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PEDIATRICS Vol. 105 No. 1 Supplement January 2000, pp. 267-271

The Impact of a Brief Intervention on Maternal Smoking Behavior

Received Nov 17, 1998; accepted Aug 18, 1999.

Judith A. Groner*, Karen AhijevychDagger , Lindsey K. Grossman§, and Leslie N. Richparallel

From the * Section of Ambulatory Pediatrics, Ohio State University College of Medicine, Columbus Children's Hospital; Dagger  Ohio State University College of Nursing, Columbus, Ohio; § Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia; and parallel  Partners In Marketing, Inc, Columbus, Ohio.

Objective.  To determine if mothers receiving a smoking cessation intervention emphasizing health risks of environmental tobacco smoke (ETS) for their children have a higher quit rate than 1) mothers receiving routine smoking cessation advice or 2) a control group.

Design.  Randomized, controlled trial.

Setting.  Primary care center in a large urban children's hospital.

Intervention.  Four hundred seventy-nine mothers were randomly assigned to a smoking cessation intervention either aimed at their child's health or their own health, or to a control group receiving safety information.

Outcome Measures.  Smoking status, stage of change, cigarettes/day, location smoking occurred, and knowledge of ETS effects.

Results.  Complete data (baseline and both follow-ups) were available for 166 subjects. There was no impact of group assignment on the quit rate, cigarettes/day, or stage of change. The Child Health Group intervention had a sustained effect on location where smoking reportedly occurred (usually outside) and on improved knowledge of ETS effects.

Conclusions.  Further research is needed to devise more effective methods of using the pediatric health care setting to influence adult smoking behaviors.  Key words:  maternal smoking, smoking cessation, nicotine addiction, nicotine dependence.




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