The pediatric residency training on tobacco project: Four-year parent outcome findings

Abstract

The results support the efficacy of the special training program and underscore the importance of preparing pediatric residents to address tobacco.

Exposure to Environmental Tobacco Smoke in Babies

“…The role of pediatricians and especially pediatrics residents is of vital importance as concluded in a study published in 2008 (Hymowitz et al, 2008). The study evaluated the efficacy of a special program for training pediatric residents to address tobacco and reduce exposure to tobacco smoke.…”

An Evaluation of Mother-Centered Anticipatory Guidance to Reduce Obesogenic Infant Feeding Behaviors

“…AG provides an opportunity for the clinician to share information with parents regarding child health, nutrition, safety, and optimized development. Some elements of AG can enhance the family environmentofchildren,includingimproving child literacy readiness, 26 decreasing parental smoking, 27 and screening mothers for postpartum depression. 28 Addressing maternal health behaviors at the pediatric health care visit may be particularly helpful.…”

Smoking cessation promotion in the pediatric clinic: Increasing pediatricians’ rate of screening for second hand smoke exposure, counseling caregivers to stop smoking and referring caregivers to smoking cessation programs

“…Four studies in this review employed the NCI's "5A's": Ask caregivers if they smoke, Advise that they quit smoking, Assess readiness to quit smoking, Assist with smoking cessation efforts and Arrange for the use of smoking cessation programs (Hymowitz et al, 2008;Hymowitz et al, 2001) (Table 1) Two studies employed CEASE, a module to encourage physicians to take three steps to promote smoking cessation: ask caregivers if their child lives with anyone who smokes, assist with smoking cessation and refer caregivers to smoking cessation programs (Table 1).…”

“…Pediatric residents were the only subjects in 6 studies (Collins, D'Angelo, Stearns, & Campbell, 2005;Houston et al, 2006) (Hymowitz, Pyle, Haddock, & Schwab, 2008;Hymowitz, Schwab, & Eckholdt, 2001; J. D. Klein, Portilla, Goldstein, & Leininger, 1995;Lee et al, 2004;Scal, Hennrikus, Ehrlich, Ireland, & Borowsky, 2004), while pediatricians were the sole subjects in 2 studies (Beaty et al, 2013;Hipple, Nabi-Burza, Hall, Regan, & Winickoff, 2013) (Table 1). The effects of the intervention were investigated in both pediatricians and pediatric residents in 1 study (Sharifi et al, 2014) (Table 1).…”

“…The smallest sample size was 26 residents in one pediatric residency program while the largest consisted of 2069 residents enrolled in 16 different pediatric residency programs (Hymowitz et al, 2008) (Table 1).…”