Increasing Pediatricians' Smoking Cessation Promotion and Knowledge of the Smoking Cessation Trust

Clin Pediatr (Phila). 2017 May;56(5):461-466. doi: 10.1177/0009922816660542. Epub 2016 Jul 26.


The link between second hand smoke exposure (SHSe) and health issues in children has been well established. The objective of this study was to determine if a short intervention implemented among pediatricians promotes improvement in the promotion of smoking cessation to caregivers and increase pediatricians' awareness of the Smoking Cessation Trust (SCT). Pediatricians from 6 clinics were randomly assigned to the control or intervention group. All pediatricians received a survey to assess baseline knowledge, confidence and behaviors in smoking cessation promotion and utilization of the SCT. Pediatricians in intervention group received an educational lecture delivered by a physician. Two months post intervention, pediatricians in the control and intervention group received a survey to assess changes from baseline. Out of 36 general pediatricians, 27 completed the surveys for use in the analysis of this study (75%). Intervention group made more referrals to the SCT, compared to controls (p=0.048) and to baseline (p=0.0065). Pediatricians in the intervention group were more confident in recommending the use of NRT (0.040) and schedule a follow up to discuss smoking cessation (p=0.029) after the intervention. The intervention group was more likely to refer caregivers to smoking cessation programs (p=0.027), discuss a child's health risk from SHSe (0.031) and recommending the use of NRT to help quit (p=0.047) post intervention. The results from this study indicate that a short intervention can increase confidence and behavior in various parameters of smoking cessation promotion and significantly improve the rate in which pediatricians refer smoking caregivers to the SCT.

Keywords: Smoking Cessation Trust of Louisiana; pediatrician interventions; pulmonology (general); smoking cessation; smoking cessation counseling; smoking cessation referral; smoking cessation screening; social dimensions of pulmonary medicine.

MeSH terms

  • Caregivers / psychology*
  • Child
  • Female
  • Humans
  • Male
  • Pediatrics*
  • Physician's Role
  • Random Allocation
  • Self Report
  • Smoking Cessation*
  • Surveys and Questionnaires
  • Tobacco Smoke Pollution / prevention & control


  • Tobacco Smoke Pollution