Gribben Valerie, Kosack Amanda, Garell Cambria, Shaikh Ulfat, Huang Maria, Chang Andrew Y, Rasmussen Jennifer, Tebb Kathleen, Marbin Jyothi
Department of Pediatrics, University of California, San Francisco, San Francisco, CA, USA.
Department of Pediatrics, University of California, Los Angeles, Los Angeles, CA, USA.
Clin Pediatr (Phila). 2023 Feb;62(2):115-120. doi: 10.1177/00099228221113783. Epub 2022 Jul 26.
The Clinical Effort Against Secondhand Smoke Exposure (CEASE) is an evidence-based framework that increases pediatric providers' ability to address secondhand smoke exposure of minors. Physician champions at 4 University of California sites conducted regular 1-hour didactic trainings on CEASE principles to pediatric residents as part of a longitudinal curriculum. At the conclusion of the academic year, 111 of 284 residents (39%) completed an anonymous survey. CEASE-trained residents reported significantly higher rates than untrained residents of counseling on smoking cessation (adjusted odds ratio [OR] = 4.50, = .009), and referring to the smokers' quitline (adjusted OR 3.6, = .007) to 50% or more of their patients' caregivers who smoked. In addition, among CEASE-trained residents, there were significant increases in multiple post-training knowledge and self-efficacy items. Our results show that a brief educational curriculum can be helpful in changing pediatric residents' attitudes and behavior toward assisting adult caregivers to pediatric patients in smoking cessation.
抵制二手烟暴露的临床行动（CEASE）是一个基于证据的框架，可提高儿科医疗服务提供者解决未成年人二手烟暴露问题的能力。作为纵向课程的一部分，加利福尼亚大学4个校区的医师带头人对儿科住院医师进行了为期1小时的关于CEASE原则的定期教学培训。在学年结束时，284名住院医师中有111名（39%）完成了一项匿名调查。接受CEASE培训的住院医师报告称，他们向50%或更多吸烟的患者护理人员提供戒烟咨询（调整后的优势比[OR]=4.50，P=.009）以及推荐吸烟者拨打戒烟热线（调整后的OR=3.6，P=.007）的比例显著高于未接受培训的住院医师。此外，在接受CEASE培训的住院医师中，多项培训后知识和自我效能项目有显著增加。我们的结果表明，简短的教育课程有助于改变儿科住院医师对协助成年护理人员为儿科患者戒烟的态度和行为。
