title: Physician tobacco advice to preteens in a smoking-prevention randomized trial: steering clear.
abstract: OBJECTIVE
  To examine preadolescent and parental recall of tobacco prevention messages by health care providers.
  
  
  METHODS
  As part of a smoking prevention trial, providers were cued to reinforce the study and advise intervention participants (N=4,026) not to use tobacco. All parents were surveyed at baseline; children were surveyed at 20 months; and a subsample (504 households) was surveyed at 6 and 12 months to assess discussion of tobacco use prevention and other health behavior topics by providers as well as susceptibility and experimentation with tobacco among children.
  
  
  RESULTS
  During the 20-month follow-up, less than 25% of children recalled a provider discussing tobacco use prevention. Recall of exposure to tobacco prevention messages at school (68%), from parents (53%), and from mass media (71%) was higher.
  
  
  CONCLUSIONS
  Physician tobacco counseling is occurring at lower rates in pre-adolescents than it is in adults. A chart reminder to providers was insufficient to create a meaningful effect.
authors.affiliation: Free & Clear, 12401 East Marginal Way South, Tukwila, Washington 98168, USA. mcafee@freeclear.com
authors.forename: Tim
authors.initials: T
authors.lastname: McAfee
authors.forename: Evette
authors.initials: E
authors.lastname: Ludman
authors.forename: Lou
authors.initials: L
authors.lastname: Grothaus
authors.forename: Susan M
authors.initials: SM
authors.lastname: Zbikowski
authors.forename: Terry
authors.initials: T
authors.lastname: Bush
authors.forename: Jack
authors.initials: J
authors.lastname: Hollis
authors.forename: Michael
authors.initials: M
authors.lastname: Polen
authors.forename: Susan J
authors.initials: SJ
authors.lastname: Curry
mesh_terms: D000328:Adult; D002648:Child; D015331:Cohort Studies; D003376:Counseling / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011939:Mental Recall; D010290:Parents / Q000523:psychology; D010817:Physician-Patient Relations; D011314:Preventive Health Services / Q000379:methods*; D002666:Psychology, Child; D000074606:Smoking Prevention; D011795:Surveys and Questionnaires; D016896:Treatment Outcome