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Health Education & Behavior
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Sustainability of the Prevention of Passive Infant Smoking Within Well-Baby Clinics

M. R. Crone, PhD

TNO Quality of Life, TNO Prevention and Health, P.O. Box 2215, 2301CE Leiden, the Netherlands; phone: +31-(0)71-5181899; fax: +31-(0)71-5181915; mr.crone{at}pg.tno.nl

M. Verlaan, MSc

TNO Quality of Life, Leiden, the Netherlands

M. C. Willemsen, PhD

P. van Soelen

STIVORO, the Hague, the Netherlands

S. A. Reijneveld, MD, PhD

University Medical Center Groningen University, Groningen, the Netherlands

R. A. Hira Sing, MD, PhD

Department of Social Medicine, Institute for Research in Extramural Medicine, VU University Medical Centre, Amsterdam

T. G. W. M. Paulussen, PhD

TNO Quality of Life, Leiden, the Netherlands

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. Aquestionnairewas sent to 67 managers, 670 nurses, and 335 physiciansworking 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 and42% of physiciansworked with the program. They foremost provided the first three steps of the five-step procedure. Physicians' completeness of usewas 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.

Key Words: dissemination • institutionalization • health education • passive smoking

Health Education & Behavior, Vol. 33, No. 2, 178-196 (2006)
DOI: 10.1177/1090198105276296
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