Building the Field and Diffusing Information
This project will develop the pediatric workforce, clinical services, and policies essential to protecting the nation's children from secondhand tobacco smoke. It will build broad-based awareness, commitment, and skills within the pediatric community to support efforts to reduce children's exposure to secondhand smoke. This project provides a number of funding opportunities. Project investigators are at the AAP, the University of Rochester, and the New York University Richmond Center sites. For more information go to Funding Opportunites or contact Jonathan D. Klein, MD, MPH.

Document, Data, and Dataset Repository, and Analytic Project
This component will provide a core data source and analysis center which will be used to: (1) ask and answer important secondhand smoke-related questions; (2) document negative consequences to children of secondhand smoke exposure; (3) study changes in clinical and public policy efforts to protect children from secondhand smoke exposure; (4) study changes in the social climate regarding children's secondhand smoke exposure; and (5) provide annual information about the progress of our nationwide efforts to protect children from secondhand smoke exposure. Project investigators are at the AAP and at the New York University, Dartmouth College, University of Rochester, Harvard Medical School, and Mississippi State University Richmond Center sites.

• Social Climate Survey for Tobacco Control (SCS TC)
  The Social Climate Survey for Tobacco Control (SCS TC) is a national telephone
  survey that collects comprehensive data about adults' attitudes and practices
  regarding tobacco control and children's exposure to secondhand smoke The
  survey is weighted by race and gender and provides cross-sectional data on
  changes over a 6-year period, during which numerous state and national tobacco
  programs have been implemented. For more information click here or contact Robert McMillen, PhD.
  
  
• National Datasets Research in Children, Tobacco and Secondhand Smoke
  One goal of the AAP Julius B. Richmond Center of Excellence is to provide
  support for analyses of public datasets to study secondhand smoke and tobacco
  exposure in children. Broad areas of tobacco study have included: Counseling
  Patterns, Adult Attitudes and Practices, Smoking during Pregnancy and
  Subsequent Morbidity, Maternal Smoking (and Maternal Depression/ Child Asthma/
  Child Behavior), Passive (Secondhand) Smoking (and Effects on Self-Esteem /
  Prevention). For more information click here for available datasets.
  
  For more information about dataset research opportunities, please contact Heleen le Roux.

Dissemination of Best Practices to Reduce Secondhand Tobacco Smoke
The project will begin nationwide dissemination of best practices to reduce secondhand smoke exposure of children, using an intensive state-by-state approach. Pediatric clinicians will be trained in effective ways to counsel parents to change their behaviors so that children are not exposed to smoke. Partnerships will be developed with AAP Chapter educational initiatives and state and local health department tobacco prevention and control activities. The project will measure the spread and implementation of the project and assess short- and long-term outcomes. Project investigators are at the AAP, George Washington University, and University of Rochester Richmond Center sites. For more information click here or contact Dana Best, MD, MPH.

Legal and Regulatory Issues Around Children's Exposure to Secondhand Smoke
This project will synthesize and provide vital information for the development and implementation of new policies and laws to reduce children's exposure to secondhand smoke in multiple settings. It will involve child health care clinicians, childcare workers, lawyers, and key decision-makers at the local, state, federal, and institutional levels. Project investigators are at the AAP and at the Public Health Advocacy Institute/Tobacco Control Resource Center and Harvard Medical School Richmond Center sites. For more information click here or contact Mark Gottlieb, JD.

Rapid Quantitative Assessment of Secondhand Smoke Exposure for Clinical Pediatric Settings
This project will develop or modify a rapid, in-office test for secondhand smoke exposure of children with particular emphasis on children age 0-6 years. The test would be used to provide immediate feedback to parents regarding their child's secondhand smoke exposure. Once developed, this project will collaborate and partner with industry to make the test available commercially. Project investigators are at the AAP, George Washington University, and Children’s National Medical Center Richmond Center sites in collaboration with Neal Benowitz, MD, Director of the UCSF Bland Lane FAMRI Center of Excellence (formerly called the FAMRI Center of Excellence on Secondhand Smoke) at the University of California, San Francisco. For more information contact Dana Best, MD, MPH.

Messages for Motivation and Support for Behavior Change in Parent Smoking
This project will design a communication toolkit to teach pediatricians the most effective methods to influence parent smoking behaviors. By bringing together a multidisciplinary team that includes behavioral scientists, marketing experts, and creative art professionals that can view the problem from new perspectives, an effective set of communications tools will be designed. The focus will be on two phases of the communication process: motivating parents to address secondhand smoke exposure and supporting parents to reduce such exposure. Project investigators are at the AAP and at the Dartmouth College Richmond Center site. For more information contact Susanne Tanski, MD

Translational research projects
Several projects of the Richmond Center address the effectiveness of translating evidence into practice for tobacco prevention and control.

The Clinical Effort Against Secondhand Smoke Exposure (CEASE) national effectiveness PROS trial addresses parent secondhand smoke exposure using a theoretically-based intervention to improve adherence to evidence-based guidelines at the clinician level, facilitate change at the parent behavior level, and lead to implementation of systems changes at the practice level. Funded by NCI/NIDA and AHRQ.

The Smokebusters pilot adolescent cessation PROS trial addresses adolescent smoking cessation counseling by primary care pediatricians. Funded by NCI.

Development of a PediaLink educational module to provide on-line training to help pediatricians address the secondhand smoke exposure of children and parental smoking. Funded by FAMRI.

For more information on the above listed projects contact Jonathan Winickoff MD, MPH.

• FAMRI
• UCSF Bland Lane FAMRI Center of Excellence
• Weizmann Institute
• Johns Hopkins FAMRI Center of Excellence
• FAMRI-International Early Lung Cancer Action Program (IELCAP) Collaborative Network