Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
Domestic Programs: Ohio
Smoke-Free Family Pledge Project
Akron Children's Hospital
Jo Ann G. Bedore, BSPA, RN
The Smoke-Free Family Pledge Project was implemented in 2003 to impact children with respiratory illness, including asthma, by educating families on reducing their children's exposure to environmental tobacco smoke. There are two main components: family education sessions and provider education sessions.
At-risk respiratory pediatric patients who present in a clinic or as in-patients in the hospital are assessed by a nurse or the community health educator. The family is provided education on health effects of secondhand smoke, in addition to the nurse providing asthma education. Sessions occur in a group classroom setting or one-on-one at the bedside. Smoke-free pledge cards are signed and collected. Demographic and smoking habit information is collected from the family. Follow up calls are made at 2 and 4 weeks to check the progress of the pledge to provide a smoke-free home and car.
The goal of the provider education session is to help health care providers educate families about the health effects of second hand smoke. The community health educator conducts educational presentations with 50 providers per year to stress the importance of tobacco counseling with at-risk pediatric pts. Written smoke-free family materials, adult and youth smoking program information, and information on motivational interviewing techniques are provided.
Evaluation to date indicates that the program has improved children's quality of life and has reduced environmental tobacco smoke through changes made in caregiver/family behavior. The program is ongoing and affiliated with the Ohio Tobacco Use Prevention and Control Foundation.
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