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dc.creatorLepore, SJ
dc.creatorWinickoff, JP
dc.creatorMoughan, B
dc.creatorBryant-Stephens, TC
dc.creatorTaylor, DR
dc.creatorFleece, D
dc.creatorDavey, A
dc.creatorNair, US
dc.creatorGodfrey, M
dc.creatorCollins, BN
dc.date.accessioned2021-01-31T18:47:11Z
dc.date.available2021-01-31T18:47:11Z
dc.date.issued2013-09-03
dc.identifier.issn1471-2458
dc.identifier.issn1471-2458
dc.identifier.doihttp://dx.doi.org/10.34944/dspace/5359
dc.identifier.other23987302 (pubmed)
dc.identifier.urihttp://hdl.handle.net/20.500.12613/5377
dc.description.abstractBackground: 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.
dc.format.extent792-
dc.language.isoen
dc.relation.haspartBMC Public Health
dc.relation.isreferencedbySpringer Science and Business Media LLC
dc.rightsCC BY
dc.subjectSecondhand smoke
dc.subjectPediatrics
dc.subjectRandomized controlled trial
dc.subjectPrevention
dc.subjectTobacco control
dc.subjectSmoking cessation
dc.subjectHealth services
dc.subjectElectronic health records
dc.titleKids Safe and Smokefree (KiSS): A randomized controlled trial of a multilevel intervention to reduce secondhand tobacco smoke exposure in children
dc.typeArticle
dc.type.genreJournal Article
dc.relation.doi10.1186/1471-2458-13-792
dc.ada.noteFor Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact scholarshare@temple.edu
dc.creator.orcidLepore, Stephen J.|0000-0001-7370-6280
dc.creator.orcidSarwer, David B|0000-0003-1033-5528
dc.date.updated2021-01-31T18:47:09Z
refterms.dateFOA2021-01-31T18:47:12Z


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