Targeting pregnant and parental smokers: Long-term outcomes of a practice-based intervention
| Autor: | Deborah R. Moss, Francis Pike, Margaret Watt-Morse, Patricia A. Cluss |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male Parents medicine.medical_specialty Outpatient Clinics Hospital medicine.medical_treatment Pediatrics Interviews as Topic Young Adult Pregnancy Intervention (counseling) Outcome Assessment Health Care Long term outcomes Humans Medicine Baseline (configuration management) business.industry Smoking Behavior change Public Health Environmental and Occupational Health Middle Aged Pennsylvania medicine.disease Obstetrics Pregnancy Complications Trend analysis Family medicine Measure outcomes Physical therapy Smoking cessation Female Smoking Cessation business |
| Zdroj: | Nicotine & Tobacco Research. 11:278-285 |
| ISSN: | 1469-994X 1462-2203 |
| DOI: | 10.1093/ntr/ntn035 |
| Popis: | INTRODUCTION This study aimed to assess the change in obstetric and pediatric provider smoking cessation practices following implementation of a practice guideline-driven office-based program. METHODS This pre-post evaluation took place between May 2003 and August 2006 in 1 pediatric and 1 obstetric hospital-based clinic. The intervention involved provider training combined with office system supports. A total of 1,080 exit interviews were collected to measure outcomes of clinic practices at baseline and at 1 month, 6 months, 1 year (obstetric), and 2 years (pediatric) after implementation. Trend analysis was used to assess change in practice rates over time. RESULTS Following program implementation, pediatric provider "Ask" rates increased (49% before to 86% 2 years after, p < .0001); changes in pediatric "Advise" and "Assist" rates were not significant: 44%-59% (p = .19) and 18%-28% (p = .26), respectively. In the obstetric clinic, whereas no significant changes were detected in provider "Ask" (59%-65% 1 year after, p = .17) or "Advise" (72%-85%, p = .27) rates, "Assist" rates rose from 28% to 62% (p = .0075) 1 year after program implementation. DISCUSSION Implementation of the office-based program achieved significantly improved trends in pediatric provider "Ask" rates and obstetric provider "Assist" rates over time. Further research is needed on office strategies to create long-term provider behavior changes in smoking cessation practices. |
| Databáze: | OpenAIRE |
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