Quitting smoking adds an average of seven years to a parent's life, improves the health of the spouse, eliminates the majority of secondhand smoke (SHS) exposure of the children, reduces tobacco-related poor pregnancy outcomes, eliminates the greatest cause of house fire mortality, and improves the financial resources of the family. Much research has been done developing techniques to enhance the provision of evidence-based tobacco control in the adult primary care practice setting, but parents may not have a primary care clinician and even when they do, often visit their child's doctor more frequently than their own. We developed an intervention to address parental smoking in the child healthcare setting that employs, in combination, evidence-based smoking cessation techniques including the 5 A's (Ask, Advise, Assess, Assist, Arrange), proactive referral to regional and national """"""""quitlines,"""""""" and pharmacologic management of tobacco dependence. We will be testing this previously developed, pilot tested, and theoretically-based intervention designed to improve adherence to evidence-based guidelines at the clinician level, facilitate change at the parent behavior level, and lead to implementation of systems changes at the practice level. We will compare our intervention to an """"""""attention"""""""" control consisting of handing out a current best practice tobacco control pamphlet. The proposed study will be a 60-site, group randomized controlled trial (RCT) of effectiveness that builds on focus group, feasibility, and efficacy work supported by the National Cancer Institute, the Flight Attendant Medical Research Institute, and the Robert Wood Johnson Foundation. It will be conducted in the American Academy of Pediatrics (AAP) Pediatric Research in Office Settings (PROS) practice-based research network, the largest research network of pediatric practices in the United States. Findings will be widely reproducible and transportable through the more than 700 PROS practices (which provide care to over 3 million of the nation's children) and to other practice networks and practices nationally. This research will contribute to the NCI's efforts to defeat cancer through the National Cancer Program and is in exact alignment with NCI's Strategic Plan to develop and apply evidence-based interventions for preventing cancer. This trial will help the nation to """"""""preempt cancer at every opportunity"""""""" by """"""""accelerating progress in cancer prevention"""""""" and to focus efforts on the young adults and children who form the future of a cancer-free U.S. population. ? ? ?

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project (R01)
Project #
1R01CA127127-01
Application #
7244897
Study Section
Community-Level Health Promotion Study Section (CLHP)
Program Officer
Bloch, Michele H
Project Start
2007-09-30
Project End
2012-08-31
Budget Start
2007-09-30
Budget End
2008-08-31
Support Year
1
Fiscal Year
2007
Total Cost
$795,907
Indirect Cost
Name
Massachusetts General Hospital
Department
Type
DUNS #
073130411
City
Boston
State
MA
Country
United States
Zip Code
02199
Drehmer, Jeremy E; Walters, Bethany Hipple; Nabi-Burza, Emara et al. (2017) Guidance for the Clinical Management of Thirdhand Smoke Exposure in the Child Health Care Setting. J Clin Outcomes Manag 24:551-559
Drehmer, Jeremy E; Hipple, Bethany; Ossip, Deborah J et al. (2017) A Cross-Sectional Study of Happiness and Smoking Cessation among Parents. J Smok Cessat 12:6-14
Walters, Bethany Hipple; Ossip, Deborah J; Drehmer, Jeremy E et al. (2016) Clinician Telephone Training to Reduce Family Tobacco Use: Analysis of Transcribed Recordings. J Clin Outcomes Manag 23:79-86
Winickoff, Jonathan P; McMillen, Robert; Tanski, Susanne et al. (2016) Public support for raising the age of sale for tobacco to 21 in the United States. Tob Control 25:284-8
Drehmer, Jeremy E; Hipple, Bethany; Nabi-Burza, Emara et al. (2016) Proactive enrollment of parents to tobacco quitlines in pediatric practices is associated with greater quitline use: a cross-sectional study. BMC Public Health 16:520
Friedman, Lissy C; Cheyne, Andrew; Givelber, Daniel et al. (2015) Tobacco industry use of personal responsibility rhetoric in public relations and litigation: disguising freedom to blame as freedom of choice. Am J Public Health 105:250-60
Finch, Stacia A; Wasserman, Richard; Nabi-Burza, Emara et al. (2015) Overcoming challenges in the changing environment of practice-based research. Ann Fam Med 13:475-9
Dempsey, Janelle; Regan, Susan; Drehmer, Jeremy E et al. (2015) Black versus white differences in rates of addressing parental tobacco use in the pediatric setting. Acad Pediatr 15:47-53
Drehmer, Jeremy E; Ossip, Deborah J; Nabi-Burza, Emara et al. (2014) Thirdhand smoke beliefs of parents. Pediatrics 133:e850-6
Mahabee-Gittens, E Melinda; Collins, Bradley N; Murphy, Sybil et al. (2014) The parent-child dyad and risk perceptions among parents who quit smoking. Am J Prev Med 47:596-603

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