Training Pediatric Residents to Prevent Tobacco Use

¹ Division of Adolescent Medicine, Department of Pediatrics, University of Rochester School of Medicine, Rochester, NY
² Department of Pediatrics, University of Arkansas, Little Rock, AR
³ Departments of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC
⁴ Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC

Objective. To assess the effectiveness and acceptability of incorporating the National Cancer Institute (NCI) Guide to Preventing Tobacco Use During Childhood and Adolescence into pediatric training.

Design. Preintervention and postintervention self-reported surveys for residents receiving training and postintervention baseline surveys for those residents not receiving training. Measures include: (1) a self-reported knowledge, attitude, and behavior survey of residents; and (2) physician behavior reports from parent exit interviews.

Setting. A hospital-based pediatric residency program and continuity clinic.

Subjects. Pediatric residents and parents of pediatricpatients seen for well child examinations.

Interventions. Structured NCI smoking cessation curriculum modified for delivery during scheduled teaching activities.

Results. The NCI training was acceptable and perceived as important by residents. Many did not recall receiving the materials or training. Trained residents who remembered the intervention improved their smoking cessation counseling effectiveness. Most patients' parents think it appropriate for physicians to ask; however, most reported not having been asked about smoking or environmental smoke exposure.

Conclusions. For residents to learn effective prevention counseling strategies, systematic, reinforced preventive educational curricula must become an institutionalized part of residency training.

This article has been cited by other articles:

				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]

				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]

				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]

				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]

				L. Pbert, E. T. Moolchan, M. Muramoto, J. P. Winickoff, S. Curry, H. Lando, D. Ossip-Klein, A. V. Prokhorov, J. DiFranza, and J. D. Klein The State of Office-Based Interventions for Youth Tobacco Use Pediatrics, June 1, 2003; 111(6): e650 - 660. [Abstract] [Full Text] [PDF]

				S. E. Tanski, J. D. Klein, J. P. Winickoff, P. Auinger, and M. Weitzman Tobacco Counseling at Well-Child and Tobacco-Influenced Illness Visits: Opportunities for Improvement Pediatrics, February 1, 2003; 111(2): e162 - 167. [Abstract] [Full Text] [PDF]

				M. A. Schuster, T. Franke, and C. B. Pham Smoking Patterns of Household Members and Visitors in Homes With Children in the United States Arch Pediatr Adolesc Med, November 1, 2002; 156(11): 1094 - 1100. [Abstract] [Full Text] [PDF]

				J. L. Lustig, E. M. Ozer, S. H. Adams, C. J. Wibbelsman, C. D. Fuster, R. W. Bonar, and C. E. Irwin Jr Improving the Delivery of Adolescent Clinical Preventive Services Through Skills-Based Training Pediatrics, May 1, 2001; 107(5): 1100 - 1107. [Abstract] [Full Text]

				J. D. Klein, M. J. Allan, A. B. Elster, D. Stevens, C. Cox, V. A. Hedberg, and R. A. Goodman Improving Adolescent Preventive Care in Community Health Centers Pediatrics, February 1, 2001; 107(2): 318 - 327. [Abstract] [Full Text]

				D. A. Christakis Parental Smoking Cessation Counseling: It's About Time Arch Pediatr Adolesc Med, January 1, 2001; 155(1): 15 - 16. [Full Text] [PDF]

				E. J. Perez-Stable, M. Juarez-Reyes, C. P. Kaplan, E. Fuentes-Afflick, V. Gildengorin, and S. G. Millstein Counseling Smoking Parents of Young Children: Comparison of Pediatricians and Family Physicians Arch Pediatr Adolesc Med, January 1, 2001; 155(1): 25 - 31. [Abstract] [Full Text] [PDF]

				R. J. Stein, C. K. Haddock, K. K. O'Byrne, N. Hymowitz, and J. Schwab The Pediatrician's Role in Reducing Tobacco Exposure in Children Pediatrics, November 1, 2000; 106(5): 66e - 66. [Abstract] [Full Text]

				J. A. Hopper and K. A. Craig Environmental Tobacco Smoke Exposure Among Urban Children Pediatrics, October 1, 2000; 106(4): 47e - 47. [Abstract] [Full Text]

				J. G. Zapka, K. Fletcher, L. Pbert, S. K. Druker, J. K. Ockene, and L. Chen The Perceptions and Practices of Pediatricians: Tobacco Intervention Pediatrics, May 1, 1999; 103(5): 65e - 65. [Abstract] [Full Text]

				A. C. Geller, J. Robinson, S. Silverman, S. A. Wyatt, D. Shifrin, and H. K. Koh Do Pediatricians Counsel Families About Sun Protection?: A Massachusetts Survey Arch Pediatr Adolesc Med, April 1, 1998; 152(4): 372 - 376. [Abstract] [Full Text] [PDF]

				M. J. Ashley and R. Ferrence Reducing children's exposure to environmental tobacco smoke in homes: issues and strategies Tob. Control, March 1, 1998; 7(1): 61 - 65. [Abstract] [Full Text]

	Home | My Pediatrics | Journal Information | Current Issue | Past Issues | Subscriptions & Services | Contact Us Click here for faster international access © 1995 American Academy of Pediatrics. All rights reserved.