Abstract:
BACKGROUND:Residency training is an ideal time to prepare pediatricians to address tobacco, although few programs provide the necessary training. Barriers to training include competing priorities, lack of resources, and unavailability of expertise. Solutions for Smoking, a hybrid CD-ROM and web site training program for pediatric residents, may enable training directors to overcome these barriers and to include training on tobacco in their curriculum. The Pediatric Residency Training on Tobacco Project is a 4-year randomized prospective study that compares the effectiveness of a special training program, with Solutions for Smoking as the main teaching tool, to a standard training program in 15 pediatric residency-training programs. METHODS:Fifteen pediatric residency-training programs were assigned randomly to special and standard training conditions. Evaluation instruments include baseline and follow-up resident tobacco surveys and observed structured clinical examinations (OSCEs), patient tobacco surveys, and parent or guardian tobacco surveys. RESULTS:The present report describes the Pediatric Residency Training on Tobacco Project, the special and standard training conditions, and Solutions for Smoking, a hybrid CD-ROM and web site training program on tobacco for pediatric residents. Data from the baseline resident tobacco survey and OSCEs also are presented. While residents believed that pediatricians should play a leadership role in tobacco prevention and control, few had formal training in tobacco intervention, most were skeptical about the efficacy of intervention, and they were more likely to ask about tobacco and advise change than to help patients and parents to modify their behavior. CONCLUSIONS:The baseline findings underscore the importance of the proposed research, and the special training program may serve as a useful model for training pediatric residents to address tobacco in the future.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Hymowitz N,Schwab J,Haddock CK,Burd KM,Pyle Sdoi
10.1016/j.ypmed.2004.02.008subject
Has Abstractpub_date
2004-09-01 00:00:00pages
507-16issue
3eissn
0091-7435issn
1096-0260pii
S0091743504000775journal_volume
39pub_type
临床试验,杂志文章,随机对照试验abstract:OBJECTIVES:This study explores the predisposing, enabling, and need-based factors associated with parents' or guardians' decision to have their child initiate, continue, and complete the human papillomavirus (HPV) vaccine. METHODS:Parents and guardians of children between the ages of 9 and 17years who completed the 20...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2016.01.010
更新日期:2016-04-01 00:00:00
abstract::The role of dietary fat in human blood pressure control was studied among 84 middle-aged subjects (mainly couples) in two semirural communities in North Karelia, Finland. The families were randomly allocated into two groups that, after a baseline period of 2 weeks, changed their diet for a 12-week intervention period ...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/0091-7435(85)90078-7
更新日期:1985-09-01 00:00:00
abstract::Health information knowledge may affect attitude toward colorectal cancer screening, but the participation of health educated citizens are unknown. Therefore, we investigated non-participation in a sample of 886,088 invited participants, based on educational length, type, and level. Logistic regression analyses were c...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2019.05.021
更新日期:2019-08-01 00:00:00
abstract:BACKGROUND:In the fall of 1986 the North Karelia Project in cooperation with Finnish TV 2 arranged an eight-part nationwide smoking cessation TV program. The Project, also arranged a smoking cessation contest coinciding with the TV program in cooperation with four major voluntary public health organizations and the nat...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/0091-7435(92)90007-5
更新日期:1992-01-01 00:00:00
abstract:BACKGROUND:While the effects of smoking and other modifiable risk factors on mortality and specific diseases are well established, their effects on ill health more generally are less known. Using two national, longitudinal surveys, the objective of this study was to analyze the effect of smoking and other modifiable ri...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2001.0991
更新日期:2002-03-01 00:00:00
abstract:OBJECTIVES:We examined the feasibility and effectiveness of an intervention to mobilize women in the social networks of pregnant smokers to support smoking cessation. METHODS:This study was conducted in St. Paul, Minnesota, and Columbus, Ohio, from 2005 through 2007. Pregnant smokers (n=82) identified a woman in their...
journal_title:Preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ypmed.2010.01.003
更新日期:2010-03-01 00:00:00
abstract::There is increasing interest in biofeedback and self-regulatory approaches to health enhancement. The movement has not gone unnoticed by business and industry. At this point, there are adequate data to demonstrate the effectiveness of different forms of stress management intervention. Using the experience of the Equit...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/0091-7435(83)90222-0
更新日期:1983-09-01 00:00:00
abstract:BACKGROUND:5 a Day for Better Health is a simple message encouraging people to eat more fruits and vegetables. The Seattle 5 a Day worksite investigators designed and evaluated an intervention, organized on stages of behavioral change, to increase worksitewide fruit and vegetable consumption. METHODS:We recruited 28 w...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1006/pmed.2000.0806
更新日期:2001-03-01 00:00:00
abstract:BACKGROUND:This study examined the potential for tobacco use and other health risk behavior interventions in the context of an urban sexually transmitted diseases (STD) clinic. METHODS:A cross-sectional survey of two populations. Adolescents seen at an STD clinic or at the teen clinic of a community health center comp...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1998.0359
更新日期:1998-11-01 00:00:00
abstract::This study aimed to assess the impact of coronavirus disease (COVID-19) prevalence in the United States in the week leading to the relaxation of the stay-at-home orders (SAH) on future prevalence across states that implemented different SAH policies. We used data on the number of confirmed COVID-19 cases as of August ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2021.106435
更新日期:2021-01-22 00:00:00
abstract::Because of remarkable advances in the treatment of preterm birth, physicians increasingly encounter adult patients who were born preterm. However, research now shows that improved early survival may come at the expense of future health risks, including increased respiratory, cardiovascular, and kidney disease, diabete...
journal_title:Preventive medicine
pub_type: 信件
doi:10.1016/j.ypmed.2016.08.024
更新日期:2016-10-01 00:00:00
abstract::The objective of this study was to determine whether attainment of clinical and lifestyle targets varied by race and sex among adults with diabetes onset in older adulthood. This study included 1420 black and white adults from the REGARDS study without diabetes at baseline (2003-07) but with diabetes onset at the foll...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2020.106217
更新日期:2020-10-01 00:00:00
abstract:BACKGROUND:Regular physical activity in older adults can facilitate healthy aging, improve functional capacity, and prevent disease. However, factors associated with physical inactivity in older populations are poorly understood. This study attempts to identify social-cognitive and perceived environmental influences as...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2000.0661
更新日期:2000-07-01 00:00:00
abstract::We present a redesign of medical test results by placing the information of blood samples in the context of the patient's personal clinical data. We predict that implementing personalized data in the treatment of patients will promote engagement in the treatment, motivate patients to take responsibility and lead to gr...
journal_title:Preventive medicine
pub_type: 信件
doi:10.1016/j.ypmed.2014.08.008
更新日期:2014-10-01 00:00:00
abstract:BACKGROUND:The joint effect of family history of acute myocardial infarction (AMI) and selected adult life risk factors on the risk of the disease is not clear. METHODS:We used the combined data set from three Italian case-control studies including 1737 cases of incident, nonfatal AMI and 2317 hospital controls, aged ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2003.11.019
更新日期:2004-04-01 00:00:00
abstract:BACKGROUND:Leisure-time physical activity is a complex behavior influenced by factors at multiple levels. OBJECTIVE:To examine the associations between intrapersonal, interpersonal, environmental factors and leisure-time walking (LTW) and leisure-time physical activities (LTPA), excluding walking. We also examined the...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2013.10.023
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:Despite the burden of colorectal cancer and improved health care outcomes with early detection and treatment, screening rates among eligible adults are low. We previously developed through a series of studies an interactive electronic tool, Colorectal Web, to promote colorectal cancer screening. METHOD:From ...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/j.ypmed.2007.07.003
更新日期:2007-10-01 00:00:00
abstract:BACKGROUND:Participant recruitment is an understudied part of health research. It can be a limiting factor and can affect the external validity of a study. This study compares two recruitment methods, active and passive, used to recruit university seniors into a health promotion study. METHODS:During active recruitmen...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1998.0327
更新日期:1998-07-01 00:00:00
abstract:BACKGROUND:Neonatal abstinence syndrome (NAS) occurs following prenatal opioid exposure. It is characterized by signs and symptoms indicating central nervous system hyperirritability and autonomic nervous system, gastrointestinal tract, and respiratory system dysfunction. OBJECTIVE:This article: (1) briefly reviews NA...
journal_title:Preventive medicine
pub_type: 历史文章,杂志文章
doi:10.1016/j.ypmed.2015.07.017
更新日期:2015-11-01 00:00:00
abstract::To examine the impact of moderate to vigorous intensity physical activity (MVPA) trajectories during midlife and older adulthood with subsequent fall risk in later life. Cross-temporal analyses were conducted in 15,792 participants (27% black, 55% women) aged 45 to 64 years enrolled in the Atherosclerosis Risk in Comm...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2019.02.007
更新日期:2019-04-01 00:00:00
abstract::In 2014, an 8% tax on energy-dense nutrient-poor foods was implemented in Mexico with the aim of reducing its consumption. This paper estimated changes in household purchases of taxed food. We used the latest five waves of the nationally representative Mexican Income and Expenditure Survey (2008, 2010, 2012, 2014 and ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2018.09.019
更新日期:2019-01-01 00:00:00
abstract::Men who have sex with men and women (MSMW) compose a subset of men who have sex with men (MSM) and represent an estimated 35% of MSM. Research on the HIV risk behaviors of MSMW has largely focused on their behaviors in comparison to men who have sex with men only (MSMO). Results suggest that compared to MSMO, MSMW are...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2017.04.024
更新日期:2017-07-01 00:00:00
abstract:BACKGROUND:Although several epidemiologic investigations have suggested a protective role of green tea against cardiovascular diseases and cancer, few studies examined how consumption of green tea was associated with intake of other dietary factors. METHODS:In the winters of 1989-1991, 880 men ages 40-49 years were ra...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1997.0194
更新日期:1997-09-01 00:00:00
abstract:OBJECTIVE:The relationships between trait anxiety, or anxiety proneness, and smoking and between trait anxiety and smoking cessation, among an adult population were investigated. METHODS:The subjects were 2,669 male Japanese personnel working for a Japanese government agency. Participants completed a self-administered...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1999.0569
更新日期:1999-12-01 00:00:00
abstract::One explanation for the increasing smoking-related health inequalities is the limited access of lower socioeconomic status (SES) smokers to smoking cessation support. In order to understand this limited access - and to eventually improve accessibility - we provide a structured overview of the barriers that lower SES s...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2019.03.029
更新日期:2019-06-01 00:00:00
abstract::While several cross-sectional studies have shown that self-efficacy, self-esteem and optimism are associated with the use of routine health check-ups, little is known about this relationship based on longitudinal studies. Consequently, the purpose of this study was to examine whether these factors are associated with ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2017.08.030
更新日期:2017-12-01 00:00:00
abstract:BACKGROUND:A significant percentage of the U.S. population has multiple poor health behaviors. Understanding the relationship among these behavioral risk factors is important for designing effective multiple risk factor interventions. While there is some evidence suggesting that participation in physical exercise may h...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1996.0107
更新日期:1996-11-01 00:00:00
abstract:OBJECTIVE:To assess whether prevalence of active commuting and regular car trips to school varies across communities and language regions in Switzerland and to determine personal and environmental correlates. METHODS:During the school year 2004/2005, 1345 parental questionnaires (response rate 65%) of children attendi...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2007.06.015
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:This paper presents reliability and validity analyses of physical activity-related psychosocial questionnaires completed by 8- to 10-year-old African-American girls at baseline and follow-up assessments of pilot intervention studies in the Girls health Enrichment Multi-site Study (GEMS). METHODS:Two hundred...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2003.12.030
更新日期:2004-05-01 00:00:00
abstract::Despite growing public awareness, health systems are struggling under the escalating burden of non-communicable diseases. While personal responsibility is crucial, alone it is insufficient. We argue that one must place themselves within the broader/global context to begin to truly understand the health implications of...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2014.05.006
更新日期:2014-07-01 00:00:00