Evaluation of a counseling method for the prevention of child exposure to tobacco smoke: An example of client-centered communication
ABSTRACT Environmental tobacco smoke (ETS) is an important risk factor. The aim of this study is to evaluate effects of the counseling method "Smoke-free children" that focuses on protection of infants.
The counseling method, "Smoke-free children", has been developed and implemented at Swedish child health centers. The counseling method's point of departure is based upon a client-centered approach. Saliva cotinine samples from the mothers were collected when the child was 1-4 weeks and 3 months of age. Interviews regarding mothers' smoking habits and self-reported maternal smoking were also carried out.
Forty-one mothers participated in the study, 26 in the intervention group and 15 in the control group. Cotinine was collected from 22 subjects in the intervention and 8 in the control group. Before the intervention, the mean cotinine level was 185 ng/mL in the intervention group and 245 ng/mL in the control group. After the intervention, cotinine levels were reduced in the intervention group (165 ng/mL) and increased in the control group (346 ng/mL). Yet, after the intervention, the mothers themselves reported more smoking in the intervention group than in the control group. Only weak correlations were found between self-reported smoking and cotinine.
The statistical analysis supports the view that a client-centered intervention, aimed at increasing self-efficacy, exerts a positive effect on maternal smoking in the prevention of infant exposure to ETS, when applied in a routine clinical setting.
- SourceAvailable from: Lourdes Rofes
Primary Care at a Glance - Hot Topics and New Insights., 03/2012; , ISBN: 978-953-51-0539-8
- "Chan 2006a used Ajzen's theory of planned behavior in the development of their educational intervention. Greenberg 1994, Elder 1996, Conway 2004 and Fossum 2004 employed the social learning model. "
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- "The method is based on a client-centred dialogue and aims to strengthen the selfefficacy of the client. The focus of the program was on protecting children from ETS exposure and not primarily on encouraging parents to give up smoking (Arborelius and Bremberg, 2001; Fossum et al., 2004). There are many opportunities for the CHC nurses to use the method in meetings with parents during the child's first years. "
ABSTRACT: The purpose of this study was to describe parents' attitudes to smoking and their experience of the tobacco preventive work in antenatal care and in Child Health Care (CHC) in Sweden. A population based survey in which 62 percent of 3000 randomly selected parents with 1- and 3-year-old children answered a questionnaire. Fifty-six percent stated that smoking was registered in the health record of the child yet no further discussion regarding passive smoking took place. The parents' educational level and smoking status was related to the attitudes and experiences of the tobacco preventive work. The results indicated that the dialogue with parents regarding children and environmental tobacco smoke (ETS) exposure has to be redesigned and intensified in order to meet the needs of parents with different backgrounds.Journal of Child Health Care 11/2010; 15(4):272-86. DOI:10.1177/1367493510382243 · 0.97 Impact Factor