Please select the eligibility criteria that correspond to the clinical trial below.
Title: Addressing Parental Smoking by Changing Pediatric Office Systems
Brief Summary: RATIONALE: The Clinical Effort Against Secondhand Smoke (CEASE) program may be more effective than standard care in increasing the number of parents who stop smoking.

PURPOSE: This randomized clinical trial is studying how well the CEASE program works compared with standard care in helping parents stop smoking.


Options:
A: DISEASE CHARACTERISTICS:

* Parents or guardians meeting the following criteria:

  * Self-identified as smokers on the baseline survey
  * Must have a child who is seen by a pediatrician in a participating practice

    * Child must not have a medically emergent condition that requires transfer outside the practice for immediate medical intervention
  * Must be present at the child's healthcare visit
* Pediatric practice meeting the following criteria:

  * Participates in the Pediatric Research in Office Settings (PROS) network
  * Practice manager and a majority of pediatricians are willing to implement a tobacco control strategy for parental smokers
  * Cares for at least 2,000 families
  * Located in a geographically distinct location to minimize contamination effects of the intervention

    * No practices at the same geographic location

PATIENT CHARACTERISTICS:

* Have a telephone at home (parent or guardian)
* Able to speak English (parent or guardian)
* Have a working fax machine (practice)

PRIOR CONCURRENT THERAPY:

* No prior enrollment in this study during a previous visit to the pediatric healthcare clinician (parent or guardian)
* No prior participation in phase II focus groups or other pilot tobacco control studies (practice)
* No active enrollment of patients onto other PROS trials (practice)
B: Inclusion Criteria:

* Smoking parents with babies minor 1 year-old

Exclusion Criteria:

* Parents reporting diagnosis of major psychiatric illnesses
* Parents reporting active addictive substances consumption
* Parents in active smoking cessation treatment
C: * Age 3-12 years
* Kaiser member for \>= 1 year
* \>= 1 asthma care visit in prior year
* Persistent asthma likely based on prior year:

Physician diagnosis code of persistent asthma OR \>= 4 beta agonist (BA) dispensing events OR \>= 4 Anti-inflammatory (AI) dispensing events

* Secondhand smoke exposure by parent report.
* Parent agrees to participate in a clinical trial of a smoke exposure reduction interventio
D: Inclusion Criteria:

* Physician-diagnosed asthma
* Mild persistent to severe persistent asthma
* Ages 3-10 years
* Attending school in the Rochester City School District preschools or elementary schools
* Signed physician permission to enroll the child
* Parent or caregiver must consent to the intervention

Exclusion Criteria:

* Inability to speak and understand either English or Spanish
* No access to a working phone for follow-up surveys
* The family planning to leave the school district within fewer than 6 months
* The child having other significant medical conditions that could interfere with the assessment of asthma-related outcome measures
* children in foster care or other situations in which consent cannot be obtained from a guardian
* Current participation in other local asthma interventions

Answer: A