Michelle R Torok1,2, Michelle Lowary3, Sonja I Ziniel1,2,3, Jolene Rohde4, Gwendolyn S Kerby2,5, Melbourne F Hovell6, Jonathan P Winickoff7,8, Jonathan D Klein8,9, Karen Wilson10,11. 1. Division of Hospital Medicine. 2. Department of Pediatrics, School of Medicine, University of Colorado, Aurora, Colorado. 3. Children's Hospital Colorado, Aurora, Colorado. 4. University of Nebraska Medical Center, Omaha, Nebraska. 5. The Breathing Institute. 6. Center for Behavioral Epidemiology and Community Health, Graduate School of Public Health, San Diego State University, San Diego, California. 7. Department of Pediatrics, Massachusetts General Hospital, Harvard Medical School, Harvard University, Boston, Massachusetts. 8. American Academy of Pediatrics Julius B. Richmond Center of Excellence, Itasca, Illinois. 9. Department of Pediatrics, University of Illinois at Chicago, Chicago, Illinois; and. 10. American Academy of Pediatrics Julius B. Richmond Center of Excellence, Itasca, Illinois; karen.wilson@mssm.edu. 11. Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, New York.
Abstract
OBJECTIVES: To assess employee support for and knowledge of smoking cessation programs for patients' parents and staff and employees' level of comfort discussing smoking with patients and their families before and during a hospital-wide study of atobacco cessation and/or exposure reduction program for inpatients' parents who smoke. METHODS: Clinical staff were invited to complete online surveys at the beginning of and 19 months into a randomized controlled trial to test the efficacy of an inpatient tobacco cessation and exposure reduction program for parents of hospitalized children. The program included educating pediatric inpatient clinical staff about available resources, such as the Colorado QuitLine, and smoking cessation interventions for the parents of hospitalized children. Clinical staff were recruited via e-mail listservs, a weekly e-mail newsletter, and posted flyers. Baseline and midstudy results were compared, and χ2 tests were performed. RESULTS: At the baseline, 192 clinical staff responded; 235 responded midstudy. At the baseline and midstudy, at least 90% of the respondents believed that the hospital should support parents in quitting smoking, although the support for free nicotine replacement therapy was low (27% at the baseline to 35% at midstudy). One-fifth of the respondents were uncomfortable discussing smoking; this proportion decreased after educational interventions. Knowledge about hospital cessation resources had also increased at midstudy. CONCLUSIONS: There was strong support for helping parents and staff quit smoking. Comfort among clinical staff in addressing tobacco dependence in patients and families and awareness of cessation resources increased over the course of the study.
RCT Entities:
OBJECTIVES: To assess employee support for and knowledge of smoking cessation programs for patients' parents and staff and employees' level of comfort discussing smoking with patients and their families before and during a hospital-wide study of a tobacco cessation and/or exposure reduction program for inpatients' parents who smoke. METHODS: Clinical staff were invited to complete online surveys at the beginning of and 19 months into a randomized controlled trial to test the efficacy of an inpatient tobacco cessation and exposure reduction program for parents of hospitalized children. The program included educating pediatric inpatient clinical staff about available resources, such as the Colorado QuitLine, and smoking cessation interventions for the parents of hospitalized children. Clinical staff were recruited via e-mail listservs, a weekly e-mail newsletter, and posted flyers. Baseline and midstudy results were compared, and χ2 tests were performed. RESULTS: At the baseline, 192 clinical staff responded; 235 responded midstudy. At the baseline and midstudy, at least 90% of the respondents believed that the hospital should support parents in quitting smoking, although the support for free nicotine replacement therapy was low (27% at the baseline to 35% at midstudy). One-fifth of the respondents were uncomfortable discussing smoking; this proportion decreased after educational interventions. Knowledge about hospital cessation resources had also increased at midstudy. CONCLUSIONS: There was strong support for helping parents and staff quit smoking. Comfort among clinical staff in addressing tobacco dependence in patients and families and awareness of cessation resources increased over the course of the study.
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