A smoking cessation intervention for low-income smokers in the ED

E. Melinda Mahabee-Gittens, Jane C. Khoury, Mona Ho, Lara Stone, Judith S Gordon

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background There is a high prevalence of smoking among caregivers who bring their children to the pediatric emergency department (PED) and even higher rates of tobacco smoke exposure (TSE) and related morbidity among their children. The PED visit presents an opportunity to intervene with caregivers, but it is unknown whether they are more likely to quit if their child has a TSE-related illness. We sought to examine a PED-based smoking cessation intervention and compare outcomes based on children's TSE-related illness. Methods A single-arm, prospective trial, with baseline, 3, and 6 month assessments was used in this study. Caregivers whose child had either a TSE-related (n = 100) or non-TSE-related illness (n = 100) were given a brief intervention consisting of counseling, referral to the Quitline, and free nicotine replacement therapy. Results Participants were 91.5% female, 50.5% African American, 100% Medicaid recipients, 30.8 years old, child age mean of 5.5 years, 90% highly nicotine dependent, and 60.3% and 75.8% allowed smoking in the home and car, respectively. At follow-up (65% retention), 80% reported quit attempts at 3 months and 89% between 3 and 6 months. There were significant decreases in number of cigarettes smoked, time to first cigarette, and smoking in the home and car. Quit rates were 12.2% at 3 months, 14.6% at 6 months, and 7.3% at both time points (50% biochemically confirmed). There were no significant differences in outcomes based on children's illness. Conclusions A brief PED-based smoking cessation intervention resulted in quit attempts and successful quits. However, the presence of a TSE-related illness did not result in different cessation outcomes.

Original languageEnglish (US)
Pages (from-to)1056-1061
Number of pages6
JournalAmerican Journal of Emergency Medicine
Volume33
Issue number8
DOIs
StatePublished - Aug 1 2015

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Smoking Cessation
Smoke
Tobacco
Hospital Emergency Service
Pediatrics
Caregivers
Smoking
Nicotine
Medicaid
Tobacco Products
African Americans
Counseling
Referral and Consultation
Morbidity

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

A smoking cessation intervention for low-income smokers in the ED. / Melinda Mahabee-Gittens, E.; Khoury, Jane C.; Ho, Mona; Stone, Lara; Gordon, Judith S.

In: American Journal of Emergency Medicine, Vol. 33, No. 8, 01.08.2015, p. 1056-1061.

Research output: Contribution to journalArticle

Melinda Mahabee-Gittens, E. ; Khoury, Jane C. ; Ho, Mona ; Stone, Lara ; Gordon, Judith S. / A smoking cessation intervention for low-income smokers in the ED. In: American Journal of Emergency Medicine. 2015 ; Vol. 33, No. 8. pp. 1056-1061.
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abstract = "Background There is a high prevalence of smoking among caregivers who bring their children to the pediatric emergency department (PED) and even higher rates of tobacco smoke exposure (TSE) and related morbidity among their children. The PED visit presents an opportunity to intervene with caregivers, but it is unknown whether they are more likely to quit if their child has a TSE-related illness. We sought to examine a PED-based smoking cessation intervention and compare outcomes based on children's TSE-related illness. Methods A single-arm, prospective trial, with baseline, 3, and 6 month assessments was used in this study. Caregivers whose child had either a TSE-related (n = 100) or non-TSE-related illness (n = 100) were given a brief intervention consisting of counseling, referral to the Quitline, and free nicotine replacement therapy. Results Participants were 91.5{\%} female, 50.5{\%} African American, 100{\%} Medicaid recipients, 30.8 years old, child age mean of 5.5 years, 90{\%} highly nicotine dependent, and 60.3{\%} and 75.8{\%} allowed smoking in the home and car, respectively. At follow-up (65{\%} retention), 80{\%} reported quit attempts at 3 months and 89{\%} between 3 and 6 months. There were significant decreases in number of cigarettes smoked, time to first cigarette, and smoking in the home and car. Quit rates were 12.2{\%} at 3 months, 14.6{\%} at 6 months, and 7.3{\%} at both time points (50{\%} biochemically confirmed). There were no significant differences in outcomes based on children's illness. Conclusions A brief PED-based smoking cessation intervention resulted in quit attempts and successful quits. However, the presence of a TSE-related illness did not result in different cessation outcomes.",
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AB - Background There is a high prevalence of smoking among caregivers who bring their children to the pediatric emergency department (PED) and even higher rates of tobacco smoke exposure (TSE) and related morbidity among their children. The PED visit presents an opportunity to intervene with caregivers, but it is unknown whether they are more likely to quit if their child has a TSE-related illness. We sought to examine a PED-based smoking cessation intervention and compare outcomes based on children's TSE-related illness. Methods A single-arm, prospective trial, with baseline, 3, and 6 month assessments was used in this study. Caregivers whose child had either a TSE-related (n = 100) or non-TSE-related illness (n = 100) were given a brief intervention consisting of counseling, referral to the Quitline, and free nicotine replacement therapy. Results Participants were 91.5% female, 50.5% African American, 100% Medicaid recipients, 30.8 years old, child age mean of 5.5 years, 90% highly nicotine dependent, and 60.3% and 75.8% allowed smoking in the home and car, respectively. At follow-up (65% retention), 80% reported quit attempts at 3 months and 89% between 3 and 6 months. There were significant decreases in number of cigarettes smoked, time to first cigarette, and smoking in the home and car. Quit rates were 12.2% at 3 months, 14.6% at 6 months, and 7.3% at both time points (50% biochemically confirmed). There were no significant differences in outcomes based on children's illness. Conclusions A brief PED-based smoking cessation intervention resulted in quit attempts and successful quits. However, the presence of a TSE-related illness did not result in different cessation outcomes.

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