. Furthermore, the order of creating plans and the status (active, almost complete or completed) per goal was obtained. The goals, plans and steps used in the app were formulated by the clients and coaches, therefore these sentences hold interesting information about what clients deem important and how GrowthFields are interpreted by them. All text used in the App to formulate goals, steps and plans was extracted for analysis. Questionnaires Within the first three weeks and upon completion of the coaching trajectory questionnaires were provided to clients, measuring personal and psycho-social
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