婴儿的被动吸烟：BIBE 研究（婴儿的简短干预。有效性）。
Passive smoking in babies: the BIBE study (Brief Intervention in babies. Effectiveness).
机构信息
Fundació Atenció Primaria, Department of Health, Generalitat de Catalunya, Barcelona, Spain.
出版信息
BMC Public Health. 2010 Dec 20;10:772. doi: 10.1186/1471-2458-10-772.
BACKGROUND
There is evidence that exposure to passive smoking in general, and in babies in particular, is an important cause of morbimortality. Passive smoking is related to an increased risk of pediatric diseases such as sudden death syndrome, acute respiratory diseases, worsening of asthma, acute-chronic middle ear disease and slowing of lung growth.The objective of this article is to describe the BIBE study protocol. The BIBE study aims to determine the effectiveness of a brief intervention within the context of Primary Care, directed to mothers and fathers that smoke, in order to reduce the exposure of babies to passive smoking (ETS).
METHODS/DESIGN: Cluster randomized field trial (control and intervention group), multicentric and open.
SUBJECT
Fathers and/or mothers who are smokers and their babies (under 18 months) that attend pediatric services in Primary Care in Catalonia.The measurements will be taken at three points in time, in each of the fathers and/or mothers who respond to a questionnaire regarding their baby's clinical background and characteristics of the baby's exposure, together with variables related to the parents' tobacco consumption. A hair sample of the baby will be taken at the beginning of the study and at six months after the initial visit (biological determination of nicotine). The intervention group will apply a brief intervention in passive smoking after specific training and the control group will apply the habitual care.
DISCUSSION
Exposure to ETS is an avoidable factor related to infant morbimortality. Interventions to reduce exposure to ETS in babies are potentially beneficial for their health.The BIBE study evaluates an intervention to reduce exposure to ETS that takes advantage of pediatric visits. Interventions in the form of advice, conducted by pediatric professionals, are an excellent opportunity for prevention and protection of infants against the harmful effects of ETS.
TRIAL REGISTRATION
Clinical Trials.gov Identifier: NCT00788996.
背景
有证据表明，被动吸烟，尤其是婴儿被动吸烟，是导致发病率和死亡率的一个重要原因。被动吸烟与儿科疾病风险增加有关，例如猝死综合征、急性呼吸道疾病、哮喘恶化、急性-慢性中耳疾病和肺生长减缓。本文的目的是描述 BIBE 研究方案。BIBE 研究旨在确定初级保健环境中针对吸烟的父母的简短干预措施的有效性，以减少婴儿接触被动吸烟（ETS）。
方法/设计：集群随机现场试验（对照组和干预组），多中心和开放。
研究对象
吸烟的父亲和/或母亲及其婴儿（18 个月以下），他们在加泰罗尼亚的初级保健儿科服务中就诊。在每个回答有关婴儿临床背景和婴儿暴露特征以及与父母吸烟相关变量的问卷的父母中，将在三个时间点进行测量。将在研究开始时和初次就诊后六个月（生物测定尼古丁）对婴儿进行头发样本采集。干预组将在接受特定培训后对被动吸烟应用简短干预，对照组将应用常规护理。
讨论
暴露于 ETS 是与婴儿发病率和死亡率相关的可避免因素。减少婴儿 ETS 暴露的干预措施可能对其健康有益。BIBE 研究评估了一种旨在减少婴儿 ETS 暴露的干预措施，该措施利用了儿科就诊。由儿科专业人员提供的建议形式的干预措施是预防和保护婴儿免受 ETS 有害影响的绝佳机会。
试验注册
ClinicalTrials.gov 标识符：NCT00788996。
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