Pediatric Hospital Medicine 2012

"I smoke...but only outside": Brief Hospitalist Interventions with Smoking Parents of Hospitalized Children
Kevin Nelson, Stephen Gillaspy, Laura Sisterhen
At the conclusion of this session, participants will be able to:

  1. Describe the morbidity and mortality related to secondhand smoke exposure (SHS) in common conditions such as bronchiolitis, asthma, and pneumonia and the evidence for parental smoking cessation counseling.
  2. Demonstrate evidence-based techniques for screening for SHS and referring caregivers who smoke to evidence-based treatment for tobacco dependence within a busy inpatient setting.
  3. Apply brief, directed motivational interviewing techniques to common inpatient scenarios using simple, evidence-based smoking cessation strategies.
  4. Formulate peer feedback in the elements of brief MI interventions for smoking cessation

Tobacco is a leading US cause of illness. Exposure of nearly 40% of US children to secondhand smoke (SHS) increases child asthma and respiratory infections. Hospitalized children with SHS exposure remain at risk for ongoing exposure, but parents of hospitalized children are more receptive to smoking reduction efforts. Brief provider interventions double spontaneous smoking cessation rates. State "quitline" networks and over-the-counter availability of nicotine replacement therapy provide adjuncts to hospitalist interventions. In addition, using evidence based screening improves identification of SHS exposure among children. This clinical workshop prepares pediatric hospitalists to provide brief smoking cessation intervention with smoking parents using evidence-based screening questions and treatment tools. Brief MI tools for inpatient interventions in a busy clinical setting will be taught and practiced using common inpatient scenarios with smoking parents. Finally, a large group discussion focuses on systems integration strategies for implementation and enlisting institutional support as recommended by the Public Health Service.




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