Strategies to promote smoking cessation among adolescents Flashcards
What factors make teens more likely to quit smoking?
- Older teenager
- Male sex
- Teen pregnancy and parenthood
- Scholastic success
- Team sport participation
- Peer and family support for cessation
- CYP2A6 slow nicotine metabolizer
What factors make teens less likely to quite smoking?
- Nicotine addiction
- Mental health conditions, incld. ADHD
- Drug and/or alcohol use
- Chronic illness
- Family stress
- Peer and family tobacco use
- Overweight and weight preoccupation
- Developmental drive to experiment
- Fear of peer rejection
- Perceived lack of privacy and autonomy
What interventions have the strongest level of evidence for smoking cessation in teens?
- Individual counselling
- Motivational enhancement
- CBT
What are the 5A method of counselling?
- Ask
- Advise
- Assess
- Assist
- Arrange
What smoking cessation interventions are recommended in youth?
- Brief counselling (in person, individual or group)
- CBT
- Phone or distance counselling
What smoking interventions are recommended in combination with other interventions in youth?
- Mobile phone interventions (test message reminders from a HCP)
- Self-help, non-interactive AV materials
What smoking interventions are recommended only for regular smokers 12-18yo?
Nicotine-replacement products (gums, patches, lozenges, sprays)
What smoking interventions are recommended in some cases, use with caution in youth?
- Buproprion
2. Varenicline
What smoking interventions have insufficient evidence in youth?
- Clonidine
- Nortriptyline
- Cytisine
- Internet and social media-based interactive interventions
- School-based cessation programs
- Mind-body therapies and hypnosis
What smoking interventions are not recommended in youth?
E-cigarettes
