Thomas Katharine E H, Kisely Steve, Urrego Fernando
1 Ochsner Health System, New Orleans, LA, USA.
2 University of Queensland, Brisbane, Queensland, Australia.
Clin Pediatr (Phila). 2017 Oct;56(12):1142-1147. doi: 10.1177/0009922816684607. Epub 2017 Jan 5.
The rate at which pediatricians promote smoking cessation in clinical settings is low. The literature demonstrates that interventions paired with tangible health promotion materials may significantly increase screening rates to the pediatric office. The aim of this study was to investigate whether the addition of a children's book in the pediatric clinic could result in an increase in the rate in which pediatricians screened for secondhand smoke exposure (SHSe) and counseled caregivers to stop smoking.
This randomized controlled study was performed at 7 pediatric clinics.
Seven pediatric clinic sites were randomly assigned to either an intervention or control group. Pediatricians in the intervention group were given children's books about SHSe to distribute to their patients while the control group did not receive any materials.
At baseline, there was no difference between the control group and intervention group in rates at which pediatricians screened for SHSe ( P = .8728) and counseled caregivers to stop smoking ( P = .29). After the intervention, screening for SHSe and counseling caregivers to stop smoking were statistically significantly greater in the intervention group, when compared to controls ( P < .01 and P < .001, respectively).
The use of a health promotion children's book in the pediatric setting can increase the rate at which pediatricians screen for SHSe and counsel caregivers to stop smoking. Future research should examine the effect of the storybook on various parameters of smoking cessation and future smoking behaviors.
儿科医生在临床环境中促进戒烟的比例较低。文献表明，与切实可行的健康促进材料相结合的干预措施可能会显著提高儿科诊所的筛查率。本研究的目的是调查在儿科诊所增加一本儿童读物是否会提高儿科医生筛查二手烟暴露（SHSe）并建议照顾者戒烟的比例。
这项随机对照研究在7家儿科诊所进行。
7个儿科诊所地点被随机分为干预组或对照组。干预组的儿科医生会收到关于SHSe的儿童读物分发给他们的患者，而对照组没有收到任何材料。
在基线时，对照组和干预组在儿科医生筛查SHSe的比例（P = 0.8728）和建议照顾者戒烟的比例（P = 0.29）方面没有差异。干预后，与对照组相比，干预组在筛查SHSe和建议照顾者戒烟方面在统计学上有显著增加（分别为P < 0.01和P < 0.001）。
在儿科环境中使用健康促进儿童读物可以提高儿科医生筛查SHSe并建议照顾者戒烟的比例。未来的研究应该检查故事书对戒烟的各种参数和未来吸烟行为的影响。
