Acceptability of tobacco cessation interventions in the pediatric emergency department

E. Melinda Mahabee-Gittens, Judith S Gordon

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

OBJECTIVES: To assess the acceptability to parents and staff of providing a brief tobacco cessation intervention incorporating the first 2 A's of the Clinical Practice Guideline on Treating Tobacco Use and Dependence (Ask and Advise) + fax referral to a state tobacco quitline from the emergency department (ED) of a large children's hospital. METHODS: Data were collected from a written survey of (1) parental smokers accompanying their children to a pediatric ED who consented and were randomized to participate in a tobacco cessation intervention and (2) medical doctors (MDs) or nurse practitioners (NPs) caring for their child. Acceptability of the intervention was measured on a 5-point Likert scale ranging from "strongly agree" to "strongly disagree." RESULTS: Of the 1643 parental subjects that were screened to participate in this study, 557 (33.9%) were smokers, 240 of whom were enrolled in the intervention group and a total of 215 (90%) completed the survey. A total of 230 (100%) of the MDs/NPs approached completed the survey. Of the 215 parental subjects in the intervention group, 212 (98.6%) and 208 (96.7%) agreed that the intervention provided them with "useful information" and "easy to understand" advice, respectively. Most parental subjects agreed that the advice given was sufficient and met their needs (n = 208, 96.7%) and that the study length was "just right" (n = 206, 95.8%). On a rating scale of 1 to 10, the mean (SD) rating of the study was 9.1 (1.3). Of the MDs/NPs participating in this survey, 224 (97.4%) and 206 (89.6%) agreed that the "ED is a good place to screen parents for tobacco use" and that the "ED is a good place to give advice about tobacco cessation," respectively. In addition, 202 (87.8%) and 196 (85.2%) reported that they felt comfortable giving tobacco cessation advice to parents or referring parents to the national quitline, respectively. Only 7 (3%) felt that the study interfered with patient care. CONCLUSIONS: An ED tobacco cessation intervention using the 2 A's + Quitline referral had excellent acceptability in this study of parents and staff of pediatric patients. The use of the pediatric ED as a venue to providing tobacco cessation counseling to a population with a high prevalence of parental smokers warrants further consideration.

Original languageEnglish (US)
Pages (from-to)214-216
Number of pages3
JournalPediatric Emergency Care
Volume24
Issue number4
DOIs
StatePublished - Apr 2008
Externally publishedYes

Fingerprint

Tobacco Use Cessation
Hospital Emergency Service
Pediatrics
Parents
Nurse Practitioners
Tobacco Use
Referral and Consultation
Telefacsimile
Tobacco Use Disorder
Practice Guidelines
Tobacco
Counseling
Patient Care
Surveys and Questionnaires
Population

Keywords

  • Tobacco cessation
  • Tobacco quitlines

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Nursing(all)
  • Emergency Medicine

Cite this

Acceptability of tobacco cessation interventions in the pediatric emergency department. / Mahabee-Gittens, E. Melinda; Gordon, Judith S.

In: Pediatric Emergency Care, Vol. 24, No. 4, 04.2008, p. 214-216.

Research output: Contribution to journalArticle

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