Summary 413 S smoke-free policies is high, also among smokers. Interviews with stakeholders indicated that putting the child’s health first is important, and that implementing smoke-free policies as part of a comprehensive national tobacco control policy is preferable. It is time for the Netherlands to take further steps to reduce children’s tobacco smoke exposure and its associated harmful health effects. Based on international evidence, the expansion of smoke-free legislation to cover private cars and playgrounds seems a promising step contributing to a SmokeFree Generation. Part 2 The second part of this thesis looked into smoking cessation attempts and ways to improve effectiveness of quit attempts by incorporating personalisation. In Chapter 8 we looked at external circumstances influencing one’s health behaviour. Poverty-related stress influences decision-making processes, whereby pressing issues are prioritized over abstract, future issues such as disease prevention. The theory of scarcity might offer an explanation; stress consumes a major part of one’s cognitive abilities, leaving very little space for deliberate healthy choices. We investigated the importance of health issues and the impact of a social care program among individuals facing multi-problematic situations. Social care organizations coach families facing multi-problematic situations to regain control over their lives through self-developed goals, categorized according to topics (e.g., Money, Housing, Health etc.). An app for both coaches and clients was developed and anonymously analysed using text-analysis and combined with pre- and post-coaching questionnaires on health-related behaviours. 58% of 160 app users revealed money-related goals as the most pressing issue. The most frequently occurring words were debts (n=401), finances (n=311) and expenses (n=293). Over time, the proportion of Money-related goals decreased while Housing and Health gained importance. The questionnaires showed little change in the intention to quit smoking; the intention to increase fruit and vegetable intake increased slightly. Thus, within this study money-related problems were the most pressing issue of social care clients, quickly followed by health-related issues. Stronger focus to alleviate money-related issues may ultimately benefit interventions to improve health. In the next chapters more personal characteristics were explored. Most health behaviours have effect on long-term health, and how we value such a reward
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