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Clinical Encounters: Vaping

Build Key Clinical Skills Related to Vaping

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Parent Guidance About Adolescent Vaping

Parent Guidance About Adolescent Vaping

Vaping interventions

0.5 hr(s) CME/CE

Goal: The learner will be able to guide parents on interacting with their adolescent children at different stages of use of electronic cigarette use, vaping, or similar, from prevention through quitting. They will also learn to guide parents in means to engage with adolescents about substance use that are often effective.

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Pre-Survey
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Introduction
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Case Simulation – Tina Fox
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Learn More! Counseling Parents About Vaping by Adolescents
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Parent Guidance Resources
Sample Lesson
Test Your Knowledge
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Post-Assessments
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NASW Credit Approved!  See Other Credit Options

This activity is designed to change: Competence, Performance, Patient Outcome.   0.5 hr(s)

Educational Objectives:

After completing this activity participants will be able to:

  • Discuss vaping with an adolescent at the experimenting stage
  • Provide guidance for a parent about vaping
  • Provide patient education resources appropriate for the stage of vaping presented and for parents

Audience and Accreditation

Audience: Primary care providers, counselors, and social workers

TypeEst. TimeReleasedExpires
AMA PRA Category 0.5 Credit(s)™0.5 hr2/15/202/14/22
DCBN0.5 hr2/15/202/14/22
NBCC0.5 hr2/15/202/14/22
NYSOASAS0.5 hr6/1/204/1/23
NASW0.5 hr*11/2/2011/30/20

Accreditation Statement: Clinical Tools, Inc. is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

AMA PRA Category 0.5 Credit™ Designation Statement: Clinical Tools, Inc. designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

DCBN Credit Statement: Clinical Tools, Inc. designates this enduring material for a maximum of 0.5 hour of DCBN credit. Clinical Tools, Inc. is an approved provider by the District of Columbia Board of Nursing and is registered with CE Broker, Provider #50-1942.

NBCC Credit Statement: Clinical Tools, Inc. designates this enduring material for a maximum of 0.5 clock hour(s) of NBCC credit. Clinical Tools, Inc. has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6161. Activities that do not qualify for NBCC credit are clearly identified. Clinical Tools is solely responsible for all aspects of the activity.

NASW Credit Statement: This program is Approved by the National Association of Social Workers (Approval # 886426346-7674) for 2.5 continuing education contact hours.

*Parent Guidance About Adolescent Vaping (0.5 hr) is part of a specific NASW activity called Vaping Interventions (Total 2.5 hours). All 3 activities within Vaping Interventions must be completed to be awarded NASW credit.

NYS OASAS Credit Statement:This activity is pending approval from the New York State Office of Addiction Services and Supports.

Florida Board Of Medicine: Clinical Tools, Inc. is recognized by the Florida Board Of Medicine
as an accredited provider of continuing medical education for physicians.

Florida Physician Assistants: Clinical Tools, Inc. is recognized by the Florida Physician Assistants
as an accredited provider of continuing medical education for physician assistants.

Florida Board Of Dentistry: Clinical Tools, Inc. is recognized by the Florida Board Of Dentistry
as an accredited provider of continuing medical education for dentists.

Florida Board Of Nursing – Certified Nursing Assistants: Clinical Tools, Inc. is recognized by the Florida Board Of Nursing – Certified Nursing Assistants as an accredited provider of continuing medical education for nurses.

Florida Board Of Nursing: Clinical Tools, Inc. is recognized by the Florida Board Of Nursing as an accredited provider of continuing medical education for nurses.

Florida Board Of Clinical Social Work, Marriage And Family Therapy And Mental Health Counseling: Clinical Tools, Inc. is recognized by the Florida Board Of Clinical Social Work, Marriage And Family Therapy And Mental Health Counseling as an accredited provider of continuing medical education for counselors.

Florida Board Of Respiratory Care: Clinical Tools, Inc. is recognized by the Florida Board Of Respiratory Care as an accredited provider of continuing medical education for respiratory therapists.

Arkansas State Board of Nursing Accreditation Statement: Clinical Tools, Inc. is recognized by the Arkansas State Board of Nursing as an accredited provider of continuing medical education for nurses.

Georgia Board of Nursing: Clinical Tools, Inc. is recognized by the Georgia Board of Nursing as an accredited provider of continuing medical education for nurses.

New Mexico Board of Nursing: Clinical Tools, Inc. is recognized by the New Mexico Board of Nursing as an accredited provider of continuing medical education for nurses.

South Carolina Board of Nursing: Clinical Tools, Inc. is recognized by the South Carolina Board of Nursing as an accredited provider of continuing medical education for nurses.

A letter of completion for 0.5 hours is available for non-physicians.

A score of 70% on the post-test is required to complete the activity.

Professional Practice Gaps

Training Activity References

Participation Requirements     

Funding

Development of this activity was supported by grant #R43DA050401 from the National Institutes of Health.

Authors

As an ACCME accredited provider of continuing medical education, Clinical Tools, Inc. requires everyone who is in a position to control the content of an educational activity to disclose all relevant financial relationships with any commercial interest to the provider. The ACCME defines ‘relevant’ financial relationships as financial relationships in any amount occurring within the past 12 months that create a conflict of interest. Any conflicts of interest are resolved prior to the delivery of the educational activity to the learner. CTI does not permit individuals with financial conflicts of interest to participate in any stage of activity development.

Clinical Tools, MD, MD (President, Clinical Tools, Inc.)
Disclosure: Has disclosed no relevant financial relationships.

Read Bio
Clinical Tools, Inc. (CTI) is a small, physician-run business dedicated to harnessing the potential of the Internet to create scalable, usable, and broadly available tools to improve the ability of physicians and other health care providers to care for patients. We achieve this goal by providing education and training to students and professionals and creating Web-based support tools for clinicians, researchers, and consumers. Information technology can and should serve as a stable framework that supports researchers and clinicians in their roles. We provide dissemination and management tools that empower clinicians and consumers to understand and control the vast amount of information related to making individual health choices. We serve our clients creatively, effectively, and with the highest quality of service.

Karen Rossie, DDS, PhD (Research Scientist, Clinical Tools, Inc. )
Disclosure: Has disclosed no relevant financial relationships.

Read Bio
Karen Rossie, DDS, PhD, directs projects at Clinical Tools. She majored in biology at Cleveland State University and studied dentistry at Case Western Reserve University followed by completing a Masters in pathology at Ohio State University, and later, a PhD in Psychology from the Institute of Transpersonal Psychology. She taught and practiced oral pathology and oral medicine for 15 years at the Ohio State University and the University of Pittsburgh, doing research in autoimmune disease, bone marrow transplantation, oral cancer, salivary gland disease, candidiasis, and diabetes. She has used this diverse background to lead or contribute to CTI projects related to tobacco cessation, opioid abuse treatment, anxiety, dementia care, alcohol use disorder, screening and brief interventions for substance abuse, obesity, and pain and addiction.

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CTI Content Review:  2/11/2020
CTI Editorial Review: 2/11/2020

Pre-Survey
Course not enrolled
Introduction
Course not enrolled
Case Simulation - Tina Fox
Course not enrolled
Learn More! Counseling Parents About Vaping by Adolescents
Course not enrolled
Parent Guidance Resources
Sample Lesson
Test Your Knowledge
Course not enrolled
Post-Assessments
Course not enrolled

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Your Activities
Pre-Survey
Introduction
Case Simulation - Tina Fox
Learn More! Counseling Parents About Vaping by Adolescents
Parent Guidance Resources
Test Your Knowledge
  • Parent Counseling Knowledge Post-Test
Post-Assessments
  • Demographics
  • Post-Survey
  • Request Certificate
Funding Information Development of this website was funded entirely by grant #R43DA050401 from the National Institute on Drug Abuse (NIDA) at the National Institutes of Health. The website contents are solely the responsibility of the authors and do not necessarily represent the official views of NIDA. Ongoing development and maintenance is funded by the training fee and Clinical Tools, Inc. No commercial support is received.
Clinical Tools is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

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Professional Practice Gaps

Providers have moderately low levels of knowledge about e-cigarettes and moderately low comfort discussing e-cigarettes with parents and adolescent patients1. Few providers ask patients about these products explicitly. Although the medical professional societies, APA and AAFP, recommend screening for substance use at well-child visits2, including screening for electronic nicotine delivery systems3,4, health care providers still use ineffective screening approaches5. A lack of training in how to respond to a positive screen for substance use, in general, is common6. Only half of PCPs who received identification of a positively screened youth provided an appropriate brief intervention or treatment option7.

Without these skills and practice behaviors, it is unlikely that they are providing meaningful, targeted guidance to their parents. There are treatment guidelines they could be trained to follow. Several medical professional organizations, including the APA and AAFP, have made recommendations that health care providers can follow for how to address the problem of vaping/e-cigarette use by adolescent and young adult patients3,4,8. These guidelines include recommendations to involve family support to the extent possible while recognizing and respecting the adolescent’s growing need for autonomy.
Practice Gap References

  1. Pepper Jessica K, McRee Annie-Laurie, Gilkey Melissa B. Healthcare providers’ beliefs and attitudes about electronic cigarettes and preventive counseling for adolescent patients. J Adolesc Health Off Publ Soc Adolesc Med. June 2014;54(6):678-683. doi:10.1016/j.jadohealth.2013.10.001.
  2. Levy Sharon JL, Kokotailo Patricia K. Substance Use Screening, Brief Intervention, and Referral to Treatment for Pediatricians. Pediatrics. November 1, 2011;128(5):e1330-e1340. doi:10.1542/peds.2011-1754.
  3. Walley S, Jenssen B. Electronic Nicotine Delivery Systems. Pediatrics. November 1, 2015;136(5):1018-1026. doi:10.1542/peds.2015-3222.
  4. Devitt Michael. Research Shows Perceptions of E-cigarettes Are Changing. AAFP News. April 15, 2019.
  5. Harris Sion Kim, Herr-Zaya Kathleen, Weinstein Zohar, et al. Results of a statewide survey of adolescent substance use screening rates and practices in primary care. Subst Abuse. 2012;33(4):321-326. doi:10.1080/08897077.2011.645950.
  6. Van Hook Shari, Harris Sion Kim, Brooks Traci, et al. The “Six T’s”: barriers to screening teens for substance abuse in primary care. J Adolesc Health Off Publ Soc Adolesc Med. May 2007;40(5):456-461. doi:10.1016/j.jadohealth.2006.12.007.
  7. Schlesinger Abigail B, Meyers Shannon R, Kursmark Meredith, et al. 6.52 Implementation of Substance Use Screening in Pediatric Primary Care. J Am Acad Child Adolesc Psychiatry. October 1, 2017;56(10):S294-S295. doi:10.1016/j.jaac.2017.09.397.
  8. Sterling Stacy, Kline-Simon Andrea H, Wibbelsman Charles, Wong Anna, Weisner Constance. Screening for adolescent alcohol and drug use in pediatric health-care settings: predictors and implications for practice and policy. Addict Sci Clin Pract. 2012;7(1):13. doi:10.1186/1940-0640-7-13.
Training Activity References
  1. Pepper Jessica K, McRee Annie-Laurie, Gilkey Melissa B. Healthcare providers’ beliefs and attitudes about electronic cigarettes and preventive counseling for adolescent patients. J Adolesc Health Off Publ Soc Adolesc Med. June 2014;54(6):678-683. doi:10.1016/j.jadohealth.2013.10.001.
  2. Levy Sharon JL, Kokotailo Patricia K. Substance Use Screening, Brief Intervention, and Referral to Treatment for Pediatricians. Pediatrics. November 1, 2011;128(5):e1330-e1340. doi:10.1542/peds.2011-1754.
  3. Walley S, Jenssen B. Electronic Nicotine Delivery Systems. Pediatrics. November 1, 2015;136(5):1018-1026. doi:10.1542/peds.2015-3222.
  4. Devitt Michael. Research Shows Perceptions of E-cigarettes Are Changing. AAFP News. April 15, 2019.
  5. Harris Sion Kim, Herr-Zaya Kathleen, Weinstein Zohar, et al. Results of a statewide survey of adolescent substance use screening rates and practices in primary care. Subst Abuse. 2012;33(4):321-326. doi:10.1080/08897077.2011.645950.
  6. Van Hook Shari, Harris Sion Kim, Brooks Traci, et al. The “Six T’s”: barriers to screening teens for substance abuse in primary care. J Adolesc Health Off Publ Soc Adolesc Med. May 2007;40(5):456-461. doi:10.1016/j.jadohealth.2006.12.007.
  7. Schlesinger Abigail B, Meyers Shannon R, Kursmark Meredith, et al. 6.52 Implementation of Substance Use Screening in Pediatric Primary Care. J Am Acad Child Adolesc Psychiatry. October 1, 2017;56(10):S294-S295. doi:10.1016/j.jaac.2017.09.397.
  8. Sterling Stacy, Kline-Simon Andrea H, Wibbelsman Charles, Wong Anna, Weisner Constance. Screening for adolescent alcohol and drug use in pediatric health-care settings: predictors and implications for practice and policy. Addict Sci Clin Pract. 2012;7(1):13. doi:10.1186/1940-0640-7-13.
  9. Kulak Jessica A, Griswold Kim S. Adolescent Substance Use and Misuse: Recognition and Management. Am Fam Physician. June 1, 2019.
  10. McCarthy Claire. Teens and confidentiality. Teens Confidentiality – Harv Health Blog. August 16, 2019.
  11. Weisman S. Public Health Concerns About Youth & Young Adult Use of JUUL | Public Health Law Center. April 30, 2018.
  12. CDC. Electronic Cigarettes. What’s the Bottom Line?. 2019.
  13. O’Donnell J. Vaping illness: Tips for parents to help their teen quit vaping THC. USA Today. October 1, 2019.
  14. O’Donnell Jayne. Is my kid vaping? If so, what? And how do I help them quit? Here are tips for worried parents. USA TODAY. October 1, 2019.
  15. Massachusetts Department of Public Health. Vaping Products. Make Smok Hist. 2020.
  16. Health Canada. Vaping: The Mechanics (infographic). aem. August 6, 2019.
  17. Feliz Josie. Partnership for Drug-Free Kids Launches Vaping Resource for Parents. Fam Find Answ Subst Use Partnersh Drug-Free Kids. November 28, 2018.
  18. National Institutes of Health (NIH). NIH-funded study finds teens prefer mint and mango vaping flavors. Natl Inst Health NIH. November 5, 2019.
  19. Healthline. 6 Vaping Products Disguised as Everyday Items. Healthline. 2020.
  20. Tobacco Free CA. Identify Which Products Teens Are Vaping. Tob Free CA. July 26, 2019.
  21. Burton Jennifer Maloney and Thomas M. FDA Bars Fruit, Mint Flavors in Vaping Cartridges but Makes Exemption for Vape Shops. Wall Street Journal. https://www.wsj.com/articles/fda-declares-ban-on-fruit-mint-flavors-in-cartridge-based-e-cigarettes-11577989114. Published January 2, 2020. Accessed January 21, 2020.
  22. Center for Tobacco Products. Selling Tobacco Products in Retail Stores. FDA Website. December 20, 2019;Tobacco Products.
  23. Trivers Katrina F, Phillips Elyse, Gentzke Andrea S, Tynan Michael A, Neff Linda J. Prevalence of Cannabis Use in Electronic Cigarettes Among US Youth. JAMA Pediatr. November 1, 2018;172(11):1097-1099. doi:10.1001/jamapediatrics.2018.1920.
  24. AAFP. Electronic nicotine delivery system (ENDS). May 2017.
  25. Murthy Vivek H. E-Cigarette Use Among Youth and Young Adults: A Major Public Health Concern. JAMA Pediatr. March 1, 2017;171(3):209-210. doi:10.1001/jamapediatrics.2016.4662.
  26. Kong Grace, Morean Meghan E, Cavallo Dana A, Camenga Deepa R, Krishnan-Sarin Suchitra. Sources of electronic cigarette acquisition among adolescents in Connecticut. Tob Regul Sci. January 2017;3(1):10-16. doi:10.18001/TRS.3.1.2.
  27. Morean Meghan E, L’Insalata Alexa. Electronic cigarette use among individuals with a self-reported eating disorder diagnosis. Int J Eat Disord. 2018;51(1):77-81. doi:10.1002/eat.22793.
  28. Grant Jon E, Lust Katherine, Fridberg Daniel J, King Andrea C, Chamberlain Samuel R. E-cigarette use (vaping) is associated with illicit drug use, mental health problems, and impulsivity in university students. Ann Clin Psychiatry Off J Am Acad Clin Psychiatr. February 2019;31(1):27-35.
  29. Duke Health. Young Adults with ADHD are At Higher Risk for Developing Nicotine Addiction. Duke Psychiatry Behav Sci. December 9, 2019.
  30. Seymour Kristin, MSN, RN, AHCNS. Free Webinar Replay: Vaping and Teens with ADHD: A Parents’ Guide to Prevention, Cessation, and Treatment. ADDitude. April 30, 2019.
  31. Surgeon General. Take Action to Protect Young People from E-cigarettes | Know the Risks: E-cigarettes & Young People | U.S. Surgeon General’s Report. Know Risks E-Cigar Young People US Surg Gen Rep. 2019.
Participation Requirements

Activity Credit: Obtaining credit for participation in this activity requires that you complete the pre-assessments, work through the modules (including all in-module interactive activities), complete the post-assessments with a 70% score on the post-test, and then request credit. At the end of the activity, you will be instructed on how to print out a certificate for your records.

Time Requirement: Keep track of the amount of time it takes you to complete this activity. You will be required to spend a set amount of time in order to claim credit. You should claim credit only for the time actually spent in the activity.

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