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.
TNO Quality of Life, TNO Prevention and Health, P.O. Box 2215, 2301CE Leiden, the Netherlands. mr.crone@pg.tno.nl
M R
MR
Crone
M
M
Verlaan
M C
MC
Willemsen
P
P
van Soelen
S A
SA
Reijneveld
R A Hira
RA
Sing
T G W M
TG
Paulussen
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