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.
- Received November 17, 1998.
- Accepted August 18, 1999.
- Copyright © 2000 American Academy of Pediatrics