Effect of a Pediatric Practice-Based Smoking Prevention and Cessation Intervention for Adolescents: A Randomized, Controlled Trial

Pbert, Lori; Flint, Alan; Fletcher, Kenneth E.; Young, Martin H.; Druker, Susan; DiFranza, Joseph R.

doi:10.1542/peds.2007-1029

Cited by 69 publications

(88 citation statements)

References 38 publications

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“…68 Three of the trials trained counselors to provide intensive counseling and telephone follow-up. [92][93][94] Overall, these studies suggest that behavioral interventions improve cessation.…”

Section: Tobacco Intervention Research In the Past Decade And Researcmentioning

confidence: 81%

State-of-the-Art Office-Based Interventions to Eliminate Youth Tobacco Use: The Past Decade

Pbert¹,

Farber

Horn

et al. 2015

Pediatrics

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Tobacco use and tobacco smoke exposure are among the most important preventable causes of premature disease, disability, and death and therefore constitute a major pediatric health concern. The pediatric primary care setting offers excellent opportunities to prevent tobacco use in youth and to deliver cessation-related treatment to youth and parents who use tobacco. This report updates a \u22state-of-the-art\u22 article published a decade ago on office-based interventions to address these issues. Since then there has been marked progress in understanding the nature, onset, and trajectories of tobacco use and nicotine addiction in youth with implications for clinical practice. In addition, clinicians need to remain abreast of emerging nicotine delivery systems, such as electronic cigarettes, that may influence uptake or continuation of smoking. Although evidence-based practice guidelines for treating nicotine addiction in youth are not yet available, research continues to build the evidence base toward that goal. In the interim, practical guidelines are available to assist clinicians in addressing nicotine addiction in the pediatric clinical setting. This article reports current practices in addressing tobacco in pediatric primary care settings. It reviews our increasing understanding of youth nicotine addiction, summarizes research efforts on intervention in the past decade and additional research needed going forward, and provides practical guidelines for pediatric health care providers to integrate tobacco use prevention and treatment into their clinical practice. Pediatric providers can and should play an important role in addressing tobacco use and dependence, both in the youth they care for and in parents who use tobacco

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Section: Tobacco Intervention Research In the Past Decade And Researcmentioning

confidence: 81%

State-of-the-Art Office-Based Interventions to Eliminate Youth Tobacco Use: The Past Decade

Pbert¹,

Farber

Horn

et al. 2015

Pediatrics

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“…[16][17][18][19] It is unknown, however, whether these findings are generalizable to younger patients, as there have been fewer studies among adolescents in primary care. 25,26 Existing studies suggest that primary care screening and brief interventions can positively impact adolescent health issues, such as tobacco use, [27][28][29][30] nutrition and physical activity, 31,32 and depression. 33,34 A large longitudinal study of 14-year-old primary care patients 26 found that screening and brief provider counseling significantly increased helmet use but did not reduce adolescent alcohol or drug use, suggesting the need to explore supplemental strategies to enhance effectiveness, such as the computerized education component that occurs before the provider visit in the cSBA system.…”

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confidence: 99%

Computer-Facilitated Substance Use Screening and Brief Advice for Teens in Primary Care: An International Trial

et al. 2012

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WHAT'S KNOWN ON THIS SUBJECT: Primary care settings provide an important venue for early detection of substance use and intervention, but adolescent screening rates need improvement. Screening and brief interventions appear effective in reducing adult problem drinking but evidence for effectiveness among adolescents is needed. WHAT THIS STUDY ADDS:A computer-facilitated system for screening, feedback, and provider brief advice for primary care can increase adolescent receipt of substance use screening across a variety of practice settings, and shows promise for reducing adolescents' use of alcohol and cannabis. abstract OBJECTIVE: Primary care providers need effective strategies for substance use screening and brief counseling of adolescents. We examined the effects of a new computer-facilitated screening and provider brief advice (cSBA) system. METHODS:We used a quasi-experimental, asynchronous study design in which each site served as its own control. From 2005 to 2008, 12-to 18-year-olds arriving for routine care at 9 medical offices in New England (n = 2096, 58% females) and 10 in Prague, Czech Republic (n = 589, 47% females) were recruited. Patients completed measurements only during the initial treatment-as-usual study phase. We then conducted 1-hour provider training, and initiated the cSBA phase. Before seeing the provider, all cSBA participants completed a computerized screen, and then viewed screening results, scientific information, and true-life stories illustrating substance use harms. Providers received screening results and "talking points" designed to prompt 2 to 3 minutes of brief advice. We examined alcohol and cannabis use, initiation, and cessation rates over the past 90 days at 3-month follow-up, and over the past 12 months at 12-month follow-up. RESULTS:Compared with treatment as usual, cSBA patients reported less alcohol use at follow-up in New England (3-month rates 15.5% vs 22.9%, adjusted relative risk ratio [aRRR] = 0.54, 95% confidence interval 0.38-0.77; 12-month rates 29.3% vs 37.5%, aRRR = 0.73, 0.57-0.92), and less cannabis use in Prague (3-month rates 5.5% vs 9.8%, aRRR = 0.37, 0.17-0.77; 12-month rates 17.0% vs 28.7%, aRRR = 0.47, 0.32-0.71). CONCLUSIONS:Computer-facilitated screening and provider brief advice appears promising for reducing substance use among adolescent primary care patients.

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“…2 Because adolescent health is so tightly linked to behavior, research has focused on strategies that promote positive behavioral choices. [3][4][5][6] A growing consensus recognizes that teaching driving techniques is not enough to affect adolescent driving safety; we also must influence driving-related attitudes and behaviors. 7 Incorporating the knowledge gained from addressing attitudes and actions for other adolescent behaviors into the driving context is a sound place to begin.…”

mentioning

confidence: 99%

Associations Between Parenting Styles and Teen Driving, Safety-Related Behaviors and Attitudes

Ginsburg

Durbin²,

García-España³

et al. 2009

Pediatrics

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WHAT'S KNOWN ON THIS SUBJECT:Authoritative parenting style is known to influence adolescent behaviors and attitudes positively. However, little is known about the interplay between parental warmth, support, and control in relation to teen driving safety. WHAT THIS STUDY ADDS:Parents matter. This study confirms that safe driving belongs on the list of adolescent behaviors known to be influenced positively by authoritative parenting. abstract + OBJECTIVE:The goal was to explore the association between parenting style and driving behaviors. METHODS:The 2006 National Young Driver Survey gathered data on driving safety behaviors from a nationally representative sample of 5665 ninth-, 10th-, and 11th-graders. A parenting style variable was based on adolescent reports and separated parents into 4 groups, (1) authoritative (high support and high rules/monitoring), (2) authoritarian (low support and high rules/monitoring), (3) permissive (high support and low rules/monitoring), and (4) uninvolved (low support and low rules/monitoring). Associations between parenting style and driving behaviors and attitudes were assessed. RESULTS:One half of parents were described as authoritative, 23% as permissive, 8% as authoritarian, and 19% as uninvolved. Compared with teens with uninvolved parents, those with authoritative parents reported one half the crash risk in the past year (odds ratio [OR] CONCLUSIONS:Clinicians should encourage parents to set rules and to monitor teens' driving behaviors, in a supportive context. Pediatrics

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Effect of a Pediatric Practice-Based Smoking Prevention and Cessation Intervention for Adolescents: A Randomized, Controlled Trial

Abstract: A pediatric practice-based intervention delivered by pediatric providers and older peer counselors proved feasible and effective in discouraging the initiation of smoking among nonsmoking adolescents for 1 year and in increasing abstinence rates among smokers for 6 months.

Cited by 69 publications

References 38 publications

State-of-the-Art Office-Based Interventions to Eliminate Youth Tobacco Use: The Past Decade

State-of-the-Art Office-Based Interventions to Eliminate Youth Tobacco Use: The Past Decade

Computer-Facilitated Substance Use Screening and Brief Advice for Teens in Primary Care: An International Trial

Associations Between Parenting Styles and Teen Driving, Safety-Related Behaviors and Attitudes

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