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Shared Decision-Making Model for Adolescent Smoking Cessation: Pilot Cohort Study.

Kuan-Lun Chen1, Yun-Chen Hsu2,3, Yi-Hsuan Li2,3

  • 1Department of Medicine, National Taiwan University, Taipei 10002, Taiwan.

International Journal of Environmental Research and Public Health
|October 23, 2021
PubMed
Summary

This study introduces a shared decision making (SDM) model for adolescent smoking cessation, showing a 25% abstinence rate and reduced smoking. The intervention effectively supports adolescent smokers in quitting tobacco use.

Keywords:
adolescent smoking cessationearly interventionshared decision-makingtobacco control

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Area of Science:

  • Public Health
  • Adolescent Medicine
  • Behavioral Science

Background:

  • Adolescent tobacco use is a significant public health concern requiring targeted interventions.
  • Existing research on adolescent smoking cessation has received less attention compared to adult cessation efforts.
  • Shared decision making (SDM) is a patient-centered approach that empowers individuals in their healthcare choices.

Purpose of the Study:

  • To evaluate the efficacy of a novel SDM-integrated cessation model for adolescent tobacco use control.
  • To assess the impact of early intervention using the SDM model on adolescent smoking behaviors.
  • To determine if the model facilitates optimal informed decision-making in adolescent cessation.

Main Methods:

  • Implementation of a novel SDM-integrated cessation model incorporating psychological support and motivational enhancement.
  • Utilizing the three-talk model of the SDM principle to involve adolescents in decision-making and planning.
  • Assessing outcomes through a 3-month follow-up, including cessation rates, cigarettes smoked per day, the SURE test, and participant satisfaction surveys.

Main Results:

  • Achieved a 25% point increase in the abstinence rate at 3-month follow-up.
  • Demonstrated a 60% reduction in the number of cigarettes smoked per day among participants.
  • Positive results from the SURE test and satisfaction surveys indicated successful SDM and informed decision-making.

Conclusions:

  • The SDM-integrated cessation model shows significant positive effects on adolescent smoking cessation.
  • The model effectively supports shared decision-making and optimal informed choices for adolescent smokers.
  • This approach holds potential for broader application in adolescent substance cessation programs to mitigate health risks.