Table 2.

“Reach” factors that affect the likelihood of participation and the parental subgroup that practitioners will screen and counsel for tobacco use.

Factor	Explanation	Sample Responses
Comfortable screening, not counseling	Belief that the parents need individualized counseling based on where they are on the stage of change continuum; don’t want to screen unless they will do something with the screening results	“I am uncomfortable because it is a somewhat embarrassing and sensitive topic and I don’t want people to feel bad, although I think it is inevitable.”
Subset that should be screened (in order of preference)	Respiratory illness (e.g., asthma, bronchiolitis) Otitis Media Upper respiratory illnesses Babies/toddlers	“Screening should not be routine on everyone; the ED1 is still for emergencies.”
		“Parents of the subset of “respiratory” patients should be targeted since secondhand smoke poses significant health effects to them”

¹ED = Emergency Department