Pediatric-based smoking cessation intervention for low-income women: a randomized trial.
Arch Pediatr Adolesc Med
; 157(3): 295-302, 2003 Mar.
Article
em En
| MEDLINE
| ID: mdl-12622686
ABSTRACT
BACKGROUND:
Continued high rates of smoking among socioeconomically disadvantaged women lead to increases in children's health problems associated with exposure to tobacco smoke. The pediatric clinic is a "teachable setting" in which to provide advice and assistance to parents who smoke.OBJECTIVE:
To evaluate a smoking cessation intervention for women.DESIGN:
Two-arm (usual care vs intervention) randomized trial.SETTING:
Pediatric clinics serving an ethnically diverse population of low-income families in the greater Seattle, Wash, area. INTERVENTION During the clinic visit, women received a motivational message from the child's clinician, a guide to quitting smoking, and a 10-minute motivational interview with a nurse or study interventionist. Women received as many as 3 outreach telephone counseling calls from the clinic nurse or interventionist in the 3 months following the visit.PARTICIPANTS:
Self-identified women smokers (n = 303) whose children received care at participating clinics. MAIN OUTCOMEMEASURE:
Self-reported abstinence from smoking 12 months after enrollment in the study, defined as not smoking, even a puff, during the 7 days prior to assessment.RESULTS:
Response rates at 3 and 12 months were 80% and 81%. At both follow-ups, abstinence rates were twice as great in the intervention group as in the control group (7.7% vs 3.4% and 13.5% vs 6.9%, respectively). The 12-month difference was statistically significant.CONCLUSIONS:
A pediatric clinic smoking cessation intervention has long-term effects in a socioeconomically disadvantaged sample of women smokers. The results encourage implementation of evidence-based clinical guidelines for smoking cessation in pediatric practice.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Abandono do Hábito de Fumar
Tipo de estudo:
Clinical_trials
/
Guideline
/
Observational_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Arch Pediatr Adolesc Med
Assunto da revista:
PEDIATRIA
Ano de publicação:
2003
Tipo de documento:
Article
País de afiliação:
Estados Unidos