Associate Clinical Professor, Department of Pediatrics
Dr. Marbin's research interests focus on the impact of tobacco on low income, urban children and reducing the burden of secondhand smoke on children. Specifically, designs and implements trainings for pediatricians to help them address smoking in low income urban populations. She is also studying the impact of electronic health record changes on clinical uptake of tobacco cessation interventions, as well as the use of online trainings to train physicians on smoking cessation.
Secondhand Smoke Exposure Reduction in hospitalized children: This project is being done in conjunction with UCSF Benioff Children's Hospitals in Oakland and San Francisco. We are seeking to create a multidisciplinary, systematic approach to screening for and reducing secondhand smoke exposure in hospitalized children. We are helping to develop universal screening for SHSE in all admitted children, and then working with physicians, respiratory therapists, pharmacy and nurses to provide appropriate counseling and medication to caregivers.
Designing a Quit Smoking Tool in Safety Net Clinics: Developing and evaluating the efficacy of enhanced EHR screening and tobacco cessation intervention tools for safety net clinics in Alameda County. In partnership with the Lifelong Medical Care clinics in Alameda county, which serve Alameda County's neediest residents, we are developing, implementing, and evaluating changes to the NextGen electronic health record around tobacco cessation.
Online Training for Pediatricians to Help Parents Quit Smoking: This project developed on online training module for pediatricians based on the CEASE model around reducing SHSE. The online module is a more cost effective way to train clinics interested in the CEASE intervention. We are currently evaluating the differences in efficacy and cost between in-person and online trainings for pediatricians.
"CEASE California": The project disseminates and evaluates the CEASE California program (Clinical Effort Against Secondhand Smoke Exposure). CEASE is a clinic intervention for pediatric offices to screen for secondhand smoke exposure (SHSE) in patients, and help parents quit by offering NRT and a referral to the CA Smokers Helpline. This training intervention is focused on busy clinics serving low income populations.