Parents Smoking in Their Cars With Children Present

Nabi-Burza, Emara; Regan, Susan; Drehmer, Jeremy E.; Ossip, Deborah J.; Rigotti, Nancy A.; Hipple, Bethany; Dempsey, Janelle; Hall, Nicole; Friebely, Joan; Weiley, Victoria; Winickoff, Jonathan P.

doi:10.1542/peds.2012-0334

Cited by 26 publications

(36 citation statements)

References 36 publications

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“…Counseling by the pediatrician or other clinicians should encourage the family to make the home and car smoke-free. 108 Smoking in a motor vehicle exposes children to high concentrations of tobacco smoke. 109 Although smoke-free policies can reduce a child's tobacco smoke exposure, 110 they are unlikely to eliminate it as long as close family members and/or caregivers smoke.…”

Section: Treatment Of Tobacco Use In Parentsmentioning

confidence: 99%

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: Treatment Of Tobacco Use In Parentsmentioning

confidence: 99%

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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“…This finding was unexpected as previous survey results indicate that in comparison with older children, adolescents, and adults, younger children are less likely to be exposed to household and vehicular SHS (Hawkins & Berkman, 2011;Max, Sung, & Shi, 2012;Nabi-Burza et al, 2012). Previous studies using biological markers of SHSe have reported that youngsters who are exposed to SHS may be exposed to higher concentrations than their older peers (Butz et al, 2011;Groner et al, 2012).…”

Section: Discussionmentioning

confidence: 70%

Reduction of Secondhand Smoke Exposure in the Cars of Children With Cancer

Peck

Tyc

Huang

et al. 2015

J Pediatr Oncol Nurs

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This study examined whether an intervention designed to reduce secondhand smoke exposure (SHSe) among children being treated for cancer had effects in the specific setting of a motor vehicle. The parents or guardians (n = 71) of children being treated for cancer were randomized to either a behavioral secondhand smoke (SHS) reduction program or a standard care control group. Parental reports of SHSe were collected over the course of 12 months. Younger children were exposed at baseline more than their older counterparts. The greatest initial declines in car exposure were observed among children ≤5 years old in the intervention group compared with same-aged peers in the control group. After the 3-month time point, the control group showed greater reductions in car exposure in comparison with the intervention group. Interventions that teach parents strategies to manage their smoking while driving in their personal vehicles may produce even greater reductions in child exposure and should be developed. Based on the age-specific results reported here, future studies should account for effects of child age and use setting-specific measures of SHS.

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“…10,[12][13][14][15][16][17] In brief, all parents of children making any type of visit were approached immediately after the visit by an RA and asked to be interviewed. Those who spoke English, had smoked a cigarette (even a puff) within the past 7 days, were aged 18 years or older, and would have a contact number to be reached over the next year were eligible for enrollment.…”

Section: Methodsmentioning

confidence: 99%

Overcoming Challenges in the Changing Environment of Practice-Based Research

Finch

Wasserman

Nabi-Burza

et al. 2015

The Annals of Family Medicine

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PURPOSE Conducting studies in national practice-based research networks presents logistic and methodologic challenges. Pediatric Research in Office Settings (PROS) has learned valuable lessons in implementing new strategies and adapting to challenges. We describe practical challenges and results of novel applied strategies in implementing and testing the Clinical Effort Against Secondhand Smoke Exposure (CEASE) intervention as part of a national-level cluster-randomized controlled trial. METHODSIn the trial, 20 PROS practices were randomized to either a CEASE intervention arm or a control arm. Parents of children seen in the office who indicated smoking in the past 7 days were asked to complete a postvisit enrollment interview and telephone interviews 3 and 12 months later. Identified challenges included (1) recruiting 20 practices serving a high percentage of parent smokers; (2) screening all parents bringing children for visits and enrolling eligible parents who smoked; and (3) achieving an acceptable 12-month telephone response rate.RESULTS A total of 47 interested practices completed the Practice Population Survey, of which 20 practices in 16 states completed parent enrollment. Thirty-two research assistants screened 18,607 parents and enrolled 1,980 of them. The initial telephone interview response rate was 56% at 12 months, with incorrect and disconnected numbers accounting for nearly 60% of nonresponses. The response rate rose to 67% after practices supplied 532 new contact numbers and 754 text messages were sent, with 389 parents completing interviews. CONCLUSIONThe strategies we used to overcome methodologic barriers in conducting a national intervention trial allowed data collection to be completed in the office setting and increased the telephone interview response rate. Ann Fam Med 476completion of follow-up calls more difficult.9 Finally, with the financial pressures facing primary care, practices are less able to commit their own resources to data collection and other study procedures.PROS has adapted to these changes to attain practice and participant recruitment, enrollment, and response rate goals. Specifically, novel strategies were needed to address challenges encountered in the PROS Clinical Effort Against Secondhand Smoke Exposure (CEASE) study, a national cluster-randomized controlled trial of parental tobacco cessation assistance delivered in pediatric settings. The aims of the study were to test the effectiveness of the CEASE intervention (1) for increasing clinicians' delivery of evidencebased parental smoking cessation assistance and (2) for altering parental smoking behaviors. 10 We describe several practical challenges in implementing a cluster-randomized trial on a national level as well as the results of novel applied strategies used in implementing and testing the CEASE intervention. The key challenges encountered were (1) identifying and then recruiting practices with a sufficiently high prevalence of parental smoking; (2) screening all parents in recruited practices and ...

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Parents Smoking in Their Cars With Children Present

Cited by 26 publications

References 36 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

Reduction of Secondhand Smoke Exposure in the Cars of Children With Cancer

Overcoming Challenges in the Changing Environment of Practice-Based Research

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