Environmental Tobacco Smoke Exposure Reduction in High-Risk Preteens

One-on-one behavioral counseling with pre-teen child; 8 to 10 weekly or bi-weekly sessions; focus on identifying sources of exposure to ETS and means to avoid exposure; goal-setting, role-playing, monitoring progress, feedback includes reported info and urine cotinine level.

Urine collected from child at each weekly/bi-weekly counseling session; cotinine level discussed at subsequent session.

Child earns small prizes for on-task behavior in sessions, plus earns tokens redeemable for other prizes based on reduction in ETS exposure (reported and cotinine level).

Participants will receive the usual education about ETS.