title: State-of-the-art interventions for office-based parental tobacco control.
abstract: Parental tobacco use is a serious health issue for all family members. Child health care clinicians are in a unique and important position to address parental smoking because of the regular, multiple contacts with parents and the harmful health consequences to their patients. This article synthesizes the current evidence-based interventions for treatment of adults and applies them to the problem of addressing parental smoking in the context of the child health care setting. Brief interventions are effective, and complementary strategies such as quitlines will improve the chances of parental smoking cessation. Adopting the 5 A's framework strategy (ask, advise, assess, assist, and arrange) gives each parent the maximum chance of quitting. Within this framework, specific recommendations are made for child health care settings and clinicians. Ongoing research will help determine how best to implement parental smoking-cessation strategies more widely in a variety of child health care settings.
authors.affiliation: General Pediatrics Division, MGH Center for Child and Adolescent Health Policy, MassGeneral Hospital for Children, and Tobacco Research and Treatment Center, 50 Staniford St, Suite 901, Boston, Massachusetts 02114, USA. jwinickoff@partners.org
authors.forename: Jonathan P
authors.initials: JP
authors.lastname: Winickoff
authors.forename: Anna B
authors.initials: AB
authors.lastname: Berkowitz
authors.forename: Katie
authors.initials: K
authors.lastname: Brooks
authors.forename: Susanne E
authors.initials: SE
authors.lastname: Tanski
authors.forename: Alan
authors.initials: A
authors.lastname: Geller
authors.forename: Carey
authors.initials: C
authors.lastname: Thomson
authors.forename: Harry A
authors.initials: HA
authors.lastname: Lando
authors.forename: Susan
authors.initials: S
authors.lastname: Curry
authors.forename: Myra
authors.initials: M
authors.lastname: Muramoto
authors.forename: Alexander V
authors.initials: AV
authors.lastname: Prokhorov
authors.forename: Dana
authors.initials: D
authors.lastname: Best
authors.forename: Michael
authors.initials: M
authors.lastname: Weitzman
authors.forename: Lori
authors.initials: L
authors.lastname: Pbert
mesh_terms: D003376:Counseling; D006266:Health Education; D006801:Humans; D009538:Nicotine / Q000627:therapeutic use; D010290:Parents; D010372:Pediatrics; D012907:Smoking / Q000009:adverse effects / Q000191:economics; D016540:Smoking Cessation; D014028:Tobacco Smoke Pollution / Q000009:adverse effects; D014029:Tobacco Use Disorder / Q000628:therapy
chemical_list: D014028:Tobacco Smoke Pollution; D009538:Nicotine