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Feasibility and efficacy of an intervention to reduce secondhand smoke exposure among infants discharged from a neonatal intensive care unit

Journal of Perinatology volume 33, pages 811–816 (2013)Cite this article

Subjects

Abstract

Objective:

To examine the feasibility and efficacy of a hospital-based, motivational intervention to reduce secondhand smoke exposure (SHSe) with mothers of infants in a neonatal intensive care unit (NICU).

Study Design:

One-hundred and forty-four mothers with infants (⩽1500 g at birth or ⩾12 h ventilation) in a NICU who reported a smoker in the household were randomized to two sessions of motivational interviewing (MI) conducted in the hospital, usual care (UC) or usual care-reduced measurement (UC-RM); follow-up occurred at 1- and 6-months post discharge.

Result:

For households that did not have a total smoking ban at baseline, 63.6% of those in the MI group instituted a ban by 1-month post discharge compared with 20% of the UC group, P<0.02. Six months post discharge, fewer smoking bans were noted in the UC-RM group relative to MI and UC, P<0.01.

Conclusion:

A need for SHSe interventions among NICU parents exists and initial evidence suggests MI can impact SHSe after discharge.

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Acknowledgements

Funding for this study was provided by the US Department of Health Resources and Services, Maternal Child Health Research Program (grant R40MC08962). We would also like to acknowledge The Children’s Memorial Hermann Hospital and its NICU staff for their assistance in completing this study.

Author information

Authors and Affiliations

  1. Department of Family and Community Medicine, University of Texas Medical School at Houston, Houston, TX, USA

    A L Stotts & T F Northrup

  2. Department of Pediatrics, University of Texas Medical School at Houston, Houston, TX, USA

    C Green, P Evans & J Tyson

  3. Department of Psychiatry and Behavioral Sciences, Michael E. Debakey Veterans Affairs Medical Center at Houston, Houston, TX, USA

    C L Dodrill

  4. Center for Social Work Research, University of Texas-Austin, Austin, TX, USA

    M Velasquez

  5. Environmental Health Sciences Division, University of California-Berkeley, Berkeley, CA, USA

    S K Hammond

  6. Division of Health Promotion and Behavioral Sciences, San Diego State School of Public Health, San Diego, CA, USA

    M F Hovell

Authors
  1. A L Stotts
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  2. C Green
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  3. T F Northrup
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  4. C L Dodrill
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  5. P Evans
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  7. M Velasquez
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  8. S K Hammond
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  9. M F Hovell
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Corresponding author

Correspondence to A L Stotts.

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The authors declare no conflict of interest.

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Supplementary Information accompanies the paper on the Journal of Perinatology website

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Stotts, A., Green, C., Northrup, T. et al. Feasibility and efficacy of an intervention to reduce secondhand smoke exposure among infants discharged from a neonatal intensive care unit. J Perinatol 33, 811–816 (2013). https://doi.org/10.1038/jp.2013.43

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  • DOI: https://doi.org/10.1038/jp.2013.43

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