Promoting smoking cessation in the paediatric respiratory clinic
Mira Osinibi1, Adam Lawton2, Cara Bossley1
1King's College Hospital, London, UK.
Insights
Simple smoking cessation interventions in pediatric respiratory clinics helped 16 out of 102 participants quit smoking. Many others reduced their smoking, showing the effectiveness of these programs for children and young people (CYP) and their families.
Area of Science:
- Pediatric Respiratory Medicine
- Public Health
- Addiction Medicine
Background:
- Tobacco smoking is a major cause of morbidity and mortality.
- Adolescents with chronic respiratory conditions may smoke or have parents who smoke.
- Exposure to tobacco smoke is detrimental to children and young people (CYP).
Purpose of the Study:
- To assess the success of smoking cessation interventions for CYP and their parents in pediatric respiratory clinics.
- To quantify smoking reduction and cessation rates in this specific population.
Main Methods:
- 102 participants received smoking cessation advice.
- Interventions included motivational interviewing and exhaled carbon monoxide measurements.
- Follow-up was conducted to assess quit rates and smoking reduction.
Main Results:
- 16 out of 102 participants successfully quit smoking.
- 40 participants significantly reduced their smoking.
- 4 participants were lost to follow-up.
Conclusions:
- Formal smoking screening and cessation advice should be standard practice in pediatric respiratory clinics.
- Simple interventions are effective in reducing smoking among CYP and their families.
- These interventions can lead to reduced smoking in this vulnerable population.
Abstract:
Exposure to tobacco smoke is harmful to children and young people (CYP). There is, to our knowledge, no published evidence quantifying the success of smoking cessation interventions targeted at both CYP and their parents or guardians in paediatric respiratory clinics. We offered 102 participants smoking cessation advice, using motivational interviewing and exhaled carbon monoxide measurements to help them quit smoking. In total, 16 of 102 participants quit smoking, with 4 lost to follow-up. A further 40 participants cut down on how much they smoked.
Conclusion:
Formal screening questions on smoking and the provision of smoking cessation advice should form a regular part of all respiratory clinics where CYP and their parents are seen. Simple smoking cessation interventions can lead to reduced smoking in this population.
What Is Known:
• Tobacco smoking is strongly associated with significant morbidity and mortality. • Adolescents with chronic respiratory diseases may themselves smoke, or may have parents who do so.
What Is New:
• Smoking cessation interventions are well received in paediatric respiratory clinic by patients and their families. • Simple smoking cessation interventions can help young people and their parents to stop smoking or cut down on smoking.
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