The Clinical Effort against Secondhand Smoke Exposure (CEASE) California: Implementing a Pediatric Clinical Intervention to Reduce Secondhand Smoke Exposure

Abstract

Introduction: The Clinical Effort against Secondhand Smoke Exposure (CEASE) is an evidence based intervention to reduce secondhand smoke exposure (SHSE) in children. The goals of this study were:

Impacts of a Multicenter Medical Education Curriculum for Training Pediatric Residents on Tobacco Cessation for Adult Caregivers of Pediatric Patients

“…Physician champions at 4 University of California sites (University of California, San Francisco, Los Angeles, San Diego, and Davis) conducted regular didactic trainings on CEASE principles between July 2017 and June 2019. The curriculum involved standard CEASE digital training materials developed by one of the study authors for training pediatric practices in the state of California 17 that were used as the primary basis for presentations. Specific training topics include tobacco use screening techniques, motivational interviewing approaches, directed practice in writing pre-printed NRT prescriptions, and referral strategies to both state and national smokers’ quitlines.…”

The Effectiveness of an Online Training to Disseminate an Evidence-Based Intervention to Address Pediatric Secondhand Smoke Exposure

“…In addition, 98% of participants reported the training increased both their knowledge of SHSE and their ability to screen patients for SHSE and provide smoking cessation support including counseling, NRT prescriptions and referrals to the Helpline. There were also significant pre-post increases in rates of SHSE screening, NRT provision, and referrals to state Helpline (Marbin 2016).…”

“…Over a one year period (January 2013-2014), 24 sites received in-person trainings on how to implement CEASE. These training sites generated over 200 referrals to the California Smokers' Helpline and of those referred, 40% were contacted and 75% of those contacted agreed to counseling and/or other smoking cessation support services (Marbin 2016). Independent, anonymous evaluations of the CEASE trainings found that 100% of participants rated the in-person CEASE training and the CEASE trainers as excellent or above average.…”

“…Findings from this initial effort were encouraging; however, additional dissemination efforts were limited due to the high costs associated with in-person trainings to reach pediatric practices across California's diverse geography. In addition, a major barrier to effective implementation of CEASE at some clinics was high staff turnover (Marbin 2016); there were not enough resources to return to these sites and provide in-person trainings to new staff.…”