Evaluation of a counseling method for the prevention of child exposure to tobacco smoke: an example of client-centered communication

Fossum, Bjöörn; Arborelius, Elisabeth; Bremberg, Sven

doi:10.1016/j.ypmed.2003.10.008

Cited by 32 publications

(37 citation statements)

References 33 publications

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“…Interventions included the following components: self-help materials, 20 studies, 23,25,26,28,29,33,[83][84][85][86][87][88][89][90][91][92][93][94][95]97 ; face-to-face counseling, 26 studies [20][21][22][23][24][25][26][28][29][30][31][32][33][34][84][85][86][87][88][89][90][91][92][95][96][97] ; telephone counseling, 13 studies [21][22][23][24][25]...…”

Section: Intervention Componentsmentioning

confidence: 99%

“…[20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][83][84][85][86][87][88][89][90][91][92][93][94][95][96][97] The trials were published between 1994 and 2013. A flowchart describing the identification process is presented in Fig 1. Study characteristics of included trials are presented in Tables 1 and 2. …”

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confidence: 99%

“…[20][21][22][23][24][25]28,29,[31][32][33]84,85,88,90,91,93,96 One study did not report the number of sessions. 34 …”

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confidence: 99%

“…21,28,29,32,[85][86][87]90,[92][93][94]96 Fidelity Seven studies reported high fidelity, with at least 80% of participants receiving the full intervention 23,24,27,84,88,93,96 ; 6 studies had moderate fidelity, with 50% to 79% of participants receiving the intervention 25,[29][30][31][32][33] ; and the remaining 17 studies did not report fidelity. [20][21][22]26,28,34,83,[85][86][87][89][90][91][92]94,95,97 Intervention Effects …”

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confidence: 99%

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Meta-analysis of Parental Protection of Children From Tobacco Smoke Exposure

Rosen¹,

Myers²,

Hovell

et al. 2014

Pediatrics

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BACKGROUND AND OBJECTIVE: Worldwide, roughly 40% of children are exposed to the damaging and sometimes deadly effects of tobacco smoke. Interventions aimed at reducing child tobacco smoke exposure (TSE) have shown mixed results. The objective of this study was to perform a systematic review and meta-analysis to quantify effects of interventions aimed at decreasing child TSE.METHODS: Data sources included Medline, PubMed, Web of Science, PsycNet, and Embase. Controlled trials that included parents of young children were selected. Two reviewers extracted TSE data, as assessed by parentally-reported exposure or protection (PREP) and biomarkers. Risk ratios and differences were calculated by using the DerSimonian and Laird random-effects model. Exploratory subgroup analyses were performed.RESULTS: Thirty studies were included. Improvements were observed from baseline to follow-up for parentally-reported and biomarker data in most intervention and control groups. Interventions demonstrated evidence of small benefit to intervention participants at follow-up (PREP: 17 studies, n = 6820, relative risk 1.12, confidence interval [CI] 1.07 to 1.18], P , .0001). Seven percent more children were protected in intervention groups relative to control groups. Intervention parents smoked fewer cigarettes around children at follow-up than did control parents (P = .03). Biomarkers (13 studies, n = 2601) at follow-up suggested lower child exposure among intervention participants (RD 20.05, CI 20.13 to 0.03, P = .20).CONCLUSIONS: Interventions to prevent child TSE are moderately beneficial at the individual level. Widespread child TSE suggests potential for significant population impact. More research is needed to improve intervention effectiveness and child TSE measurement. KEY WORDS secondhand smoke exposure, tobacco smoke exposure, metaanalysis, systematic review, child ABBREVIATIONS CCR-cotinine/creatinine ratio CI-confidence interval CT-controlled trial PREP-parentally reported exposure or protection RCT-randomized controlled trial RD-relative difference RR-relative risk SHS-secondhand smoke THS-thirdhand smoke TSE-tobacco smoke exposure Dr Rosen conceptualized and designed the study, oversaw all aspects of the research, performed the systematic review of the literature, extracted data from the original studies, contributed to the statistical analysis, wrote sections of the manuscript, and edited the entire manuscript; Ms Myers contributed to systematically reviewing the literature, extracted data from the original articles, contributed to the data analysis, and contributed to the writing of the manuscript; Dr Hovell contributed to the design of the meta-analysis and interpretation of the data and edited the manuscript for scientific content; Dr Zucker assisted with various statistical issues in the analysis of the manuscript and edited the manuscript; Ms Ben Noach contributed to the design of the study, the systematic review of the literature, data extraction, data analysis, data interpretation, and writing of the m...

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Section: Intervention Componentsmentioning

confidence: 99%

mentioning

confidence: 99%

“…[20][21][22][23][24][25]28,29,[31][32][33]84,85,88,90,91,93,96 One study did not report the number of sessions. 34 …”

mentioning

confidence: 99%

mentioning

confidence: 99%

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Meta-analysis of Parental Protection of Children From Tobacco Smoke Exposure

Rosen¹,

Myers²,

Hovell

et al. 2014

Pediatrics

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“…Sixteen of 36 them expressly employed a theoretical framework in the design and/or development of the intervention. Greenberg 1994, Elder 1996, Conway 2004and Fossum 2004 employed the social learning model. Now, in this section we will review the most important theories concerning modifications of behavioral patterns will be presented.…”

Section: Theories Of Changementioning

confidence: 99%

Exposure to Environmental Tobacco Smoke in Babies

Ponce¹,

Almon²,

Puigdomènech³

et al. 2012

Primary Care at a Glance - Hot Topics and New Insights

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Interventions by Health Care Professionals Who Provide Routine Child Health Care to Reduce Tobacco Smoke Exposure in Children

et al. 2016

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IMPORTANCE Reducing child exposure to tobacco smoke is a public health priority. Guidelines recommend that health care professionals in child health settings should address tobacco smoke exposure (TSE) in children. OBJECTIVE To determine the effectiveness of interventions delivered by health care professionals who provide routine child health care in reducing TSE in children. DATA SOURCES A secondary analysis of 57 trials included in a 2014 Cochrane review and a subsequent extended search was performed. Controlled trials (published through June 2015) of interventions that focused on reducing child TSE, with no restrictions placed on who delivered the interventions, were identified. Secondary data extraction was performed in August 2015. STUDY SELECTION Controlled trials of routine child health care delivered by health care professionals (physicians, nurses, medical assistants, health educators, and dieticians) that addressed the outcomes of interest (TSE reduction in children and parental smoking behaviors) were eligible for inclusion in this review and meta-analysis. DATA EXTRACTION AND SYNTHESIS Study details and quality characteristics were independently extracted by 2 authors. If outcome measures were sufficiently similar, meta-analysis was performed using the random-effects model by DerSimonian and Laird. Otherwise, the results were described narratively. MAIN OUTCOMES AND MEASURES The primary outcome measure was reduction in child TSE. Secondary outcomes of interest were parental smoking cessation, parental smoking reduction, and maternal postpartum smoking relapse prevention. RESULTS Sixteen studies met the selection criteria. Narrative analysis of the 6 trials that measured child TSE indicated no intervention effects relative to comparison groups. Similarly, meta-analysis of 9 trials that measured parental smoking cessation demonstrated no overall intervention effect (n = 6399) (risk ratio 1.05; 95% CI, 0.74-1.50; P = .78). Meta-analysis of the 3 trials that measured maternal postpartum smoking relapse prevention demonstrated a significant overall intervention effect (n = 1293) (risk ratio 1.53; 95% CI, 1.10-2.14; P = .01). High levels of study heterogeneity likely resulted from variability in outcome measures, length of follow up, intervention strategies, and unknown intervention fidelity. CONCLUSIONS AND RELEVANCE Interventions delivered by health care professionals who provide routine child health care may be effective in preventing maternal smoking relapse. Further research is required to improve the effectiveness of such interventions in reducing child TSE and increasing parental smoking cessation. The findings of this meta-analysis have policy and practice implications relating to interventions by routine pediatric health care professionals that aim to reduce child exposure to tobacco smoke.

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Evaluation of a counseling method for the prevention of child exposure to tobacco smoke: an example of client-centered communication

Cited by 32 publications

References 33 publications

Meta-analysis of Parental Protection of Children From Tobacco Smoke Exposure

Meta-analysis of Parental Protection of Children From Tobacco Smoke Exposure

Exposure to Environmental Tobacco Smoke in Babies

Interventions by Health Care Professionals Who Provide Routine Child Health Care to Reduce Tobacco Smoke Exposure in Children

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