Smoking by parents of asthmatic children

BMJ 1999;319:644 ( 4 September )

Letters

Smoking by parents of asthmatic children

Sensitive counselling may still be worth while

Authors' reply

Sensitive counselling may still be worth while

The first 150 words of the full text of this article appear below.

EDITOR $---$ Reducing exposure of asthmatic children to parental smoking is important, but without more information the paper byIrvine et al provides no foundation for evidence based practice.¹The reader can safely conclude that something made no differencebut is given no useful description of what that something was.The paper supplies only two of the five elements that Windsoret al suggest as an adequate description of an intervention $---$ namely,counselling content, theoretical framework from which methodsare derived, duration of each patient contact, frequency of interventioncomponents, and training of intervention counsellors.² It issad that journals which take commendable steps to ensure thatthe outcomes are adequately reported still do not apply similarstandards to the reporting of the intervention.³

A further cause for concern is the context of the study. What was the nature of the families' consent? If they were givenadequate information it . . . [Full text of this article]

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Advising parents of asthmatic children on passive smoking: randomised controlled trial: Linda Irvine, Iain K Crombie, Roland A Clark, Peter W Slane, Colin Feyerabend, Kirsty E Goodman, and John I Cater
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