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    Kids Safe and Smokefree (KiSS): A randomized controlled trial of a multilevel intervention to reduce secondhand tobacco smoke exposure in children

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    Name:
    Kids Safe and Smokefree (KiSS) ...
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    Genre
    Journal Article
    Date
    2013-09-03
    Author
    Lepore, SJ
    Winickoff, JP
    Moughan, B
    Bryant-Stephens, TC
    Taylor, DR
    Fleece, D
    Davey, A
    Nair, US
    Godfrey, M
    Collins, BN
    Subject
    Secondhand smoke
    Pediatrics
    Randomized controlled trial
    Prevention
    Tobacco control
    Smoking cessation
    Health services
    Electronic health records
    Permanent link to this record
    http://hdl.handle.net/20.500.12613/5377
    
    Metadata
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    DOI
    10.1186/1471-2458-13-792
    Abstract
    Background: Secondhand smoke exposure (SHSe) harms children's health, yet effective interventions to reduce child SHSe in the home and car have proven difficult to operationalize in pediatric practice. A multilevel intervention combining pediatric healthcare providers' advice with behavioral counseling and navigation to pharmacological cessation aids may improve SHSe control in pediatric populations. Methods/design. This trial uses a randomized, two-group design with three measurement periods: pre-intervention, end of treatment and 12-month follow-up. Smoking parents of children < 11-years-old are recruited from pediatric clinics. The clinic-level intervention includes integrating tobacco intervention guideline prompts into electronic health record screens. The prompts guide providers to ask all parents about child SHSe, advise about SHSe harms, and refer smokers to cessation resources. After receiving clinic intervention, eligible parents are randomized to receive: (a) a 3-month telephone-based behavioral counseling intervention designed to promote reduction in child SHSe, parent smoking cessation, and navigation to access nicotine replacement therapy or cessation medication or (b) an attention control nutrition education intervention. Healthcare providers and assessors are blind to group assignment. Cotinine is used to bioverify child SHSe (primary outcome) and parent quit status. Discussion. This study tests an innovative multilevel approach to reducing child SHSe. The approach is sustainable, because clinics can easily integrate the tobacco intervention prompts related to "ask, advise, and refer" guidelines into electronic health records and refer smokers to free evidence-based behavioral counseling interventions, such as state quitlines. Trial registration. NCT01745393 (clinicaltrials.gov). © 2013 Lepore et al.; licensee BioMed Central Ltd.
    Citation to related work
    Springer Science and Business Media LLC
    Has part
    BMC Public Health
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    ae974a485f413a2113503eed53cd6c53
    http://dx.doi.org/10.34944/dspace/5359
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