Feasibility and efficacy of an intervention to reduce secondhand smoke exposure among infants discharged from a neonatal intensive care unit

J Perinatol. 2013 Oct;33(10):811-6. doi: 10.1038/jp.2013.43. Epub 2013 Apr 25.


Objective: To examine the feasibility and efficacy of a hospital-based, motivational intervention to reduce secondhand smoke exposure (SHSe) with mothers of infants in a neonatal intensive care unit (NICU).

Study design: One-hundred and forty-four mothers with infants ( ≤ 1500 g at birth or ≥ 12 h ventilation) in a NICU who reported a smoker in the household were randomized to two sessions of motivational interviewing (MI) conducted in the hospital, usual care (UC) or usual care-reduced measurement (UC-RM); follow-up occurred at 1- and 6-months post discharge.

Result: For households that did not have a total smoking ban at baseline, 63.6% of those in the MI group instituted a ban by 1-month post discharge compared with 20% of the UC group, P<0.02. Six months post discharge, fewer smoking bans were noted in the UC-RM group relative to MI and UC, P<0.01.

Conclusion: A need for SHSe interventions among NICU parents exists and initial evidence suggests MI can impact SHSe after discharge.

Publication types

  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Environmental Exposure / prevention & control*
  • Family Health
  • Feasibility Studies
  • Female
  • Humans
  • Infant, Newborn
  • Intensive Care Units, Neonatal
  • Male
  • Mothers
  • Motivational Interviewing
  • Smoking Cessation / psychology*
  • Tobacco Smoke Pollution / prevention & control*


  • Tobacco Smoke Pollution