Automated Tobacco Cessation Intervention for Parents in Pediatric Primary Care

Does integrating an automated electronic health record–based tobacco cessation intervention in pediatric primary care practices reduce parental smoking?In a cluster-randomized clinical trial of 817 parents whose children were treated at 12 pediatric practices, the intervention, compared with usual care, did not significantly increase parental smoking cessation at 1 year (8.3% vs 6.4%), but it increased receipt of treatment and reduced cigarette consumption.An automated electronic health record–based intervention improves parent tobacco treatment and reduces use; enhancements are needed to improve cessation outcomes.

Corresponding Author: Emara Nabi-Burza, PhD, Division of General Academic Pediatrics, Massachusetts General Hospital for Children, 55 Fruit St, Boston, MA 02114 (enabi@mgh.harvard.edu).

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