title: Increasing Pediatricians' Smoking Cessation Promotion and Knowledge of the Smoking Cessation Trust.
abstract: The link between second hand smoke exposure (SHSe) and health issues in children has been well established. The objective of this study was to determine if a short intervention implemented among pediatricians promotes improvement in the promotion of smoking cessation to caregivers and increase pediatricians' awareness of the Smoking Cessation Trust (SCT). Pediatricians from 6 clinics were randomly assigned to the control or intervention group. All pediatricians received a survey to assess baseline knowledge, confidence and behaviors in smoking cessation promotion and utilization of the SCT. Pediatricians in intervention group received an educational lecture delivered by a physician. Two months post intervention, pediatricians in the control and intervention group received a survey to assess changes from baseline. Out of 36 general pediatricians, 27 completed the surveys for use in the analysis of this study (75%). Intervention group made more referrals to the SCT, compared to controls (p=0.048) and to baseline (p=0.0065). Pediatricians in the intervention group were more confident in recommending the use of NRT (0.040) and schedule a follow up to discuss smoking cessation (p=0.029) after the intervention. The intervention group was more likely to refer caregivers to smoking cessation programs (p=0.027), discuss a child's health risk from SHSe (0.031) and recommending the use of NRT to help quit (p=0.047) post intervention. The results from this study indicate that a short intervention can increase confidence and behavior in various parameters of smoking cessation promotion and significantly improve the rate in which pediatricians refer smoking caregivers to the SCT.
authors.affiliation: 1 Ochsner Health System, New Orleans, LA, USA.
authors.forename: Katharine E H
authors.initials: KEH
authors.lastname: Thomas
authors.affiliation: 2 University of Queensland, Brisbane, Queensland, Australia.
authors.forename: Steve
authors.initials: S
authors.lastname: Kisely
authors.affiliation: 3 Ochsner Children's Health Center, New Orleans, LA, USA.
authors.forename: Fernando
authors.initials: F
authors.lastname: Urrego
mesh_terms: D017028:Caregivers / Q000523:psychology*; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D010372:Pediatrics; D010819:Physician's Role; D011897:Random Allocation; D057566:Self Report; D016540:Smoking Cessation; D011795:Surveys and Questionnaires; D014028:Tobacco Smoke Pollution / Q000517:prevention & control
chemical_list: D014028:Tobacco Smoke Pollution
keywords: Smoking Cessation Trust of Louisiana; pediatrician interventions; pulmonology (general); smoking cessation; smoking cessation counseling; smoking cessation referral; smoking cessation screening; social dimensions of pulmonary medicine