Barriers and Motivators for Smoking Cessation Among Caregivers of Inpatient Pediatric Patients
Jacqueline A Holstein1, Kimberly O'Hara2, Angela Moss3
1Children's Hospital Colorado.
Insights
Caregivers of hospitalized children found stress and social pressures significant barriers to quitting smoking. However, a desire for a healthy life and improved child well-being motivated them to stop smoking.
Area of Science:
- Public Health
- Behavioral Science
- Pediatric Healthcare
Background:
- Pediatric secondhand smoke (SHS) exposure poses significant health risks to children.
- Caregiver smoking is a primary source of SHS exposure for pediatric patients.
- Effective smoking cessation interventions for caregivers are crucial for child health.
Purpose of the Study:
- To identify perceived barriers and motivators for smoking cessation among caregivers of pediatric inpatients.
- To inform the development of targeted smoking cessation programs for this population.
- To enhance clinician support for caregivers seeking to quit smoking.
Main Methods:
- Motivational interviewing (MI) sessions were conducted with caregivers in a smoking cessation randomized controlled trial.
- Qualitative analysis of the first MI session transcripts using NVivo 12 software.
- Bivariable statistical analysis of identified barriers and motivators using SAS 9.4 software.
Main Results:
- Stress (57%) and social influence (37%) were the most common barriers to smoking cessation.
- Desire for a healthy life (54%) and improved child/family well-being (47%) were key motivators.
- Older caregiver age correlated with motivation for a healthy life; younger child age correlated with motivation for child well-being.
Conclusions:
- Understanding caregiver barriers and motivators is essential for reducing pediatric SHS exposure.
- Tailoring cessation programs to address identified barriers and leverage motivators can improve effectiveness.
- Clinicians can utilize this information to better support caregivers in their smoking cessation journey.
Objective:
To examine perceived barriers and motivators for smoking cessation among caregivers of inpatient pediatric patients.
Methods:
From December 2014 to June 2018, trained tobacco counselors conducted motivational interviews (MI) with caregivers of inpatient pediatric patients ages 0 to 17, who participated in the intervention arm of a smoking cessation randomized controlled trial. By using NVivo 12 software, the first MI session with each caregiver was evaluated by 3 individuals to identify and categorize motivators and barriers; agreement among reviewers was reached. Barriers and motivators were examined in bivariable analysis with χ2 or Fisher's exact tests for categorical factors and with t-tests for continuous factors by using SAS 9.4 software.
Results:
Of the 124 caregivers randomized to intervention, 99 subjects (80%) completed ≥1 MI sessions. The most prevalent barriers to cessation were stress (57%) and social influence (37%).The most prevalent motivators were desire to lead a healthy life (54%) and desire to improve the child and family's well-being (47%). Older parent age was associated with wanting to lead a healthy life, and younger child age was associated with wanting to improve the child and family's well-being.
Conclusions:
Understanding barriers and motivators to cessation among caregivers is crucial in reducing pediatric secondhand smoke (SHS). When developing caregiver cessation programs in an inpatient clinic encounter, caregiver barriers and motivators may help in targeting education and strategies to help counselors and clinicians better identify and support caregivers who wish to quit smoking.
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