Sustainability of the prevention of passive infant smoking within well-baby clinics.
This study assessed the antecedents of continued use of an education program to prevent passive smoking in infants. It consists of a booklet for parents and a manual for health professionals describing a five-step procedure for discussing passive smoking. A questionnaire was sent to 67 managers, 670 nurses, and 335 physicians working in well-baby clinics (response rate: 70%, 53%, 47% respectively). Questions concerned the completeness of use, level of institutionalization, and characteristics of the organization, the user, and the dissemination strategy. Seventy-one percent of nurses and 42% of physicians worked with the program. They foremost provided the first three steps of the five-step procedure. Physicians' completeness of use was related to their perceived responsibility in providing this education, and nurses' use was related to their perceived self-efficacy, responsibility, training attendance, participation in the adoption decision, and level of institutionalization. Diffusion efforts should focus on improving the completeness of use and level of institutionalization.
Crone
M R
MR
TNO Quality of Life, TNO Prevention and Health, P.O. Box 2215, 2301CE Leiden, the Netherlands. mr.crone@pg.tno.nl
Verlaan
M
M
Willemsen
M C
MC
van Soelen
P
P
Reijneveld
S A
SA
Sing
R A Hira
RA
Paulussen
T G W M
TG
D000288:Administrative Personnel; D000328:Adult; D001291:Attitude of Health Personnel; D002669:Child Welfare; D002675:Child, Preschool; D006266:Health Education / Q000379:methods / Q000458:organization & administration*; D006801:Humans; D007223:Infant; D007229:Infant Welfare; D007231:Infant, Newborn; D008370:Manuals as Topic; D008430:Maternal-Child Health Centers / Q000458:organization & administration*; D008875:Middle Aged; D009426:Netherlands; D024802:Nurse's Role; D010174:Pamphlets; D010290:Parents / Q000193:education* / Q000523:psychology; D010819:Physician's Role; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D020377:Self Efficacy; D000074606:Smoking Prevention; D011795:Surveys and Questionnaires; D013664:Teaching Materials; D014028:Tobacco Smoke Pollution / Q000517:prevention & control*
D014028:Tobacco Smoke Pollution