Distance-based training in two community health centers to address tobacco smoke exposure of children

BMC Pediatrics

Jonathan P Winickoff¹  Susan Regan¹  Nicole Hall¹  Emara Nabi-Burza¹  Bethany Hipple¹ 

[1] Tobacco Research and Treatment Center, Massachusetts General Hospital, Boston, MA, USA

关键词: Tobacco cessation;    Parental smoking;    Community health centers;    Online education;    Tobacco control;    Secondhand smoke;    Tobacco smoke exposure;   

Others  :  1145011
DOI  :  10.1186/1471-2431-13-56

 received in 2012-11-08, accepted in 2013-04-08,  发布年份 2013

【 摘 要 】

Background

The CEASE (Clinical Effort Against Secondhand Smoke Exposure) intervention was developed to help pediatricians routinely and effectively address the harms of family smoking behaviors. Based on paper versions of CEASE, we partnered with the American Academy of Pediatrics’ online education department and developed a completely distance-based training, including an online CME training, handouts and education materials for families, and phone and email support.

Methods

The pediatric offices of two low income health clinics with primarily Medicaid populations were selected for the study. Pre and post intervention data by survey of the parents was collected in both practices (Practice 1 n = 470; Practice 2 n = 177). The primary outcome for this study was a comparison of rates of clinician’s asking and advising parents about smoking and smoke-free home and cars.

Results

Exit surveys of parents revealed statistically significant increases in rates of clinicians asking about parental smoking (22% vs. 41%), smoke-free rules (25% vs. 44%), and asking about other smoking household members (26% vs. 48%).

Conclusions

Through a completely distance based intervention, we were able to train pediatricians who see low income children to ask parents about smoking, smoke-free home and car rules, and whether other household members smoke. Implementing a system to routinely ask about family tobacco use and smoke-free home and car rules is a first step to effectively addressing tobacco in a pediatric office setting. By knowing which family members use tobacco, pediatricians can take the next steps to help families become completely tobacco-free.

Trial registration

Clinical trials number: NCT01087177

【 授权许可】

   
2013 Hipple et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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