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

被引:16
|
作者
Crone, MR
Verlaan, M
Willemsen, MC
van Soelen, P
Reijneveld, SA
Sing, RAH
Paulussen, TGWA
机构
[1] TNO Prevent & Hlth, NL-2301 CE Leiden, Netherlands
[2] TNO Qual Life, Leiden, Netherlands
[3] STIVORO, The Hague, Netherlands
[4] Univ Groningen, Ctr Med, Groningen, Netherlands
[5] Vrije Univ Amsterdam, Ctr Med, Inst Res Extramural Med, Dept Social Med, NL-1081 HV Amsterdam, Netherlands
关键词
dissemination; institutionalization; health education; passive smoking;
D O I
10.1177/1090198105276296
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
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. A questionnaire was sent to 67 managers, 670 nurses, and 335 physicians working 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 and 42% of physicians worked with the program. They foremost provided the first three steps of the five-step procedure. Physicians' completeness of use was 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.
引用
收藏
页码:178 / 196
页数:19
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