Smoking Prevention and Cessation Intervention Delivery by Pediatric Providers, as Assessed With Patient Exit Interviews

Pbert, Lori; Fletcher, Kenneth E.; Flint, Alan; Young, Martin H.; Druker, Susan; DiFranza, Joseph R.

doi:10.1542/peds.2005-2869

Cited by 22 publications

(26 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…More than one of the above frameworks informed the study in 2 (3.6%) of the 55 reviewed studies [46, 52], with a maximum of 3 frameworks being used, none of them being the BCC framework. In 4 studies (7.3%), there was no suggestion that a framework had been considered [32, 72, 77, 84]. …”

Section: Resultsmentioning

confidence: 99%

“…The majority of studies (43 studies, 78.2%) included only a subjective assessment of receipt (i.e. collected on intervention deliverers or recipients) [25–30, 32–37, 39–42, 45, 47, 49, 50, 52–55, 57, 59–63, 65–72, 74, 75, 77, 78, 84]. …”

Section: Resultsmentioning

confidence: 99%

“…In total 50 (90.0%) of the 55 studies included a subjective assessment, 21 (42.0%) of which used qualitative methods [25, 28, 32, 33, 36, 39, 40, 42, 45, 47, 50, 52–54, 57, 63, 66, 67, 69, 73, 75] and 38 (76.0%) of which used quantitative methods [26, 27, 29–32, 34, 35, 37–42, 45, 48, 49, 51, 52, 55–57, 59–62, 64–66, 68, 70–72, 74, 75, 77, 78, 84]. …”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Methods used to address fidelity of receipt in health intervention research: a citation analysis and systematic review

Rixon

Baron

McGale

et al. 2016

BMC Health Serv Res

114

104

View full text Add to dashboard Cite

BackgroundThe American Behaviour Change Consortium (BCC) framework acknowledges patients as active participants and supports the need to investigate the fidelity with which they receive interventions, i.e. receipt. According to this framework, addressing receipt consists in using strategies to assess or enhance participants’ understanding and/or performance of intervention skills. This systematic review aims to establish the frequency with which receipt is addressed as defined in the BCC framework in health research, and to describe the methods used in papers informed by the BCC framework and in the wider literature.MethodsA forward citation search on papers presenting the BCC framework was performed to determine the frequency with which receipt as defined in this framework was addressed. A second electronic database search, including search terms pertaining to fidelity, receipt, health and process evaluations was performed to identify papers reporting on receipt in the wider literature and irrespective of the framework used. These results were combined with forward citation search results to review methods to assess receipt. Eligibility criteria and data extraction forms were developed and applied to papers. Results are described in a narrative synthesis.Results19.6% of 33 studies identified from the forward citation search to report on fidelity were found to address receipt. In 60.6% of these, receipt was assessed in relation to understanding and in 42.4% in relation to performance of skill. Strategies to enhance these were present in 12.1% and 21.1% of studies, respectively. Fifty-five studies were included in the review of the wider literature. Several frameworks and operationalisations of receipt were reported, but the latter were not always consistent with the guiding framework. Receipt was most frequently operationalised in relation to intervention content (16.4%), satisfaction (14.5%), engagement (14.5%), and attendance (14.5%). The majority of studies (90.0%) included subjective assessments of receipt. These relied on quantitative (76.0%) rather than qualitative (42.0%) methods and studies collected data on intervention recipients (50.0%), intervention deliverers (28.0%), or both (22.0%). Few studies (26.0%) reported on the reliability or validity of methods used.ConclusionsReceipt is infrequently addressed in health research and improvements to methods of assessment and reporting are required.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-016-1904-6) contains supplementary material, which is available to authorized users.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Methods used to address fidelity of receipt in health intervention research: a citation analysis and systematic review

Rixon

Baron

McGale

et al. 2016

BMC Health Serv Res

114

104

View full text Add to dashboard Cite

show abstract

“…[16][17][18][19] It is unknown, however, whether these findings are generalizable to younger patients, as there have been fewer studies among adolescents in primary care. 25,26 Existing studies suggest that primary care screening and brief interventions can positively impact adolescent health issues, such as tobacco use, [27][28][29][30] nutrition and physical activity, 31,32 and depression. 33,34 A large longitudinal study of 14-year-old primary care patients 26 found that screening and brief provider counseling significantly increased helmet use but did not reduce adolescent alcohol or drug use, suggesting the need to explore supplemental strategies to enhance effectiveness, such as the computerized education component that occurs before the provider visit in the cSBA system.…”

mentioning

confidence: 99%

Computer-Facilitated Substance Use Screening and Brief Advice for Teens in Primary Care: An International Trial

et al. 2012

View full text Add to dashboard Cite

WHAT'S KNOWN ON THIS SUBJECT: Primary care settings provide an important venue for early detection of substance use and intervention, but adolescent screening rates need improvement. Screening and brief interventions appear effective in reducing adult problem drinking but evidence for effectiveness among adolescents is needed. WHAT THIS STUDY ADDS:A computer-facilitated system for screening, feedback, and provider brief advice for primary care can increase adolescent receipt of substance use screening across a variety of practice settings, and shows promise for reducing adolescents' use of alcohol and cannabis. abstract OBJECTIVE: Primary care providers need effective strategies for substance use screening and brief counseling of adolescents. We examined the effects of a new computer-facilitated screening and provider brief advice (cSBA) system. METHODS:We used a quasi-experimental, asynchronous study design in which each site served as its own control. From 2005 to 2008, 12-to 18-year-olds arriving for routine care at 9 medical offices in New England (n = 2096, 58% females) and 10 in Prague, Czech Republic (n = 589, 47% females) were recruited. Patients completed measurements only during the initial treatment-as-usual study phase. We then conducted 1-hour provider training, and initiated the cSBA phase. Before seeing the provider, all cSBA participants completed a computerized screen, and then viewed screening results, scientific information, and true-life stories illustrating substance use harms. Providers received screening results and "talking points" designed to prompt 2 to 3 minutes of brief advice. We examined alcohol and cannabis use, initiation, and cessation rates over the past 90 days at 3-month follow-up, and over the past 12 months at 12-month follow-up. RESULTS:Compared with treatment as usual, cSBA patients reported less alcohol use at follow-up in New England (3-month rates 15.5% vs 22.9%, adjusted relative risk ratio [aRRR] = 0.54, 95% confidence interval 0.38-0.77; 12-month rates 29.3% vs 37.5%, aRRR = 0.73, 0.57-0.92), and less cannabis use in Prague (3-month rates 5.5% vs 9.8%, aRRR = 0.37, 0.17-0.77; 12-month rates 17.0% vs 28.7%, aRRR = 0.47, 0.32-0.71). CONCLUSIONS:Computer-facilitated screening and provider brief advice appears promising for reducing substance use among adolescent primary care patients.

show abstract

“…Nevertheless, the majority of adolescents make at least one healthcare visit each year, and these missed opportunities have been noted by advocates [45]. Pediatricians who have had specific training in smoking cessation are more likely to talk to adolescents about cessation as are those who believe that their advice is likely to be effective [43,46]. As with parenting smokers, low rates (17%) of NRT prescription by pediatricians for smoking teens are reported [47].…”

Section: Smoking Cessation Counseling For Adole-scents In the Pediatrmentioning

confidence: 99%

The Pediatrician as Smoking Cessation Counselor: Rationale and Review of the Literature

Ralston

2011

CPR

View full text Add to dashboard Cite

There is ample evidence that children are harmed by tobacco smoke exposure. Pediatricians concerned about tobacco's effect on children have often focused on harm reduction, i.e. counseling parents to smoke outside. More recently, pediatricians have become interested in directly addressing smoking cessation. This review concentrates on why pediatricians are in a unique position to access smokers, and why they should specifically act as smoking cessation counselors. The available literature on the pediatrician as smoking cessation counselor for both parents and adolescents is reviewed. A brief introduction to the various evidence-based counseling methods is also provided.

show abstract

Smoking Prevention and Cessation Intervention Delivery by Pediatric Providers, as Assessed With Patient Exit Interviews

Abstract: Pediatric providers who receive training and reminders to deliver a brief smoking prevention and cessation intervention to adolescents in the context of routine pediatric primary care practice can do so feasibly and with a high degree of fidelity to the intervention protocol.

Cited by 22 publications

References 47 publications

Methods used to address fidelity of receipt in health intervention research: a citation analysis and systematic review

Methods used to address fidelity of receipt in health intervention research: a citation analysis and systematic review

Computer-Facilitated Substance Use Screening and Brief Advice for Teens in Primary Care: An International Trial

The Pediatrician as Smoking Cessation Counselor: Rationale and Review of the Literature

Contact Info

Product

Resources

About