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Vape Counseling at Pediatric Practices: The Rethink Vape Toolkit.

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Summary

Pediatric providers received training and resources to address teen vaping, significantly increasing their confidence and the frequency of prevention education during youth visits. This initiative successfully boosted screening and guidance for adolescent vaping risks.

Keywords:
ENDSadolescent substance usequalitativetobacco use preventionvaping

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Area of Science:

  • Pediatric Health
  • Adolescent Medicine
  • Public Health Interventions

Background:

  • Adolescent vaping (e-cigarettes) is a significant public health concern, with high daily usage rates among middle and high school students.
  • Pediatric practices play a crucial role in addressing substance use, yet providers often face challenges in discussing vaping with young patients.

Purpose of the Study:

  • To enhance vape screening and prevention education within pediatric visits.
  • To improve healthcare providers' comfort and knowledge regarding adolescent vaping.
  • To evaluate the effectiveness of a targeted educational intervention for providers.

Main Methods:

  • Development of provider training modules, including talking points, billing codes, and tailored resources.
  • Pre/post surveys administered to 32 providers assessing knowledge, comfort, barriers, and practices related to teen vaping.
  • Key-informant interviews (N=20) to identify barriers and solutions for integrating risk counseling.
  • Continuous Quality Improvement (CQI) meetings and monitoring of vaping information provided in Department Summaries.

Main Results:

  • Significant reduction in provider-reported barriers (lack of knowledge, resources, comfort, patient resistance) post-intervention.
  • Time constraints remained the primary barrier to preventive counseling.
  • Physician self-reported frequency of providing vape prevention information increased from 9% to 50%.
  • Average monthly provision of vaping resources increased from 1 to 94 units.

Conclusions:

  • Tailored training and resources effectively increased physician knowledge and confidence in addressing teen vaping.
  • The intervention led to a notable rise in the frequency of screening and preventive guidance for adolescent vaping.
  • This educational approach supports pediatric practices in better managing adolescent vaping risks.