The Difference a Decade Makes: Smoking Cessation Counseling and Screening at Pediatric Visits

Cawkwell, Philip B.; Lee, Lily; Shearston, Jenni A.; Sherman, Scott E.; Weitzman, Michael

doi:10.1093/ntr/ntw146

Cited by 15 publications

(9 citation statements)

References 60 publications

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“…The surveys examined various demographic information and tobacco use and/or exposure as well as if counseling was provided to the patient or parent. 9 They showed an increase in tobacco counseling given to children ages <19 y from 1.5% in 1997-1999 to 3.8% from 2009-2011. 9 It was noted that counseling was more frequently provided during a well visit from the 2009-2011 time period than previously reported.…”

Section: Discussionmentioning

confidence: 96%

“…9 They showed an increase in tobacco counseling given to children ages <19 y from 1.5% in 1997-1999 to 3.8% from 2009-2011. 9 It was noted that counseling was more frequently provided during a well visit from the 2009-2011 time period than previously reported. The survey from 1997-1999 showed reporting of counseling at well visits to be 4.1% in contrast to the 11.1% reported in the 2009-2011 survey.…”

Section: Discussionmentioning

confidence: 96%

“…A comparison from the National Hospital Ambulatory Care Survey and the National Ambulatory Medical Care Survey from 1997-1999 and 2009-2011 was done to see progression in tobacco cessation counseling over the past decade. 9 It was determined that there was a significant increase in counseling provided to pediatric patients age <19 y and parents by providers. The surveys examined various demographic information and tobacco use and/or exposure as well as if counseling was provided to the patient or parent.…”

Section: Discussionmentioning

confidence: 99%

“…The survey from 1997-1999 showed reporting of counseling at well visits to be 4.1% in contrast to the 11.1% reported in the 2009-2011 survey. 9 This particular increase could be due to the Healthy People 2020 initiative. Healthy People 2020 is an initiative that aims to improve the health of all Americans.…”

Section: Discussionmentioning

confidence: 99%

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Success of a Tobacco Cessation Program for Parents at a Children's Hospital

et al. 2020

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BACKGROUND: Children are most affected by passive smoke and least able to avoid it. The Tobacco Dependence Program was developed to help reduce first-, second-, and thirdhand smoke exposure to our patients while they are in the hospital. METHODS: The Tobacco Dependence Program consists of a director, 3 coordinators, and 15 team members certified as tobacco treatment specialists. The program is offered to any admitted patient or his or her caregiver(s). We support participants whether their goal is to quit smoking or to abstain during the hospitalization. We provide weekly counseling and free over-the-counter nicotine replacement therapy for the entire duration of the hospitalization. The inclusion criterion for caregivers is a 7-d minimum stay. In-patients are automatically eligible. Before discharge, we provide a referral to an out-patient program. RESULTS: As of March 2019, we enrolled 138 participants, 5% were in-patients. Fiftyfive percent had children who were critically ill and in the ICU: pediatric ICU/progressive care unit (PCU) 28%, neonatal ICU 19%, cardiac ICU (CICU) 9%. The ethnicity of the participants was predominately white (56%), followed by African American (33%), Hispanic (12%), and Asian (<1%). Fifty-six percent of the participants were female. Fifty-nine percent of the participants began smoking between the ages of 12 and 18 y, 21% began between the ages of 18 and 25 y, 9% began before the age of 12 y, and 7% between the ages of 25 and 35 y. Fifty percent of the survey respondents stated that they were able to quit before discharge. CONCLUSIONS: The Tobacco Dependence Program offers support to families as they begin the cessation process and provide the tools to continue a smoke-free lifestyle after discharge. The program is feasible and welcomed to assist patients and families in this process.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Success of a Tobacco Cessation Program for Parents at a Children's Hospital

et al. 2020

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“…If we consider a child's preoperative visit to be a teachable moment then screening for exposure to ETS can be combined with education about its risks both perioperatively and more widely and establish referral pathways to evidence‐based smoking cessation services. Increasing smoking cessation counselling in pediatric outpatient clinics, specifically in asthma or otitis media cases, has been shown to have no effect on clinic time or visit duration 16 so is a reasonable aim for preoperative assessment clinics.…”

Section: The Role Of Perioperative Practitioners In Smoking Cessationmentioning

confidence: 99%

Reducing pediatric exposure to environmental tobacco smoke: The effects of pediatric exposure to environmental tobacco smoke and the role of pediatric perioperative care

Riley

Ladak

2020

Pediatric Anesthesia

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Exposure to environmental tobacco smoke (ETS) has deleterious effects on a child's general health and their perioperative risk; specifically, it doubles a child's perioperative risk of adverse respiratory events, particularly laryngospasm. It increases the risk of sudden infant death syndrome, bacterial meningitis, middle ear infection, asthma, and lower respiratory tract infection. The preoperative assessment of children presenting for procedures under general anesthesia is an opportune moment to screen for exposure to ETS and give information about the risks and cessation support (if applicable). This can be described as a "teachable moment"; there is a documented How to cite this article: Riley C, Ladak N. Reducing pediatric exposure to environmental tobacco smoke: The effects of pediatric exposure to environmental tobacco smoke and the role of pediatric perioperative care.

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Changes and Factors Associated With Tobacco Counseling: Results From the AAP Periodic Survey

McMillen

O’Connor

Groner

et al. 2017

Academic Pediatrics

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The Difference a Decade Makes: Smoking Cessation Counseling and Screening at Pediatric Visits

Abstract: Introduction: There has been a sharp decline in adolescents who smoke cigarettes but no nationallevel study evaluating the impact of smoking cessation counseling by pediatricians or other clinicians who care for children.

Cited by 15 publications

References 60 publications

Success of a Tobacco Cessation Program for Parents at a Children's Hospital

Success of a Tobacco Cessation Program for Parents at a Children's Hospital

Reducing pediatric exposure to environmental tobacco smoke: The effects of pediatric exposure to environmental tobacco smoke and the role of pediatric perioperative care

Changes and Factors Associated With Tobacco Counseling: Results From the AAP Periodic Survey

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