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Clinical Pediatrics
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Self-Efficacy for Smoking Cessation Counseling Parents in Primary Care: An Office-Based Intervention for Pediatricians and Family Physicians

Arvin Garg, MD, MPH

Johns Hopkins University School of Medicine, Division of General Pediatrics and Adolescent Medicine, Baltimore, Maryland

Janet R. Serwint, MD

Johns Hopkins University School of Medicine, Division of General Pediatrics and Adolescent Medicine, Baltimore, Maryland

Susan Higman, PhD

Johns Hopkins University School of Medicine, Division of General Pediatrics and Adolescent Medicine, Baltimore, Maryland

Ann Kanof, MS

American Academy of Pediatrics, Pennsylvania Chapter, Media, Pennsylvania

Dottie Schell, RN

American Academy of Pediatrics, Pennsylvania Chapter, Media, Pennsylvania

Iris Colon

American Academy of Pediatrics, Pennsylvania Chapter, Media, Pennsylvania

Arlene M. Butz, ScD, RN

Johns Hopkins University School of Medicine, Division of General Pediatrics and Adolescent Medicine, Baltimore, Maryland

Few pediatricians or family physicians routinely counsel parental smokers to quit smoking. Poor self-efficacy in smoking cessation counseling skills may be one barrier to counseling. Analysis of self-efficacy scores of physicians participating in the Clean Air for Healthy Children program demonstrates that pediatricians had higher self-efficacy scores for explaining the health risks of environmental tobacco smoke on children (P < .05); family physicians had higher self-efficacy scores for smoking cessation counseling knowledge (P < .05). Posttraining, both pediatricians and family physicians who participated in an office-based smoking cessation counseling program had significantly higher scores in all 4 self-efficacy domains (P < .01).

Key Words: environmental tobacco smoke • smoking cessation counseling • self-efficacy • pediatrician • family physician

Clinical Pediatrics, Vol. 46, No. 3, 252-257 (2007)
DOI: 10.1177/0009922806290694
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R. A. B. Dodge, M. D. Cabana, M. A. O'Riordan, and A. Heneghan
What Factors Are Important for Pediatric Residents' Smoking Cessation Counseling of Parents?
Clinical Pediatrics, April 1, 2008; 47(3): 237 - 243.
[Abstract] [PDF]