Smoking prevention and cessation intervention delivery by pediatric providers, as assessed with patient exit interviews
Authors
Pbert, LoriFletcher, Kenneth E.
Flint, Alan J.
Young, Martin H.
Druker, Susan
DiFranza, Joseph R.
UMass Chan Affiliations
Department of PediatricsDepartment of Family Medicine and Community Health
Department of Psychiatry
Division of Preventive and Behavioral Medicine
Document Type
Journal ArticlePublication Date
2006-09-05Keywords
AdolescentAdolescent Behavior
Counseling
Female
Humans
Intervention Studies
Male
Patient Education as Topic
*Pediatrics
Physician-Patient Relations
Smoking
*Smoking Cessation
Treatment Outcome
Life Sciences
Medicine and Health Sciences
Metadata
Show full item recordAbstract
OBJECTIVE: The goal was to evaluate the degree to which a smoking prevention and cessation intervention was delivered by providers to adolescents in the pediatric office setting. METHODS: Eight pediatric clinics in central Massachusetts were assigned randomly to either a special intervention (brief pediatric provider-delivered intervention plus peer counseling) or the usual care condition. Subjects (n = 2710) were adolescents 13 to 17 years of age, both smokers (smoked in the past 30 days) and nonsmokers/former smokers. The degree to which smoking prevention and treatment interventions were delivered by providers was assessed through patient exit interviews with adolescents after their clinic visits; interviews assessed the occurrence of 10 possible intervention steps. RESULTS: The percentage of providers engaging in the smoking interventions differed significantly between the special intervention and usual care conditions, according to adolescent reports in the patient exit interviews. For nonsmokers/former smokers, overall patient exit interview scores were 7.24 for the special intervention condition and 4.95 for the usual care condition. For current smokers, overall patient exit interview scores were 8.40 and 6.24 for the special intervention and usual care conditions, respectively. Intervention fidelity of special intervention providers was 72.2% and 84.0% for nonsmokers/former smokers and current smokers, respectively. CONCLUSIONS: Pediatric providers who receive training and reminders to deliver a brief smoking prevention and cessation intervention to adolescents in the context of routine pediatric primary care practice can do so feasibly and with a high degree of fidelity to the intervention protocol.Source
Pediatrics. 2006 Sep;118(3):e810-24. Link to article on publisher's siteDOI
10.1542/peds.2005-2869Permanent Link to this Item
http://hdl.handle.net/20.500.14038/38890PubMed ID
16950969Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.1542/peds.2005-2869