REFERENCE: Zakarian J.M., Hovell M.F., Matt G.E., Nordahl-Larson S., Concha-Garcia S., Shadoan C.L., Yourkavitch J.M. Behavioral counseling to reduce babies' ETS exposure: Effect on home smoking policies. Presented at the Society for Behavioral Medicine 20th Annual Scientific Sessions in San Diego, CA, March, 1999.

These analyses examine the effects on home smoking policies of a behavioral counseling program for reducing babies' exposure to environmental tobacco smoke (ETS). One hundred and eight smoking mothers were recruited from WIC sites. Mothers' mean age was 28.7 (SD = 6.7). Babies' mean age was 14.2 (SD = 6.9) months. Almost half (47.2%) of mothers were non-Hispanic White, with 27.8% Hispanic, 21.3% African-American and 3.7% reporting mixed-race or other.

Mothers were randomly assigned to a usual-treatment control group or a counseling group that received seven sessions over three months. Contingency contracting, shaping, and stimulus control were incorporated into individualized sessions which encouraged mothers to decrease their childrens' exposure to ETS.

Of 38 mothers who reported no baseline restrictions on tobacco use in the home and had follow-up data, 60.0% of those in the experimental group and 27.8% of controls reported having restrictions in their home at 12 months (X2 (1, N = 38) = 3.97, p < .05). Counseling was effective in increasing the proportion of homes with smoking restrictions among a low-income, ethnically diverse sample of mothers.


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