title: Passive smoking in babies: the BIBE study (Brief Intervention in babies. Effectiveness).
abstract: BACKGROUND
  There is evidence that exposure to passive smoking in general, and in babies in particular, is an important cause of morbimortality. Passive smoking is related to an increased risk of pediatric diseases such as sudden death syndrome, acute respiratory diseases, worsening of asthma, acute-chronic middle ear disease and slowing of lung growth.The objective of this article is to describe the BIBE study protocol. The BIBE study aims to determine the effectiveness of a brief intervention within the context of Primary Care, directed to mothers and fathers that smoke, in order to reduce the exposure of babies to passive smoking (ETS).
  
  
  METHODS
  Cluster randomized field trial (control and intervention group), multicentric and open.
  
  
  METHODS
  Fathers and/or mothers who are smokers and their babies (under 18 months) that attend pediatric services in Primary Care in Catalonia.The measurements will be taken at three points in time, in each of the fathers and/or mothers who respond to a questionnaire regarding their baby's clinical background and characteristics of the baby's exposure, together with variables related to the parents' tobacco consumption. A hair sample of the baby will be taken at the beginning of the study and at six months after the initial visit (biological determination of nicotine). The intervention group will apply a brief intervention in passive smoking after specific training and the control group will apply the habitual care.
  
  
  CONCLUSIONS
  Exposure to ETS is an avoidable factor related to infant morbimortality. Interventions to reduce exposure to ETS in babies are potentially beneficial for their health.The BIBE study evaluates an intervention to reduce exposure to ETS that takes advantage of pediatric visits. Interventions in the form of advice, conducted by pediatric professionals, are an excellent opportunity for prevention and protection of infants against the harmful effects of ETS.
  
  
  BACKGROUND
  Clinical Trials.gov Identifier: NCT00788996.
authors.affiliation: Fundació Atenció Primaria, Department of Health, Generalitat de Catalunya, Barcelona, Spain.
authors.forename: Guadalupe
authors.initials: G
authors.lastname: Ortega
authors.forename: Cristina
authors.initials: C
authors.lastname: Castellà
authors.forename: Carlos
authors.initials: C
authors.lastname: Martín-Cantera
authors.forename: Jose L
authors.initials: JL
authors.lastname: Ballvé
authors.forename: Estela
authors.initials: E
authors.lastname: Díaz
authors.forename: Marc
authors.initials: M
authors.lastname: Saez
authors.forename: Juan
authors.initials: J
authors.lastname: Lozano
authors.forename: Lourdes
authors.initials: L
authors.lastname: Rofes
authors.forename: Concepció
authors.initials: C
authors.lastname: Morera
authors.forename: Antònia
authors.initials: A
authors.lastname: Barceló
authors.forename: Carmen
authors.initials: C
authors.lastname: Cabezas
authors.forename: Jose A
authors.initials: JA
authors.lastname: Pascual
authors.forename: Raúl
authors.initials: R
authors.lastname: Pérez-Ortuño
authors.forename: Esteve
authors.initials: E
authors.lastname: Saltó
authors.forename: Araceli
authors.initials: A
authors.lastname: Valverde
authors.forename: Mireia
authors.initials: M
authors.lastname: Jané
mesh_terms: D005260:Female; D006801:Humans; D007223:Infant; D007229:Infant Welfare; D008297:Male; D010353:Patient Education as Topic; D011320:Primary Health Care; D013030:Spain; D011795:Surveys and Questionnaires; D014028:Tobacco Smoke Pollution / Q000517:prevention & control*
chemical_list: D014028:Tobacco Smoke Pollution