PMID- 33386295
OWN - NLM
STAT- MEDLINE
DCOM- 20211011
LR  - 20211011
IS  - 2154-1671 (Electronic)
IS  - 2154-1671 (Linking)
VI  - 11
IP  - 1
DP  - 2021 Jan
TI  - Smoking Cessation Counseling in the Inpatient Unit: A Survey of Pediatric 
      Hospitalists.
PG  - 30-35
LID - 10.1542/hpeds.2020-000414 [doi]
AB  - OBJECTIVES: To determine practices and beliefs of pediatric hospitalists 
      regarding smoking cessation counseling for caregivers of hospitalized children. 
      METHODS: An electronic survey was distributed to 249 members of the Pediatric 
      Research in Inpatient Settings Network over 6 weeks in 2017 (83 responses [33%]). 
      Questions explored beliefs regarding the impact of tobacco smoke exposure (TSE) 
      and practices in TSE screening, provision of counseling, resources, and 
      pharmacotherapy. Nonparametric tests were used to compare groups on numeric 
      variables, chi(2) tests were used to compare groups on nominal variables, and 
      McNemar's test was used to compare dichotomous responses within subjects. 
      RESULTS: All respondents were familiar with the term "secondhand smoke," and >75% 
      were familiar with "thirdhand smoke" (THS). Familiarity with THS was associated 
      with more recent completion of training (P = .04). Former smokers (7%) were less 
      likely to agree that THS has a significant impact on a child's health (P = .04). 
      Hospitalists ask about TSE more often than they provide counseling, resources, or 
      pharmacotherapy to caregivers who want to quit smoking. Hospitalists are more 
      likely to ask about TSE and provide cessation counseling when patients have 
      asthma as opposed to other diseases. Time was identified by 41% of respondents as 
      a barrier for providing counseling and by 26% of respondents as a barrier for 
      providing resources. Most respondents never prescribe pharmacotherapy (72%), nor 
      do they follow-up with caregivers after hospitalization regarding cessation 
      (87%). CONCLUSIONS: Although most respondents ask about TSE, opportunities are 
      missed for counseling and providing support to caregivers who want to quit 
      smoking. Providers should be educated about THS, and systems should be 
      streamlined to facilitate brief counseling sessions.
CI  - Copyright (c) 2021 by the American Academy of Pediatrics.
FAU - Dickinson, Blair J
AU  - Dickinson BJ
AD  - Department of Pediatrics, Drexel University College of Medicine and St 
      Christopher's Hospital for Children, Philadelphia, Pennsylvania; bd54@drexel.edu.
FAU - Thompson, E Douglas
AU  - Thompson ED
AD  - Department of Pediatrics, Drexel University College of Medicine and St 
      Christopher's Hospital for Children, Philadelphia, Pennsylvania.
FAU - Gracely, Edward J
AU  - Gracely EJ
AD  - Department of Epidemiology and Biostatistics, Dornsife School of Public Health, 
      Drexel University, Philadelphia, Pennsylvania; and.
FAU - Wilson, Karen M
AU  - Wilson KM
CN  - PEDIATRIC RESEARCH IN INPATIENT SETTINGS (PRIS) NETWORK
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Hosp Pediatr
JT  - Hospital pediatrics
JID - 101585349
RN  - 0 (Tobacco Smoke Pollution)
SB  - IM
MH  - Child
MH  - Counseling
MH  - *Hospitalists
MH  - Humans
MH  - Inpatients
MH  - *Smoking Cessation
MH  - Surveys and Questionnaires
MH  - *Tobacco Smoke Pollution
COIS- POTENTIAL CONFLICT OF INTEREST: Dr Wilson is deputy editor of Hospital 
      Pediatrics; and Drs Dickinson, Thompson, and Gracely have indicated they have no 
      potential conflicts of interest to disclose.
EDAT- 2021/01/03 06:00
MHDA- 2021/10/12 06:00
CRDT- 2021/01/02 05:16
PHST- 2021/01/02 05:16 [entrez]
PHST- 2021/01/03 06:00 [pubmed]
PHST- 2021/10/12 06:00 [medline]
AID - hpeds.2020-000414 [pii]
AID - 10.1542/hpeds.2020-000414 [doi]
PST - ppublish
SO  - Hosp Pediatr. 2021 Jan;11(1):30-35. doi: 10.1542/hpeds.2020-000414.