scholarly journals Primary Care Healthcare Professionals’ Knowledge, Attitudes, and Practices Towards Promoting the Reduction of Children’s Secondhand Smoke Exposure: A Mixed-Methods Review and Synthesis

2017 ◽  
Vol 21 (4) ◽  
pp. 398-408 ◽  
Author(s):  
Jaidev Kaur ◽  
Amanda Farley ◽  
Kate Jolly ◽  
Laura L Jones
Keyword(s):  
Primary Care ◽  
Mixed Methods ◽  
Secondhand Smoke ◽  
Healthcare Professionals ◽  
Smoke Exposure ◽  
Secondhand Smoke Exposure ◽  
Attitudes And Practices ◽  
Knowledge Attitudes And Practices

Electronic Heath Record Prompts May Increase Screening for Secondhand Smoke Exposure

2017 ◽  
Vol 57 (1) ◽  
pp. 27-30
Author(s):  
Katharine E.H. Thomas ◽  
Steve Kisely ◽  
Fernando Urrego
Keyword(s):  
Primary Care ◽  
Secondhand Smoke ◽  
Care Setting ◽  
Primary Care Setting ◽  
Smoke Exposure ◽  
Pediatric Primary Care ◽  
Health Record ◽  
Secondhand Smoke Exposure ◽  
American Academy Of Pediatrics ◽  
Promote Smoking Cessation

Introduction. The American Academy of Pediatrics recommends that pediatricians promote smoking cessation among caregivers at every visit. Currently, there are inconsistencies between recommendations and clinical practice. This study aims to compare results generated from 3 intervention methods on the rate at which pediatricians screen for secondhand smoke exposure (SHSe). Methods. Pediatricians were randomly assigned to 1 of 3 intervention groups: no lecture, changes in electronic health record (EHR) (G1); lecture, no changes in the EHR (G2); or a lecture and EHR changes (G3). Data between groups were compared using a 1-way analysis of variance. Results. Documentation of SHSe was statistically significantly greater in G3, when compared with G1 and G2 ( P < .01). Documentation of SHSe was statistically significantly greater in G1, when compared with G2 ( P < .05). Conclusion. A brief lecture with EHR prompts may be a simple way to increase screening for SHSe in the pediatric primary care setting.

A mixed-methods systematic review and synthesis of secondary care interventions to reduce secondhand smoke exposure among children and young people

2020 ◽  
Author(s):  
Erica Ferris ◽  
Carole Cummins ◽  
Christopher Chiswell ◽  
Laura L Jones
Keyword(s):  
Mixed Methods ◽  
Secondhand Smoke ◽  
Secondary Care ◽  
Grey Literature ◽  
Relevant Literature ◽  
Reporting Quality ◽  
Smoke Exposure ◽  
Secondhand Smoke Exposure ◽  
Effective Interventions ◽  
Sufficient Detail

Abstract Introduction Childhood secondhand smoke exposure (SHSe) is linked with increased morbidity and mortality. Hospital or secondary care contact presents a ‘teachable moment’ to support parents to change their home smoking behaviours to reduce children’s SHSe. This mixed-methods review explores: (1) if existing interventions in this context are effective, (2) if they are reported in sufficient detail to be replicated, (3) the experiences of HCPs delivering such interventions, and (4) the experiences of parents receiving such interventions. Methods Five electronic databases and the grey literature were searched for relevant literature published and indexed January 1980 to February 2020. Fourteen papers reporting twelve studies (nine quantitative and five qualitative) were included. Aligned with the Joanna Briggs Institute method, a segregated approach was used involving independent syntheses of the quantitative and qualitative data followed by an overall mixed-methods synthesis. Results There was some evidence of effective interventions that resulted in a short-term (&lt; 6 months) reduction in children’s SHSe when SHSe was subjectively measured. This was not seen in longer term follow-up (&gt; 6 months) or when SHSe was measured objectively. Inconsistencies with reporting make replication challenging. Experiential evidence suggests a mismatch between stakeholder preferences and interventions being offered. Conclusions The paediatric secondary care interventions included in this analysis failed to show statistically significant evidence of longer-term effectiveness to reduce children’s SHSe in all but one low quality study. There was also inadequate reporting of interventions limiting assessment of effectiveness. It offer further insights into areas to target to develop effective interventions. Implications This review used rigorous methods to explore the current, global literature on how children’s exposure to SHS is being tackled in secondary care. This review identified only one low quality intervention study showing a statistically significant reduction in children’s SHSe beyond six months. Synthesis with qualitative research identifies a mismatch between what parents want in an intervention and what has been delivered to date. Reporting quality needs to be improved to ensure that interventions can be replicated and studies conducted within the NHS to ensure suitability to this setting.

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