State-of-the-art interventions for office-based parental tobacco control

Parental tobacco use is a serious health issue for all family members. Child health care clinicians are in a unique and important position to address parental smoking because of the regular, multiple contacts with parents and the harmful health consequences to their patients. This article synthesizes the current evidence-based interventions for treatment of adults and applies them to the problem of addressing parental smoking in the context of the child health care setting. Brief interventions are effective, and complementary strategies such as quitlines will improve the chances of parental smoking cessation. Adopting the 5 A's framework strategy (ask, advise, assess, assist, and arrange) gives each parent the maximum chance of quitting. Within this framework, specific recommendations are made for child health care settings and clinicians. Ongoing research will help determine how best to implement parental smoking-cessation strategies more widely in a variety of child health care settings. Pediatrics 2005;115: 750-760; tobacco, smoking, adolescent, child, parent, pediatrician, nicotine-replacement therapy, NRT, nicotine, tobacco dependence, guideline, clinical practice guideline, environmental tobacco smoke, secondhand smoke, SHS.
ABBREVIATIONS. SHS, secondhand smoke; ETS, environmental tobacco smoke; NRT, nicotine-replacement therapy; PHS, US Public Health Service; AAP, American Academy of Pediatrics; OR, odds ratio; CI, confidence interval. Smoking remains the [...]