Mahabee-Gittens E Melinda, Southworth Hayley, Kranich Christiana, Lorenz Allison, Arnold Melissa Wervey, Gittelman Michael A
Division of Emergency Medicine (EM Mahabee-Gittens and MA Gittelman), Cincinnati Children's Hospital Medical Center, Ohio; University of Cincinnati (EM Mahabee-Gittens and MA Gittelman), College of Medicine, Ohio.
Ohio Chapter (H Southworth, MW Arnold, and MA Gittelman), American Academy of Pediatrics, Columbus.
Acad Pediatr. 2024 Mar;24(2):277-283. doi: 10.1016/j.acap.2023.05.009. Epub 2023 May 26.
The Smoke Free Families (SFF) program trained pediatric providers to use an SFF tool during well-child visits (WCVs) of infants ≤12 months to "Ask" caregivers about tobacco use, "Advise" smokers to quit, and "Refer" smokers to cessation services (AAR). The primary objectives were to assess the prevalence and changes in caregiver tobacco use after being screened and counseled by providers using the SFF tool. A secondary objective was to examine providers' AAR behavior facilitated by using the SFF tool.
Pediatric practices participated in 1 of 3 6-9-month SFF program waves. Over the 3 waves, all initial SFF tools completed on caregivers during their infant's WCV were evaluated for the caregiver and household tobacco use and providers' AAR rates. An infant's first and next WCV was matched to determine changes in caregiver tobacco product use.
In total, the SFF tool was completed at 19,976 WCVs; 2081 (18.8%) infants were exposed to tobacco smoke. A total of 834 (74.1%) caregivers who smoked received counseling: 786 (69.9%) were advised to quit, 700 (62.2%) were given cessation resources, and 198 (17.6%) were referred to the Quitline. In total, 230 (27.6%) of caregivers who smoked had a second visit; 58 (25.2%) self-reported that they quit using tobacco. Among cigarette users (n = 183), 89 (48.6%) reported that they used fewer cigarettes or quit at their infants' second WCV.
Systematic use of the SFF AAR tool during infants' WCVs could improve the health of caregivers and children, resulting in decreases in tobacco-related morbidity.
无烟家庭（SFF）项目培训儿科医护人员，使其在对12个月及以下婴儿进行健康儿童访视（WCV）时使用SFF工具，向看护人“询问”烟草使用情况，“建议”吸烟者戒烟，并将吸烟者“转介”至戒烟服务机构（AAR）。主要目标是评估使用SFF工具的医护人员对看护人进行筛查和咨询后，看护人烟草使用情况的患病率及变化。次要目标是研究使用SFF工具对医护人员AAR行为的促进作用。
儿科诊所参与了3个为期6 - 9个月的SFF项目阶段中的1个。在这3个阶段中，对在婴儿WCV期间为看护人填写的所有初始SFF工具进行评估，以了解看护人和家庭的烟草使用情况以及医护人员的AAR率。匹配婴儿的首次和下次WCV，以确定看护人烟草产品使用情况的变化。
总共在19976次WCV中完成了SFF工具；2081名（18.8%）婴儿接触过烟草烟雾。共有834名（74.1%）吸烟的看护人接受了咨询：786名（69.9%）被建议戒烟，700名（62.2%）获得了戒烟资源，198名（17.6%）被转介至戒烟热线。总共有230名（27.6%）吸烟的看护人进行了第二次访视；58名（25.2%）自我报告已戒烟。在香烟使用者（n = 183）中，89名（48.6%）报告在婴儿第二次WCV时吸烟量减少或已戒烟。
在婴儿WCV期间系统使用SFF AAR工具可改善看护人和儿童的健康状况，降低与烟草相关的发病率。
