Sustainability of a Parental Tobacco Control Intervention in Pediatric Practice
Sustainability of a Parental Tobacco Control Intervention in Pediatric Practice
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DOI：
10.1542/peds.2014-0639
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发表时间：
2014-11-01
期刊：
影响因子：
8
通讯作者：
Rigotti, Nancy A.
中科院分区：
文献类型：
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作者：
Winickoff, Jonathan P.;Nabi-Burza, Emara;Rigotti, Nancy A.
目的：为了确定是否以证据为基础的儿科门诊干预的父母谁吸烟后，坚持最初implementation.METHODS：一个群集随机对照试验的20个儿科的做法，在16个州，收到无论是临床和社区努力反对二手烟暴露（CEASE）干预或常规护理。干预措施提供了培训实践，为吸烟的父母提供基于证据的援助。通过对家长进行12个月的随访电话调查评估的主要结局是提供有意义的烟草控制帮助，定义为讨论各种戒烟策略，讨论戒烟药物，或在首次入组访视后建议使用戒烟热线。我们还评估了父母在12个月时的戒烟率，通过自我报告和生化验证确定。提供任何有意义的烟草控制援助的做法比率（55%对19%），讨论各种戒烟策略（25% vs 10%），讨论戒烟药物（41%对11%），并建议使用戒烟热线（37%vs9%）均显著高于对照组（P
OBJECTIVE: To determine whether an evidence-based pediatric outpatient intervention for parents who smoke persisted after initial implementation.METHODS: A cluster randomized controlled trial of 20 pediatric practices in 16 states that received either Clinical and Community Effort Against Second- hand Smoke Exposure (CEASE) intervention or usual care. The intervention provided practices with training to provide evidence-based assistance to parents who smoke. The primary outcome, assessed by the 12-month follow-up telephone survey with parents, was provision of meaningful tobacco control assistance, defined as discussing various strategies to quit smoking, discussing smoking cessation medication, or recommending the use of the state quitline after initial enrollment visit. We also assessed parental quit rates at 12 months, determined by self-report and biochemical verification.RESULTS: Practices' rates of providing any meaningful tobacco control assistance (55% vs 19%), discussing various strategies to quit smoking (25% vs 10%), discussing cessation medication (41% vs 11%), and recommending the use of the quitline (37% vs 9%) were all significantly higher in the intervention than in the control groups, respectively (P