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Sustainability of the prevention of passive infant smoking within well-baby clinics

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Author: Crone, M.R. · Verlaan, M. · Willemsen, M.C. · Soelen, P. van · Reijneveld, S.A. · Sing, R.A.H. · Paulussen, T.G.W.M.
Institution: TNO Kwaliteit van Leven
Source:Health Education and Behavior, 2, 33, 178-196
Identifier: 239208
doi: doi:10.1177/1090198105276296
Keywords: Health · Dissemination · Institutionalization · Passive smoking · Clinical practice · Comparative study · Education · Evaluation · Health center · Health personnel attitude · Indoor air pollution · Methodology · Newborn · Nurse attitude · Organization and management · Physician attitude · Preschool child · Psychological aspect · Self concept · Statistics · Teaching · Administrative Personnel · Adult · Attitude of Health Personnel · Child Welfare · Child, Preschool · Health Education · Humans · Infant · Infant Welfare · Infant, Newborn · Manuals · Maternal-Child Health Centers · Middle Aged · Netherlands · Nurse's Role · Pamphlets · Parents · Physician's Practice Patterns · Physician's Role · Questionnaires · Self Efficacy · Smoking · Teaching Materials · Tobacco Smoke Pollution


This study assessed the antecedents of continued use of an education program to prevent passive smoking in infants. It consists of a booklet for parents and a manual for health professionals describing a five-step procedure for discussing passive smoking. Aquestionnairewas sent to 67 managers, 670 nurses, and 335 physiciansworking in well-baby clinics (response rate: 70%, 53%, 47% respectively). Questions concerned the completeness of use, level of institutionalization, and characteristics of the organization, the user, and the dissemination strategy. Seventy-one percent of nurses and42% of physiciansworked with the program. They foremost provided the first three steps of the five-step procedure. Physicians' completeness of usewas related to their perceived responsibility in providing this education, and nurses' use was related to their perceived self-efficacy, responsibility, training attendance, participation in the adoption decision, and level of institutionalization. Diffusion efforts should focus on improving the completeness of use and level of institutionalization. © 2006 by SOPHE.