This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow P3Rs: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when P3Rs are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via ISI Web of Science (18)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Winickoff, J. P.
Right arrow Articles by Rigotti, N. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Winickoff, J. P.
Right arrow Articles by Rigotti, N. A.
Related Collections
Right arrow Respiratory Tract

PEDIATRICS Vol. 111 No. 1 January 2003, pp. 140-145

A Smoking Cessation Intervention for Parents of Children Who Are Hospitalized for Respiratory Illness: The Stop Tobacco Outreach Program

Jonathan P. Winickoff, MD, MPH*,{ddagger}, Valerie J. Hillis{ddagger}, Judith S. Palfrey, MD§, James M. Perrin, MD* and Nancy A. Rigotti, MD{ddagger}

* MGH Center for Child and Adolescent Health Policy, General Pediatrics Division, MassGeneral Hospital for Children, Boston, Massachusetts
{ddagger} Tobacco Research and Treatment Center, General Medicine Division, Massachusetts General Hospital, Boston, Massachusetts
§ Children’s Hospital, Division of General Pediatrics, Boston, Massachusetts

--> Objective. Parental smoking is associated with increased rates and severity of childhood respiratory illness. No previous studies have examined child hospitalization as an opportunity for parental smoking cessation. We evaluated the feasibility of implementing a smoking cessation intervention for parents at the time of child hospitalization for respiratory illness.

Methods. We performed a prospective cohort study of smoking parents who had a child who was admitted to an academic children’s hospital for a respiratory illness between January and April 2000. All enrollees were offered the Stop Tobacco Outreach Program, which includes an initial motivational interview, written materials, nicotine replacement therapy (NRT), telephone counseling, and fax referral to parents’ primary clinician. The primary outcome was completion of all 3 counseling sessions. Two-month follow-up outcomes were quit attempts, cessation, NRT use, primary care visits, household smoking prohibition, and satisfaction.

Results. A total of 126 smoking parents met eligibility criteria, and 71 (56%) enrolled in the study. Of the 71, 80% completed all counseling sessions and 56% accepted free NRT at the time of enrollment. At the 2-month follow-up, of the 71 initial enrollees, 49% reported having made a quit attempt that lasted at least 24 hours, 21% reported not smoking a cigarette in the last 7 days, 27% reported having used NRT, and 38% had had a visit with their own primary clinician. The proportion of parents who reported rules prohibiting smoking in the house increased (29% vs 71%). Parental rating of the overall usefulness of the program was 4.3 ± 0.9 (1 standard deviation) on the 5-point scale 1 = not at all and 5 = a great extent.

Conclusions. This study demonstrates the feasibility of engaging parents in smoking cessation interventions at the time of child hospitalization for respiratory illness. Previous work done in a similar sample of parental smokers has shown extremely low ever-use rates of cessation programs. High rates of acceptance of in-hospital and telephone counseling in this study support the notion of child hospitalization as a teachable moment to address parental smoking.

Key Words: parent • smoking • tobacco • smoking cessation • respiratory illness • hospitalization

Abbreviations: ETS, environmental tobacco smoke • STOP, Stop Tobacco Outreach Program • NRT, nicotine replacement therapy • PCP, primary care provider

Received for publication Mar 12, 2002; Accepted Jul 22, 2002.




This article has been cited by other articles:


Home page
 PediatricsHome page
J. P. Winickoff, E. R. Park, B. J. Hipple, A. Berkowitz, C. Vieira, J. Friebely, E. A. Healey, and N. A. Rigotti
Clinical Effort Against Secondhand Smoke Exposure: Development of Framework and Intervention
Pediatrics, August 1, 2008; 122(2): e363 - e375.
[Abstract] [Full Text] [PDF]

Home page
 CLIN PEDIATRHome page
T. Bravender
School Performance: The Pediatrician's Role
Clinical Pediatrics, July 1, 2008; 47(6): 535 - 545.
[Abstract] [PDF]

Home page
 J Pediatr PsycholHome page
V. L. Tyc
Introduction to the Special Issue: Tobacco Control Strategies for Medically At-Risk Youth
J. Pediatr. Psychol., March 1, 2008; 33(2): 113 - 118.
[Full Text] [PDF]

Home page
 J Pediatr PsycholHome page
V. L. Tyc, M. F. Hovell, and J. Winickoff
Reducing Secondhand Smoke Exposure Among Children and Adolescents: Emerging Issues for Intervening with Medically At-Risk Youth
J. Pediatr. Psychol., March 1, 2008; 33(2): 145 - 155.
[Abstract] [Full Text] [PDF]

Home page
 Arch. Dis. Child.Home page
M. Miller, D. Gow, D. Tappin, and S. Turner
Smoking habits of parents attending a children's hospital
Arch. Dis. Child., December 1, 2007; 92(12): 1118 - 1119.
[Abstract] [Full Text] [PDF]

Home page
 ThoraxHome page
Spoken sessions
Thorax, December 1, 2006; 61(suppl_2): ii3 - ii56.
[Full Text] [PDF]

Home page
 PediatricsHome page
J. P. Winickoff, S. E. Tanski, R. C. McMillen, B. J. Hipple, J. Friebely, and E. A. Healey
A National Survey of the Acceptability of Quitlines to Help Parents Quit Smoking
Pediatrics, April 1, 2006; 117(4): e695 - e700.
[Abstract] [Full Text] [PDF]

Home page
 Arch Pediatr Adolesc MedHome page
S. J. Erickson, M. Gerstle, and S. W. Feldstein
Brief Interventions and Motivational Interviewing With Children, Adolescents, and Their Parents in Pediatric Health Care Settings: A Review
Arch Pediatr Adolesc Med, December 1, 2005; 159(12): 1173 - 1180.
[Full Text] [PDF]

Home page
 PediatricsHome page
J. P. Winickoff, S. E. Tanski, R. C. McMillen, J. D. Klein, N. A. Rigotti, and M. Weitzman
Child Health Care Clinicians' Use of Medications to Help Parents Quit Smoking: A National Parent Survey
Pediatrics, April 1, 2005; 115(4): 1013 - 1017.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
J. P. Winickoff, A. B. Berkowitz, K. Brooks, S. E. Tanski, A. Geller, C. Thomson, H. A. Lando, S. Curry, M. Muramoto, A. V. Prokhorov, et al.
State-of-the-Art Interventions for Office-Based Parental Tobacco Control
Pediatrics, March 1, 2005; 115(3): 750 - 760.
[Abstract] [Full Text] [PDF]

Home page
 J Child Health CareHome page
V. L. Tyc, L. Throckmorton-Belzer, J. L. Klosky, F. L. Greeson, S. Lensing, S. N. Rai, and M. M. Hudson
Smoking among parents of pediatric cancer patients and children's exposure to environmental tobacco smoke
J Child Health Care, December 1, 2004; 8(4): 288 - 300.
[Abstract] [PDF]

Home page
 CLIN PEDIATRHome page
E. L. Mcquaid, N. Walders, and B. Borrelli
Environmental Tobacco Smoke Exposure in Pediatric Asthma: Overview and Recommendations for Practice
Clinical Pediatrics, November 1, 2003; 42(9): 775 - 787.
[PDF]

Home page
 PediatricsHome page
J. P. Winickoff, V. J. Buckley, J. S. Palfrey, J. M. Perrin, and N. A. Rigotti
Intervention With Parental Smokers in an Outpatient Pediatric Clinic Using Counseling and Nicotine Replacement
Pediatrics, November 1, 2003; 112(5): 1127 - 1133.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
J. P. Winickoff, R. C. McMillen, B. C. Carroll, J. D. Klein, N. A. Rigotti, S. E. Tanski, and M. Weitzman
Addressing Parental Smoking in Pediatrics and Family Practice: A National Survey of Parents
Pediatrics, November 1, 2003; 112(5): 1146 - 1151.
[Abstract] [Full Text] [PDF]