Sustained Benefit for Parental Tobacco Control Program
(HealthDay News) — Practices that are part of a parental tobacco control intervention have higher rates of delivering tobacco control assistance to parents over a one-year follow-up period, according to a study published online Oct. 20 in Pediatrics.
Jonathan P. Winickoff, MD, MPH, from the Massachusetts General Hospital for Children in Boston, and colleagues conducted a cluster randomized trial of 20 pediatric practices in 16 states. Practices were randomized to the intervention, which provided training so that they could give evidence-based assistance for parents who smoke. Provision of meaningful tobacco control assistance was assessed at a 12-month follow-up telephone survey with parents.
The researchers found that during the 12-month implementation period, the intervention group had significantly higher practice rates of providing meaningful tobacco control assistance (55% vs. 19%); discussing various strategies to quit smoking (25% vs. 10%); discussing cessation medication (41% vs. 11%); and recommending use of quitline (37% vs. 9%) compared with the control group (all P<0.0001). The likelihood of nicotine-confirmed quitting correlated with receipt of any assistance (adjusted odds ratio, 1.89; 95% confidence interval, 1.13–3.19). In intervention vs. control practices, the adjusted odds ratio for nicotine-confirmed quitting was 1.07 (95% confidence interval, 0.64–1.78) after adjustment for demographic and behavioral factors.
"Maximizing parental quit rates will require more complete systems-level integration and adjunctive cessation strategies," the authors write.
One author disclosed financial ties to Pfizer and UpToDate.