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

• Published in: Journal of perinatology Vol. 33; no. 10; pp. 811 - 816
• Main Authors: Stotts, A L, Green, C, Northrup, T F, Dodrill, C L, Evans, P, Tyson, J, Velasquez, M, Hammond, S K, Hovell, M F
• Format: Journal Article
• Language: English
• Published: New York Nature Publishing Group US 01.10.2013; Nature Publishing Group
• Subjects: 692/700/1720; Adult; Behavioral sciences; Birth weight; Caregivers; Consent; Costs; Discharge; Environmental Exposure - prevention & control; Families & family life; Family Health; Feasibility; Feasibility Studies; Female; Health aspects; Hospitals; Households; Humans; Infant, Newborn; Infants; Infants (Newborn); Intensive care; Intensive Care Units, Neonatal; Intervention; Male; Medical schools; Medicine; Medicine & Public Health; Mothers; Motivational Interviewing; Neonates; Newborn babies; No-smoking policies; original-article; Parents & parenting; Passive smoking; Pediatric Surgery; Pediatrics; Smoking; Smoking Cessation - psychology; Tobacco smoke; Tobacco Smoke Pollution - prevention & control; Ventilators; United States; United States > US; NICU; motivational interviewing; tobacco; secondhand smoke; neonatal intensive care; smoking
• ISSN: 0743-8346; 1476-5543
• DOI: 10.1038/jp.2013.43

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.