Video Experimental Relacionado

Updated: Sep 10, 2025

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

Intervención automatizada para dejar de fumar para los padres en la atención primaria pediátrica: un ensayo clínico

Emara Nabi-Burza^1,2, Brian P Jenssen^3,4,5, Abra M Jeffers^1,2,6

¹Division of General Academic Pediatrics, Massachusetts General Hospital for Children, Boston.

JAMA network open

|August 27, 2025

Resumen

Este estudio probó una intervención automatizada para dejar de fumar para padres en clínicas pediátricas. Si bien aumentó el compromiso y redujo el tabaquismo, no mejoró significativamente las tasas de abandono a un año.

Área de la Ciencia:

Salud pública
Ensayos clínicos
Medicina pediátrica

Sus antecedentes:

El consumo de tabaco por parte de los padres es un factor de riesgo significativo para la exposición al humo de segunda mano en la infancia.
Los centros de atención primaria pediátrica ofrecen una oportunidad única para intervenir en el consumo de tabaco de los padres.
Pocas intervenciones se dirigen específicamente al abandono del tabaco por parte de los padres dentro de la atención pediátrica.

Objetivo del estudio:

Evaluar la integración del esfuerzo clínico automatizado contra la exposición al humo de segunda mano (eCEASE) en la atención primaria pediátrica.
Evaluar la eficacia de eCEASE para ayudar a los padres a dejar de fumar.
Determinar el impacto de eCEASE en la reducción de la exposición infantil al humo del tabaco.

Principales métodos:

Un ensayo clínico aleatorizado de grupo que involucra a 12 prácticas de atención primaria pediátrica.
Se incluyeron los padres que habían fumado tabaco en los últimos 7 días.
El grupo de intervención recibió eCEASE automatizado (terapia de reemplazo de nicotina, quitline/SmokefreeTXT, apoyo para el navegador) a través de EHR; el grupo de control recibió la atención habitual.

Principales resultados:

El resultado primario, 7 días de abstinencia confirmada bioquímicamente a 1 año, no mejoró significativamente (8,3% frente a 6,4%).
El grupo de intervención mostró tasas más altas de uso de terapia de reemplazo de nicotina (TRN) (48,2% frente a 16,0%) y de inscripción para dejar de fumar (22,8% frente a 2,2%).
Se observaron reducciones significativas en los cigarrillos fumados por día y en la frecuencia de fumar en el grupo de intervención en comparación con los controles.

Conclusiones:

La intervención automatizada eCEASE no aumentó significativamente las tasas de abandono parental a un año en la atención primaria pediátrica.
La intervención demostró tener éxito en el aumento de los recursos para dejar de fumar y en la reducción del consumo de tabaco.
Se necesitan estrategias adicionales para mejorar las tasas de abandono del consumo de tabaco por parte de los padres en entornos pediátricos.

Más Videos Relacionados

Author Spotlight: Repetitive Transcranial Magnetic Stimulation Combined with Movement Observation in Cerebral Palsy

Author Spotlight: Repetitive Transcranial Magnetic Stimulation Combined with Movement Observation in Cerebral Palsy

Published on: August 9, 2024

Electroencephalographic, Heart Rate, and Galvanic Skin Response Assessment for an Advertising Perception Study: Application to Antismoking Public Service Announcements

Electroencephalographic, Heart Rate, and Galvanic Skin Response Assessment for an Advertising Perception Study: Application to Antismoking Public Service Announcements

Published on: August 28, 2017

Videos de Conceptos Relacionados

Parental Care

Parental Care

Many animals exhibit parental care behavior, including feeding, grooming, and protecting young offspring. Parental care is universal in mammals and birds, which often have young that are born relatively helpless. Several species of insects and fish, as well as some amphibians, also care for their young.

Community Based Intervention

Community Based Intervention

Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...

Acute Coronary Syndrome IV: Interprofessional Care

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...

Preventive Healthcare Services

Preventive Healthcare Services

Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:

Attention-Deficit/Hyperactivity Disorder

Attention-Deficit/Hyperactivity Disorder

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....

Operant Conditioning Intervention

Operant Conditioning Intervention

Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...