Journal article
Kids Safe and Smokefree (KiSS): a randomized controlled trial of a multilevel intervention to reduce secondhand to bacco smoke exposure in children
BMC public health, v 13, 792
30 Aug 2013
PMID: 23987302
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background: Secondhand smoke exposure (SHSe) harms children's health, yet effective interventions to reduce child SHSe in the home and car have proven difficult to operationalize in pediatric practice. A multilevel intervention combining pediatric healthcare providers' advice with behavioral counseling and navigation to pharmacological cessation aids may improve SHSe control in pediatric populations.
Methods/design: This trial uses a randomized, two-group design with three measurement periods: pre-intervention, end of treatment and 12-month follow-up. Smoking parents of children < 11-years-old are recruited from pediatric clinics. The clinic-level intervention includes integrating tobacco intervention guideline prompts into electronic health record screens. The prompts guide providers to ask all parents about child SHSe, advise about SHSe harms, and refer smokers to cessation resources. After receiving clinic intervention, eligible parents are randomized to receive: (a) a 3-month telephone-based behavioral counseling intervention designed to promote reduction in child SHSe, parent smoking cessation, and navigation to access nicotine replacement therapy or cessation medication or (b) an attention control nutrition education intervention. Healthcare providers and assessors are blind to group assignment. Cotinine is used to bioverify child SHSe (primary outcome) and parent quit status.
Discussion: This study tests an innovative multilevel approach to reducing child SHSe. The approach is sustainable, because clinics can easily integrate the tobacco intervention prompts related to "ask, advise, and refer" guidelines into electronic health records and refer smokers to free evidence-based behavioral counseling interventions, such as state quitlines.
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Details
- Title
- Kids Safe and Smokefree (KiSS): a randomized controlled trial of a multilevel intervention to reduce secondhand to bacco smoke exposure in children
- Creators
- Stephen J. Lepore - Temple UniversityJonathan P. Winickoff - Boston Children's HospitalBeth Moughan - Temple UniversityTyra C. Bryant-Stephens - Children's Hospital of PhiladelphiaDaniel R. Taylor - St Christophers Hosp Children, Dept Pediat, Philadelphia, PA 19133 USADavid Fleece - Temple UniversityAdam Davey - Temple UniversityUma S. Nair - Temple UniversityMelissa Godfrey - Temple UniversityBradley N. Collins - Temple University
- Publication Details
- BMC public health, v 13, 792
- Publisher
- Springer Nature
- Number of pages
- 7
- Grant note
- CA158361 / National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:000324065000001
- Scopus ID
- 2-s2.0-84883202490
- Other Identifier
- 991021838287604721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health