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Smoking Cessation Counseling in the Inpatient Unit: A Survey of Pediatric Hospitalists
Journal article   Open access   Peer reviewed

Smoking Cessation Counseling in the Inpatient Unit: A Survey of Pediatric Hospitalists

Blair J Dickinson, E Douglas Thompson, Edward J Gracely, Karen M Wilson and PEDIATRIC RESEARCH IN INPATIENT SETTINGS (PRIS) NETWORK
Hospital pediatrics, v 11(1)
Jan 2021
DOI: https://doi.org/10.1542/hpeds.2020-000414
PMID: 33386295
url
https://doi.org/10.1542/hpeds.2020-000414View
Published, Version of Record (VoR) Open

Abstract

To determine practices and beliefs of pediatric hospitalists regarding smoking cessation counseling for caregivers of hospitalized children. An electronic survey was distributed to 249 members of the Pediatric Research in Inpatient Settings Network over 6 weeks in 2017 (83 responses [33%]). Questions explored beliefs regarding the impact of tobacco smoke exposure (TSE) and practices in TSE screening, provision of counseling, resources, and pharmacotherapy. Nonparametric tests were used to compare groups on numeric variables, χ tests were used to compare groups on nominal variables, and McNemar's test was used to compare dichotomous responses within subjects. All respondents were familiar with the term "secondhand smoke," and >75% were familiar with "thirdhand smoke" (THS). Familiarity with THS was associated with more recent completion of training ( = .04). Former smokers (7%) were less likely to agree that THS has a significant impact on a child's health ( = .04). Hospitalists ask about TSE more often than they provide counseling, resources, or pharmacotherapy to caregivers who want to quit smoking. Hospitalists are more likely to ask about TSE and provide cessation counseling when patients have asthma as opposed to other diseases. Time was identified by 41% of respondents as a barrier for providing counseling and by 26% of respondents as a barrier for providing resources. Most respondents never prescribe pharmacotherapy (72%), nor do they follow-up with caregivers after hospitalization regarding cessation (87%). Although most respondents ask about TSE, opportunities are missed for counseling and providing support to caregivers who want to quit smoking. Providers should be educated about THS, and systems should be streamlined to facilitate brief counseling sessions.

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4 citations in Scopus

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