The Science Journal of the American Association for Respiratory Care

2004 OPEN FORUM Abstracts

A TOBACCO USE INTERVENTION EDUCATION PROGRAM CAN CHANGE SMOKING POLICIES IN THE HOMES OF CYSTIC FIBROSIS PATIENTS.

Hall CR, MS RRT-NPS RPFT; Reyes JJ, BS RRT-NPS; Baker RR, PhD RRT RCPT; Guill MF, MD. Medical College of Georgia. Augusta, GA.

Background: Environmental tobacco smoke (ETS) exposure continues to have a significant impact on morbidity and mortality. Patients with chronic pulmonary disease are at even higher risk from second-hand ETS exposure. In spite of this, cystic fibrosis (CF) patients may live in a home with parents who smoke. The Cystic Fibrosis Center participated in the multi-center National Initiative for Children’s Healthcare Quality study that examined, in part, the effect of a tobacco use intervention educational program on changing smoking policies within a patient’s home.

Methods:
Upon enrollment into the study, families were screened for tobacco use and asked if they practiced a “no-smoking” policy in the home. The patient and family members then received counseling from the CF Educator using the 5 A’s of tobacco use intervention (U.S. Department of Health and Human Services). Patients were scheduled to return to the CF clinic on a quarterly basis. At each return visit, data about a home “no-smoking”policy was collected and tobacco use intervention counseling was given.

Results:
Eighty-one patients were enrolled throughout the 17 months that data was collected at our center. Parental smoking was reported in 23% (n=19) of the families. Figure 1 shows the percent of families with a no-smoking policy in place during the course of the study.



During the initial three months data on parental smoking was collected, only 45% of households with smoking parents had a no-smoking policy. At the end of the study, 90% (17 of 19) of patients with smoking parents reported a no-smoking policy in the home as compared with 98% (79 of 81) of all enrolled patients.

Conclusion: Our results indicate that a tobacco intervention education program was successful in changing the smoking policies in homes of patients with parents who smoke. Thus, targeted patient/family education during routine patient visits may have a substantial effect on reducing the morbidity and mortality of patients with chronic pulmonary disease.

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