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Neerukonda T, Scheuermann TS, Lauer SJ, et al. An Evaluation of SmokeFree for Kansas Kids: An Intervention to Promote Tobacco Cessation in Pediatric Clinics. Kans J Med. 2017;10(1):7-11
Neerukonda, T., Scheuermann, T. S., Lauer, S. J., Hudelson, M., & Ellerbeck, E. F. (2017). An Evaluation of SmokeFree for Kansas Kids: An Intervention to Promote Tobacco Cessation in Pediatric Clinics. Kansas journal of medicine, 10(1), 7-11.
Neerukonda, Thanuja, et al. "An Evaluation of SmokeFree for Kansas Kids: An Intervention to Promote Tobacco Cessation in Pediatric Clinics." Kansas journal of medicine vol. 10,1 (2017): 7-11.
Neerukonda T, Scheuermann TS, Lauer SJ, Hudelson M, Ellerbeck EF. An Evaluation of SmokeFree for Kansas Kids: An Intervention to Promote Tobacco Cessation in Pediatric Clinics. Kans J Med. 2017 Feb 15;10(1):7-11. eCollection 2017 Feb. PMID: 29472958; PMCID: PMC5733410.
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Kans J Med. 2017 Feb 15;10(1):7-11. eCollection 2017 Feb.

An Evaluation of SmokeFree for Kansas Kids: An Intervention to Promote Tobacco Cessation in Pediatric Clinics.

Kansas journal of medicine

Thanuja Neerukonda, Taneisha S Scheuermann, Stephen J Lauer, Melissa Hudelson, Edward F Ellerbeck

Affiliations

  1. University of Missouri-Kansas City School of Medicine, Kansas City, MO.
  2. Department of Preventive Medicine and Public Health, University of Kansas Medical Center, Kansas City, KS.
  3. Department of Pediatrics, University of Kansas Medical Center, Kansas City, KS.
  4. Kansas Chapter, American Academy of Pediatrics, Lenexa, KS.

PMID: 29472958 PMCID: PMC5733410

Abstract

INTRODUCTION: Smokefree for Kansas Kids is a program designed to train pediatric clinic staff to assess for tobacco exposure and provide brief smoking cessation interventions to caregivers and patients. The purpose of this study was to evaluate the impact of this program and improve future tobacco intervention efforts in pediatric clinics.

METHOD: Eighty-six pediatric physicians and staff attended at least one of three training sessions. A random sample of pediatric medical records was selected pre-intervention (n = 49) and post-intervention (n = 150). Electronic medical records were reviewed to assess for documentation of tobacco use intervention implemented in the clinic.

RESULTS: Of the 199 pediatric clinic visits reviewed, 197 met the study criteria. All but one visit documented an assessment of tobacco exposure. Among children exposed to tobacco (n = 42), providers were more likely to discuss tobacco use with caregivers post-intervention (35.7%) compared to pre-intervention (7.1%; p < 0.05). One in five caregivers in the post-intervention group were advised to quit (21.4%) compared to the pre-intervention group (7.1%). In the post-intervention group, 14.3% were referred to the state quitline compared to no referrals in the pre-intervention group. The difference in rates for providing advice and referral between pre-intervention and post-intervention were not statistically significant.

CONCLUSIONS: Implementation of the Smoke Free for Kansas Kids intervention was associated with modest improvements in clinic tobacco intervention efforts, but many patients still failed to receive optimal assessments or interventions. Additional efforts may be needed to enhance this program.

Keywords: pediatrics; smoking cessation; tobacco smoke pollution

References

  1. J Biomed Inform. 2009 Apr;42(2):377-81 - PubMed
  2. Pediatrics. 2015 Apr;135(4):734-47 - PubMed
  3. Prev Chronic Dis. 2013 Dec 19;10:E213 - PubMed
  4. Am J Prev Med. 2001 Jan;20(1):1-8 - PubMed
  5. Pediatrics. 2014 Nov;134(5):933-41 - PubMed
  6. Pediatrics. 2003 Jan;111(1):140-5 - PubMed
  7. Am J Prev Med. 2008 Dec;35(6 Suppl):S501-7 - PubMed
  8. Respir Care. 2000 Oct;45(10):1196-9 - PubMed
  9. Pediatrics. 2013 Aug;132(2):e502-11 - PubMed
  10. BMC Public Health. 2013 Aug 30;13:792 - PubMed
  11. Clin Pediatr (Phila). 2015 Oct;54(11):1044-50 - PubMed
  12. Pediatrics. 2003 Mar;111(3):626-32 - PubMed
  13. Pediatrics. 2013 Jul;132(1):109-17 - PubMed
  14. Am J Prev Med. 2013 Dec;45(6):728-31 - PubMed
  15. MMWR Morb Mortal Wkly Rep. 2010 Sep 10;59(35):1141-6 - PubMed
  16. MMWR Morb Mortal Wkly Rep. 2015 Feb 6;64(4):103-8 - PubMed
  17. Pediatrics. 2003 Nov;112(5):1127-33 - PubMed
  18. Acad Pediatr. 2014 Sep-Oct;14(5):478-84 - PubMed
  19. J Pediatr. 2007 May;150(5):547-52 - PubMed
  20. Pediatrics. 2006 Apr;117(4):e695-700 - PubMed

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