Lauren E Gonzalez, Haoyang Wei, Valentina Greco, Linda K Friedlaender
The art of observation: bridging science and art to see the unexpected
Development (Cambridge, England)
study investigated effects multilevel smoking intervention mediators longterm abstinence parental smokers including smoking cessation selfefficacy smoking urge coping perceived support quit smoking secondary analysis data randomized trial recruited parental smokers pediatric clinics lowincome communities n 327 83 women 83 african american 79 poverty level following clinical practice guidelines tobacco intervention ask advise refer aar pediatricians asked parents child tobacco smoke exposure tse advised tse harms benefits reducing tse referred smokers cessation resources eligible parents randomized additional telephonebased smoking behavior counseling aar counseling nutrition education aar control bioverified 7day point prevalence smoking abstinence perceived counselor support assessed 12month followup cessation selfefficacy urge coping assessed 3month followup relative aar control aar counseling associated higher selfefficacy urge coping perceived support quit ps001 selfefficacy mediators significant positive effect 12month bioverified smoking abstinence p 001 indirect effect intervention 12month abstinence via selfefficacy suggested mediation via pathway p 002 results suggest putative treatment pathways improved multilevel aar counseling cliniclevel aar control intervention selfefficacy endoftreatment prospectively predicted longterm cessation suggesting building selfefficacy treatment may key sustained cessation