Strategies to promote smoking cessation among adolescents

Question 1

What factors make teens more likely to quit smoking?

Answer 1

1. Older teenager
2. Male sex
3. Teen pregnancy and parenthood
4. Scholastic success
5. Team sport participation
6. Peer and family support for cessation
7. CYP2A6 slow nicotine metabolizer

Question 2

What factors make teens less likely to quite smoking?

Answer 2

1. Nicotine addiction
2. Mental health conditions, incld. ADHD
3. Drug and/or alcohol use
4. Chronic illness
5. Family stress
6. Peer and family tobacco use
7. Overweight and weight preoccupation
8. Developmental drive to experiment
9. Fear of peer rejection
10. Perceived lack of privacy and autonomy

Question 3

What interventions have the strongest level of evidence for smoking cessation in teens?

Answer 3

1. Individual counselling
2. Motivational enhancement
3. CBT

Question 4

What are the 5A method of counselling?

Answer 4

1. Ask
2. Advise
3. Assess
4. Assist
5. Arrange

Question 5

What smoking cessation interventions are recommended in youth?

Answer 5

1. Brief counselling (in person, individual or group)
2. CBT
3. Phone or distance counselling

Question 6

What smoking interventions are recommended in combination with other interventions in youth?

Answer 6

1. Mobile phone interventions (test message reminders from a HCP)
2. Self-help, non-interactive AV materials

Question 7

What smoking interventions are recommended only for regular smokers 12-18yo?

Answer 7

Nicotine-replacement products (gums, patches, lozenges, sprays)

Question 8

What smoking interventions are recommended in some cases, use with caution in youth?

Answer 8

1. Buproprion

2. Varenicline

Question 9

What smoking interventions have insufficient evidence in youth?

Answer 9

1. Clonidine
2. Nortriptyline
3. Cytisine
4. Internet and social media-based interactive interventions
5. School-based cessation programs
6. Mind-body therapies and hypnosis

Question 10

What smoking interventions are not recommended in youth?

Answer 10

E-cigarettes