An Office-Initiated Multilevel Intervention for Tobacco Smoke Exposure: A Randomized Trial.

ABSTRACT: BACKGROUND:Provider adherence to best practice guidelines (ask, advise, refer [AAR]) for addressing child tobacco smoke exposure (TSE) motivates parents to reduce TSE. However, high-risk, vulnerable populations of smokers may require more intensive treatment. We hypothesized that a pragmatic, multilevel treatment model including AAR coupled with individualized, telephone-based behavioral counseling promoting child TSE reduction would demonstrate greater child TSE reduction than would standard AAR. METHODS:In this 2-arm randomized controlled trial, we trained pediatric providers in systems serving low-income communities to improve AAR adherence by using decision aid prompts embedded in routine electronic health record assessments. Providers faxed referrals to the study and received ongoing

SUBMITTER: Collins BN 

PROVIDER: S-EPMC5745677 | biostudies-literature | 2018 Jan

REPOSITORIES: biostudies-literature