Preventive medicine
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Preventive medicine · Jul 2005
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialThe pediatric residency training on tobacco project: baseline findings from the patient tobacco survey.
Few pediatricians address tobacco in the patients they treat, and pediatric residency training programs are not preparing them to meet the tobacco challenge. The Pediatric Residency Training on Tobacco Project is a 4-year randomized prospective study of the effectiveness of training pediatric residents to intervene on tobacco in patients and parents. In the present report, we present findings from the Baseline Patient Tobacco Survey. ⋯ The findings from the Baseline Patient Tobacco Survey describe the characteristics of the population under study, indicate that the two experimental groups were similar at the start of the program, and underscore the need to prepare pediatric residents to address tobacco.
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Preventive medicine · Jul 2005
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialThe pediatric resident training on tobacco project: baseline findings from the Parent/Guardian Tobacco Survey.
Pediatricians have an important and unique role to play in the anti-tobacco arena. They may prevent relapse to smoking in women who stopped smoking during pregnancy, encourage parents to protect infants and young children from environmental tobacco smoke (ETS), prevent the onset of smoking in children and adolescents, and help patients and parents who smoke or use other forms of tobacco to quit. Unfortunately, few pediatricians intervene on tobacco use or ETS, and few pediatric residency training programs prepare residents to address tobacco. The Pediatric Residency Training on Tobacco Project is a 4-year randomized prospective study of the effectiveness of training pediatric residents to intervene on tobacco in patients and parents. In this paper, we present findings from the Baseline Parent/Guardian Tobacco Survey. ⋯ Parents of children brought to Continuity Clinic may benefit from advice and assistance on quitting cigarette smoking and protecting their children from ETS. While pediatric residents offer advice and encouragement, few provide the assistance parents require. These findings underscore the importance of training pediatric residents to address tobacco with the parents/guardians of the patients they serve.
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Preventive medicine · Jul 2005
Randomized Controlled Trial Comparative Study Clinical TrialIncreasing smoking cessation care in a preoperative clinic: a randomized controlled trial.
Evidence suggests that preoperative clinics, like other hospital outpatient clinics and inpatient wards, fail to systematically provide smoking cessation care to patients having planned surgery. ⋯ A multifaceted clinical practice change intervention may be effective in improving the delivery of smoking cessation care to preoperative surgical patients.
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Preventive medicine · Jul 2005
Multicenter Study Comparative StudyCancer preventive screening: a cross-border comparison of United States and Canadian Chinese women.
To compare screening mammography and Pap testing among Chinese women in Seattle, Washington to Vancouver, and British Columbia. ⋯ Despite universal health care coverage and baseline characteristics typically associated with greater utilization of preventive screening services, Chinese women in Vancouver did not have higher rates of screening mammography and Pap testing compared to Chinese women in Seattle.
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Preventive medicine · Jul 2005
Comparative StudyFactors associated with colon cancer screening: the role of patient factors and physician counseling.
The prevalence of colon cancer screening is nationally low. The relative contribution of patient factors and physician counseling patterns to the low prevalence of screening is unclear. ⋯ The low prevalence of screening for colorectal cancer appears to be due to lack of awareness and inadequate provider counseling rather than poor patient acceptance for screening. Systematic counseling about colorectal cancer screening will likely improve screening rates and reduce disparities by race/ethnicity and education.