Implementing parental tobacco dependence treatment within bronchiolitis qi collaboratives

Susan C. Walley, Grant M. Mussman, Michele Lossius, Kristin A. Shadman, Lauren Destino, Matthew Garber, Shawn Ralston

Research output: Contribution to journalArticle

Abstract

BACKGROUND AND OBJECTIVES: We sought to implement systematic tobacco dependence interventions for parents and/or caregivers as secondary aims within 2 multisite quality improvement (QI) collaboratives for bronchiolitis. We hypothesized that iterative improvements in tobacco dependence intervention strategies would result in improvement in outcomes between collaboratives. METHODS: This study involved 2 separate yearlong, multisite QI collaboratives that were focused on care provided to inpatients with a primary diagnosis of bronchiolitis. In each collaborative, we provided tools and training in tobacco dependence treatment and expert coaching on interventions for parents as a secondary aim. Data were collected by chart review and results analyzed by using analysis of means and statistical process control analysis. Outcomes between collaboratives were compared by using relative risks. RESULTS: Between both collaboratives, 56 hospitals participated and 6258 inpatient charts were reviewed. In the first collaborative, 22% of identified parents who smoke received tobacco dependence interventions at baseline. This rate increased to 51% during the postintervention period, with special cause revealed by analysis of means. In the second collaborative, 31% of parents who smoke received baseline interventions. This rate increased to 53% by the conclusion of the collaborative, with special cause revealed by statistical process control analysis. The relative risk for providing any cessation intervention in 1 collaborative versus the other was 0.9 (confidence interval 0.8–1.1). CONCLUSIONS: Tobacco dependence treatment of parents and/or caregivers can be integrated into bronchiolitis QI by using relatively low-resource strategies. Using a more intensive QI intervention did not alter the rates of screening or intervention for caregivers who smoke.

Original languageEnglish (US)
Article numbere20173072
JournalPediatrics
Volume141
Issue number6
DOIs
StatePublished - Jun 1 2018
Externally publishedYes

Fingerprint

Qi
Tobacco Use Disorder
Bronchiolitis
Quality Improvement
Parents
Smoke
Caregivers
Inpatients
Therapeutics
Confidence Intervals

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Walley, S. C., Mussman, G. M., Lossius, M., Shadman, K. A., Destino, L., Garber, M., & Ralston, S. (2018). Implementing parental tobacco dependence treatment within bronchiolitis qi collaboratives. Pediatrics, 141(6), [e20173072]. https://doi.org/10.1542/peds.2017-3072

Implementing parental tobacco dependence treatment within bronchiolitis qi collaboratives. / Walley, Susan C.; Mussman, Grant M.; Lossius, Michele; Shadman, Kristin A.; Destino, Lauren; Garber, Matthew; Ralston, Shawn.

In: Pediatrics, Vol. 141, No. 6, e20173072, 01.06.2018.

Research output: Contribution to journalArticle

Walley, SC, Mussman, GM, Lossius, M, Shadman, KA, Destino, L, Garber, M & Ralston, S 2018, 'Implementing parental tobacco dependence treatment within bronchiolitis qi collaboratives', Pediatrics, vol. 141, no. 6, e20173072. https://doi.org/10.1542/peds.2017-3072
Walley SC, Mussman GM, Lossius M, Shadman KA, Destino L, Garber M et al. Implementing parental tobacco dependence treatment within bronchiolitis qi collaboratives. Pediatrics. 2018 Jun 1;141(6). e20173072. https://doi.org/10.1542/peds.2017-3072
Walley, Susan C. ; Mussman, Grant M. ; Lossius, Michele ; Shadman, Kristin A. ; Destino, Lauren ; Garber, Matthew ; Ralston, Shawn. / Implementing parental tobacco dependence treatment within bronchiolitis qi collaboratives. In: Pediatrics. 2018 ; Vol. 141, No. 6.
@article{8d89bce2f6594a76944920d9b7d1fa7f,
title = "Implementing parental tobacco dependence treatment within bronchiolitis qi collaboratives",
abstract = "BACKGROUND AND OBJECTIVES: We sought to implement systematic tobacco dependence interventions for parents and/or caregivers as secondary aims within 2 multisite quality improvement (QI) collaboratives for bronchiolitis. We hypothesized that iterative improvements in tobacco dependence intervention strategies would result in improvement in outcomes between collaboratives. METHODS: This study involved 2 separate yearlong, multisite QI collaboratives that were focused on care provided to inpatients with a primary diagnosis of bronchiolitis. In each collaborative, we provided tools and training in tobacco dependence treatment and expert coaching on interventions for parents as a secondary aim. Data were collected by chart review and results analyzed by using analysis of means and statistical process control analysis. Outcomes between collaboratives were compared by using relative risks. RESULTS: Between both collaboratives, 56 hospitals participated and 6258 inpatient charts were reviewed. In the first collaborative, 22{\%} of identified parents who smoke received tobacco dependence interventions at baseline. This rate increased to 51{\%} during the postintervention period, with special cause revealed by analysis of means. In the second collaborative, 31{\%} of parents who smoke received baseline interventions. This rate increased to 53{\%} by the conclusion of the collaborative, with special cause revealed by statistical process control analysis. The relative risk for providing any cessation intervention in 1 collaborative versus the other was 0.9 (confidence interval 0.8–1.1). CONCLUSIONS: Tobacco dependence treatment of parents and/or caregivers can be integrated into bronchiolitis QI by using relatively low-resource strategies. Using a more intensive QI intervention did not alter the rates of screening or intervention for caregivers who smoke.",
author = "Walley, {Susan C.} and Mussman, {Grant M.} and Michele Lossius and Shadman, {Kristin A.} and Lauren Destino and Matthew Garber and Shawn Ralston",
year = "2018",
month = "6",
day = "1",
doi = "10.1542/peds.2017-3072",
language = "English (US)",
volume = "141",
journal = "Pediatrics",
issn = "0031-4005",
publisher = "American Academy of Pediatrics",
number = "6",

}

TY - JOUR

T1 - Implementing parental tobacco dependence treatment within bronchiolitis qi collaboratives

AU - Walley, Susan C.

AU - Mussman, Grant M.

AU - Lossius, Michele

AU - Shadman, Kristin A.

AU - Destino, Lauren

AU - Garber, Matthew

AU - Ralston, Shawn

PY - 2018/6/1

Y1 - 2018/6/1

N2 - BACKGROUND AND OBJECTIVES: We sought to implement systematic tobacco dependence interventions for parents and/or caregivers as secondary aims within 2 multisite quality improvement (QI) collaboratives for bronchiolitis. We hypothesized that iterative improvements in tobacco dependence intervention strategies would result in improvement in outcomes between collaboratives. METHODS: This study involved 2 separate yearlong, multisite QI collaboratives that were focused on care provided to inpatients with a primary diagnosis of bronchiolitis. In each collaborative, we provided tools and training in tobacco dependence treatment and expert coaching on interventions for parents as a secondary aim. Data were collected by chart review and results analyzed by using analysis of means and statistical process control analysis. Outcomes between collaboratives were compared by using relative risks. RESULTS: Between both collaboratives, 56 hospitals participated and 6258 inpatient charts were reviewed. In the first collaborative, 22% of identified parents who smoke received tobacco dependence interventions at baseline. This rate increased to 51% during the postintervention period, with special cause revealed by analysis of means. In the second collaborative, 31% of parents who smoke received baseline interventions. This rate increased to 53% by the conclusion of the collaborative, with special cause revealed by statistical process control analysis. The relative risk for providing any cessation intervention in 1 collaborative versus the other was 0.9 (confidence interval 0.8–1.1). CONCLUSIONS: Tobacco dependence treatment of parents and/or caregivers can be integrated into bronchiolitis QI by using relatively low-resource strategies. Using a more intensive QI intervention did not alter the rates of screening or intervention for caregivers who smoke.

AB - BACKGROUND AND OBJECTIVES: We sought to implement systematic tobacco dependence interventions for parents and/or caregivers as secondary aims within 2 multisite quality improvement (QI) collaboratives for bronchiolitis. We hypothesized that iterative improvements in tobacco dependence intervention strategies would result in improvement in outcomes between collaboratives. METHODS: This study involved 2 separate yearlong, multisite QI collaboratives that were focused on care provided to inpatients with a primary diagnosis of bronchiolitis. In each collaborative, we provided tools and training in tobacco dependence treatment and expert coaching on interventions for parents as a secondary aim. Data were collected by chart review and results analyzed by using analysis of means and statistical process control analysis. Outcomes between collaboratives were compared by using relative risks. RESULTS: Between both collaboratives, 56 hospitals participated and 6258 inpatient charts were reviewed. In the first collaborative, 22% of identified parents who smoke received tobacco dependence interventions at baseline. This rate increased to 51% during the postintervention period, with special cause revealed by analysis of means. In the second collaborative, 31% of parents who smoke received baseline interventions. This rate increased to 53% by the conclusion of the collaborative, with special cause revealed by statistical process control analysis. The relative risk for providing any cessation intervention in 1 collaborative versus the other was 0.9 (confidence interval 0.8–1.1). CONCLUSIONS: Tobacco dependence treatment of parents and/or caregivers can be integrated into bronchiolitis QI by using relatively low-resource strategies. Using a more intensive QI intervention did not alter the rates of screening or intervention for caregivers who smoke.

UR - http://www.scopus.com/inward/record.url?scp=85048095567&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85048095567&partnerID=8YFLogxK

U2 - 10.1542/peds.2017-3072

DO - 10.1542/peds.2017-3072

M3 - Article

C2 - 29769242

AN - SCOPUS:85048095567

VL - 141

JO - Pediatrics

JF - Pediatrics

SN - 0031-4005

IS - 6

M1 - e20173072

ER -