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Journal of Pediatric Psychology Advance Access published online on February 23, 2005
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsi031
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Journal of Pediatric Psychology © Society of Pediatric Psychology 2005; all rights reserved.
Received November 17, 2003
Revised June 30, 2004
Accepted July 6, 2004

Article

Physician Tobacco Advice to Preteens in a Smoking-Prevention Randomized Trial: Steering Clear

Tim McAfee MD1*, Evette Ludman PhD2, Lou Grothaus MA2, Susan M. Zbikowski PhD1, Terry Bush PhD3, Jack Hollis PhD4, Michael Polen MA4, and Susan J. Curry PhD5

1 Free & Clear, Tukwila, Washington
2 Center for Health Studies, Group Health Cooperative, Seattle, Washington
3 Center for Health Studies, Group Health Cooperative, and Free & Clear, Seattle, Washington
4 Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon, and
5 Health Research and Policy Centers, University of Illinois at Chicago

* To whom correspondence should be addressed.
Tim McAfee, E-mail: mcafee{at}freeclear.com


  Abstract

Objective To examine preadolescent and parental recall of tobacco prevention messages by health care providers. Methods As part of a smoking prevention trial, providers were cued to reinforce the study and advise intervention participants (N = 4,026) not to use tobacco. All parents were surveyed at baseline; children were surveyed at 20 months; and a subsample (504 households) was surveyed at 6 and 12 months to assess discussion of tobacco use prevention and other health behavior topics by providers as well as susceptibility and experimentation with tobacco among children. Results During the 20-month follow-up, less than 25% of children recalled a provider discussing tobacco use prevention. Recall of exposure to tobacco prevention messages at school (68%), from parents (53%), and from mass media (71%) was higher. Conclusions Physician tobacco counseling is occurring at lower rates in preadolescents than it is in adults. A chart reminder to providers was insufficient to create a meaningful effect.

Keywords: physician advice; preteens; preadolescents; smoking prevention.
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