Pediatrician delivery of a teen tobacco cessation intervention
Method: 142 pediatric practices in the American Academy of Pediatrics (AAP) Pediatric Research in Office Settings (PROS) practice based research network participated in a study of a teen-focused adaptation of the 5As. Teens completed a baseline survey during an office visit and a phone interview 4-6 weeks later. Chi-square analyses assessed teen-reported receipt of tobacco screening and counseling from 5As-trained pediatricians, compared to pediatricians trained in a media use intervention. Multivariable regressions examined predictors of teen receipt of tobacco screening/counseling.
Results: In data from 1175 teens (both smokers and non-smokers), 5As-trained (vs. comparison condition) pediatricians were more likely to Ask about smoking (72% v 52%) and Advise against smoking (71% v 55%). In data from 533 teen smokers, 5As-trained pediatricians were more likely to Assess quit-readiness (62% v 34%) and Assist with quitting (57% v 26%) (all ᵪ2 p<0.001). Multivariable logistic regressions showed that teens with a 5As-trained pediatrician were twice as likely to be screened for tobacco (OR=2.33, 95% CI=1.79-3.03) and teen smokers were more than three times as likely to be counseled about smoking (OR=3.11, 95% CI-2.04-4.76).
Conclusion: Our intervention improves delivery of tobacco cessation interventions by pediatricians. Pediatric training may help reinforce public health and other tobacco control interventions in promoting tobacco cessation in communities.
Learning Areas:Clinical medicine applied in public health
Provision of health care to the public
Public health or related research
Describe pediatrician delivery of a teen-focused adaptation of the Public Health Service (PHS) 5As tobacco cessation intervention during a national study of primary care visits. Discuss the importance of training pediatric health providers in tobacco cessation interventions as a method of reinforcing and promoting tobacco cessation efforts in communities.
Keyword(s): Tobacco Use, Adolescents
Qualified on the content I am responsible for because: I am a research manager at the American Academy of Pediatrics, managing multiple federally-funded health services research studies related to tobacco control. Among my interests are adolescent health research and tobacco control research.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.