title: [Individualised parent counselling in paediatric practices for the reduction of second-hand smoke exposure of their children: a feasibility study].
abstract: OBJECTIVE
  The aim of this study was to test the feasibility of a web-based programme provided by paediatric practices for counselling parents to reduce second-hand smoke exposure of their children.
  
  
  METHODS
  Accompanying persons of children were systematically screened concerning tobacco smoking at their home in 2 Swiss paediatric practices. They were invited for programme participation if they or their partners smoked at home regularly. The web-based programme provided at least 1 computer-tailored counselling letter. Upto 3 additional counselling letters could be requested online by the participants over a period of 3 months. The letters were tailored according to the indoor smoking behaviour of the parents and considered individual barriers and resources for the establishment of a smoke-free home. Additionally, further information and advice could be requested on the programme website. Feasibility indicators were the participation rate, programme use, and programme evaluation by the participants.
  
  
  RESULTS
  3 055 (82.3%) of 3 712 accompanying persons of children in the paediatric practices were screened concerning tobacco smoking at their home. 96 (56.8%) of 169 eligible persons participated in the programme. 68 (70.8%) of the 96 programme participants could be reassessed at post assessment. 9 (15.0%) of 60 participants who provided a valid e-mail address requested more than one counselling letter. The counselling letters and the web-based programme were evaluated positively by the programme participants.
  
  
  CONCLUSIONS
  Systematic screening combined with the provision of individually tailored counselling letters for parents to reduce second-hand smoke exposure of their children was feasible in paediatric practices. Possible strategies to in-crease the use and reach of the programme are -discussed.
authors.affiliation: Schweizer Institut für Sucht-und Gesundheitsforschung, ein assoziiertes Institut der Universität Zürich, Zürich.
authors.forename: S
authors.initials: S
authors.lastname: Haug
authors.affiliation: Public Health Services, PHS, Bern.
authors.forename: A
authors.initials: A
authors.lastname: Biedermann
authors.affiliation: Institut für Sozialmedizin und Prävention, Universitätsmedizin Greifswald, Greifswald.
authors.forename: S
authors.initials: S
authors.lastname: Ulbricht
authors.affiliation: Institut für Sozialmedizin und Prävention, Universitätsmedizin Greifswald, Greifswald.
authors.forename: U
authors.initials: U
authors.lastname: John
mesh_terms: D000328:Adult; D002648:Child; D000067576:Child Health; D002675:Child, Preschool; D037001:Directive Counseling / Q000458:organization & administration / Q000706:statistics & numerical data*; D005240:Feasibility Studies; D005260:Female; D005858:Germany; D006293:Health Promotion / Q000706:statistics & numerical data; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D019570:Inhalation Exposure / Q000517:prevention & control* / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D010290:Parents; D010372:Pediatrics / Q000706:statistics & numerical data*; D011247:Pregnancy; D012907:Smoking; D013557:Switzerland / Q000453:epidemiology; D014028:Tobacco Smoke Pollution / Q000517:prevention & control* / Q000706:statistics & numerical data*; D055815:Young Adult
chemical_list: D014028:Tobacco Smoke Pollution