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Clinical Encounters: Vaping

Build Key Clinical Skills Related to Vaping

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Time to Quit Vaping: Teens and Young Adults

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Time to Quit Vaping: Teens and Young Adults

Vaping interventions

1 hr CME/CE

Goal: The learner will be able to screen for and assess adolescent and young adult patients for use of electronic cigarettes, vaping, and similar electronic nicotine delivery systems and provide basic motivational and behavioral interventions to help motivate patients in this group to quit, help patients develop a plan to quit once they are motivated, and provide education for the patients and their parents.

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NASW Credit Approved!  See Other Credit Options

This activity is designed to change: Competence, Performance, Patient Outcome.   1 hr

Educational Objectives:

After completing this activity participants will be able to:

  • Screen and evaluate patients for nicotine use via e-cigarettes or vaping
  • Provide brief counseling interventions using motivational interviewing for patients who are not ready to quit vaping nicotine
  • Help patients who are ready to quit vaping nicotine develop a plan to quit and provide them with patient education.

Audience and Accreditation

Audience: Primary care providers, counselors, and social workers

TypeEst. TimeReleasedExpires
AMA PRA Category 1 Credit(s)™1 hr10/15/1910/14/22
DCBN1 hr10/15/2110/14/23
NASW1 hr*12/1/2111/30/22
NYS OASAS1 hr6/1/204/1/23
NBCC1 hr2/15/202/14/22

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 1 Credit™ Designation Statement: Clinical Tools, Inc. designates this enduring material for a maximum of 1 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 1 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 1 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.

*Time to Quit Vaping (1hr) 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.

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 1 hour 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.

Karen Rossie, DDS, PhD (Research Scientist, Clinical Tools, Inc. )
Disclosure: Has no relevant financial relationship(s) with ineligible companies to disclose.

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.

Reviewers

Christy Kollath-Cattano, PhD (Assistant Professor, College of Charleston )
Disclosure: Has no relevant financial relationship(s) with ineligible companies to disclose.

Carla Berg, PhD (Assistant Professor, Emory University)
Disclosure: Has no relevant financial relationship(s) with ineligible companies to disclose.

Lisa Graves, MD,MclSc (Associate Dean Faculty Affairs Western Michigan University Homer, Stryker M.D. School of Medicine)
Disclosure: Has no relevant financial relationship(s) with ineligible companies to disclose.

Dana Anne Cavallo, PhD (Assistant Professor, Yale University School of Medicine)
Disclosure: Has no relevant financial relationship(s) with ineligible companies to disclose.

Michael J. Zvolensky, PhD (Hugh Roy and Lillie Cranz Cullen Distinguished Professor at University of Vermont)
Disclosure: Has no relevant financial relationship(s) with ineligible companies to disclose.

Steve Applegate, MEd, MEd (President, Applegate Consulting)
Disclosure: Has no relevant financial relationship(s) with ineligible companies to disclose.

Most Recent Reviews

CTI Content Review:  10/11/2019
CTI Editorial Review: 10/16/2019

View Reviews


Reviews for this activity

I really enjoyed this virtual training.

I really enjoyed this virtual training. I am being trained in other areas of SBIRT and I felt that this training expanded my knowledge of SBIRT in connection with vaping/e-cigarette use, while also reviewing common SBIRT techniques.

— Brittney, NC, 09/01/2020

Time to Quit Vaping: Teens and Young Adults
5
2021-02-17T14:59:46-05:00

— Brittney, NC, 09/01/2020

I really enjoyed this virtual training. I am being trained in other areas of SBIRT and I felt that this training expanded my knowledge of SBIRT in connection with vaping/e-cigarette use, while also reviewing common SBIRT techniques.
https://vaping.clinicalencounters.com/blog/testimonials/i-really-enjoyed-this-virtual-training/

It’s a great training

It's a great training and explains very clear how to help people with vaping issues and addictions.

— Medical Student from FL, 07/14/2020

Time to Quit Vaping: Teens and Young Adults
5
2021-02-17T14:59:21-05:00

— Medical Student from FL, 07/14/2020

It's a great training and explains very clear how to help people with vaping issues and addictions.
https://vaping.clinicalencounters.com/blog/testimonials/its-a-great-training/

Informational and user friendly

The case study was very informational and user friendly. I am walking away with new knowledge in regards to young adults and vaping.

— Nursing student from North Dakota, 04/17/2020

Time to Quit Vaping: Teens and Young Adults
5
2021-02-17T14:59:00-05:00

— Nursing student from North Dakota, 04/17/2020

The case study was very informational and user friendly. I am walking away with new knowledge in regards to young adults and vaping.
https://vaping.clinicalencounters.com/blog/testimonials/informational-and-user-friendly/

Informative

Very informative/helpful in my practice!

— Family Medicine provider from Texas, 03/17/2020

Time to Quit Vaping: Teens and Young Adults
5
2021-02-17T14:58:28-05:00

— Family Medicine provider from Texas, 03/17/2020

Very informative/helpful in my practice!
https://vaping.clinicalencounters.com/blog/testimonials/informative/
5
4
Time to Quit Vaping: Teens and Young Adults

Primary Sidebar

Activity Home
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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Unless otherwise noted, individuals pictured are models and are used for illustrative purposes only.
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Professional Practice Gaps

Healthcare providers (Pepper et al., 2014; Al-Abed et al., 2014) have a limited understanding of the risks of e-cigarettes and vaping and minimal training, practice, or experience negotiating the fine art of engaging youth in discussions that productively detect and discuss substance use or can lead to intervention. Few providers ask patients about these products explicitly (Bascombe et al., 2016). Although the medical professional societies, APA and AAFP, recommend screening for substance use at well-child visits (Levy and Kokotailo, 2011) including screening for electronic nicotine delivery systems (Walley & Jenssen, 2015; Devitt, 2019),  health care providers still use ineffective screening approaches (Harris et al., 2012).

Only half of PCPs who received identification of a positively screened youth provided an appropriate brief intervention or treatment option (Schlesinger et al., 2017). However, 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 patients (Sterling, 2015; Walley &Jenssen, 2015; Devitt, 2019).

Provider Lack of Training: In a survey of 4th-year medical students, more than 2/3 (68.7%) regarded their training on vaping as inadequate (Trucco et al., 2021) Providers have moderately low levels of knowledge about e-cigarettes and moderately low comfort discussing e-cigarettes with adolescent patients (Pepper et al., 2014). Teaching screening behavior is not sufficient. A lack of training in how to respond to a positive screen for substance use in general is common (Van Hook et al., 2007).

Practice Gap References

  • Al-Abed A, Chung T, Lin E, Ismail I. Knowledge, Perceptions, and Awareness of Electronic Cigarettes Among Healthcare Providers and In-Patients. 19th Denman Undergrad Res Forum 2014. March 2014. https://kb.osu.edu/handle/1811/59621. Accessed March 6, 2019.
  • Bascombe TMS, Scott KN, Ballard D, Smith SA, Thompson W, Berg CJ. Primary Healthcare Provider Knowledge, Beliefs and Clinic-Based Practices Regarding Alternative Tobacco Products and Marijuana: A Qualitative Study Health Educ Res. 2016;31(3):375-383. doi:10.1093/her/cyv103.
  • Devitt, M. (2019, April 15). Research Shows Perceptions of E-cigarettes Are Changing. AAFP News. https://www.aafp.org/news/health-of-the-public/20180415e-cigsurveys.html
  • Harris SK, Herr-Zaya K, Weinstein Z, 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.
  • Levy SJL, Kokotailo PK. Substance Use Screening, Brief Intervention, and Referral to Treatment for Pediatricians Pediatrics. 2011;128(5):e1330-e1340. doi:10.1542/peds.2011-1754.
  • Pepper JK, McRee A-L, Gilkey MB. Healthcare Providers’ Beliefs and Attitudes about Electronic Cigarettes and Preventive Counseling for Adolescent Patients J Adolesc Health Off Publ Soc Adolesc Med. 2014;54(6):678-683. doi:10.1016/j.jadohealth.2013.10.001.
  • 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.
  • Ruppel T, Alexander B, Mayrovitz HN. Assessing Vaping Views, Usage, and Vaping-Related Education Among Medical Students: A Pilot Study. Cureus. February 28, 2021;13(2):e13614. doi:10.7759/cureus.13614. PMCID: PMC8011463. PMID: 33816013.
  • Sterling S, Kline-Simon AH, Wibbelsman C, Wong A, Weisner C. 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.
  • Van Hook S, Harris SK, Brooks T, et al. The “Six T’s”: Barriers to Screening Teens for Substance Abuse in Primary Care J Adolesc Health Off Publ Soc Adolesc Med. 2007;40(5):456-461. doi:10.1016/j.jadohealth.2006.12.007.
  • Walley, S., & Jenssen, B. (2015). Electronic Nicotine Delivery Systems. Pediatrics, 136(5), 1018–1026. https://doi.org/10.1542/peds.2015-3222
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Training Activity References
  • CDC. Outbreak of Lung Injury Associated with E-Cigarette Use, or Vaping. Cent Dis Control Prev. October 2019. https://www.cdc.gov/tobacco/basic_information/e-cigarettes/severe-lung-disease.html. Accessed October 4, 2019.
  • CDC. Quick Facts on the Risks of E-cigarettes for Young People. Cent Dis Control Prev. August 2019. https://www.cdc.gov/tobacco/basic_information/e-cigarettes/Quick-Facts-on-the-Risks-of-E-cigarettes-for-Kids-Teens-and-Young-Adults.html. Accessed October 4, 2019.
  • Zvolensky MJ, Mayorga NA, Garey L. Main and Interactive Effects of e-Cigarette Use Health Literacy and Anxiety Sensitivity in Terms of e-Cigarette Perceptions and Dependence. Cogn Ther Res. 2019;43(1):121-130. https://link.springer.com/article/10.1007%2Fs10608-018-9953-2. Accessed March 29, 2019 doi:10.1007/s10608-018-9953-2.
  • Pepper JK, Ribisl KM, Brewer NT. Adolescents’ interest in trying flavoured e-cigarettes. Tob Control. 2016;25(Suppl 2):ii62-ii66. https://tobaccocontrol.bmj.com/content/25/Suppl_2/ii62. Accessed March 6, 2019 doi:10.1136/tobaccocontrol-2016-053174.
  • McKelvey K, Baiocchi M, Halpern-Felsher B. Adolescents’ and Young Adults’ Use and Perceptions of Pod-Based Electronic Cigarettes. JAMA Netw Open. 2018;1(6):e183535-e183535. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2707425. Accessed March 6, 2019 doi:10.1001/jamanetworkopen.2018.3535.
  • U.S. Department of Health and Human Services. E-cigarette Use Among Youth and Young Adults. A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2016:1-295. https://e-cigarettes.surgeongeneral.gov/documents/2016_SGR_Full_Report_508.pdf. Accessed January 23, 2019.
  • Nicksic NE, Barnes AJ. Is susceptibility to E-cigarettes among youth associated with tobacco and other substance use behaviors one year later? Results from the PATH study. Prev Med. 2019;121:109-114. https://www.ncbi.nlm.nih.gov/pubmed/30776386. Accessed March 4, 2019 doi:10.1016/j.ypmed.2019.02.006.
  • Murthy VH. E-Cigarette Use Among Youth and Young Adults: A Major Public Health Concern. JAMA Pediatr. 2017;171(3):209-210. https://jamanetwork.com/journals/jamapediatrics/fullarticle/2592300. Accessed January 23, 2019 doi:10.1001/jamapediatrics.2016.4662.
  • Berg S. Vaping is an epidemic and the FDA must act, physicians say. Am Med Assoc. November 2018. https://www.ama-assn.org/delivering-care/public-health/vaping-epidemic-and-fda-must-act-physicians-say. Accessed January 23, 2019.
  • Turner SD, Nader M, Graves L. Cannabis Use Disorders in Primary Care: Screening and Treatment Suggestions. Med Res Arch. 2017;5(7). https://journals.ke-i.org/index.php/mra/article/view/1309. Accessed November 28, 2018.
  • Schier JG. Severe Pulmonary Disease Associated with Electronic-Cigarette–Product Use — Interim Guidance. MMWR Morb Mortal Wkly Rep. 2019;68. https://www.cdc.gov/mmwr/volumes/68/wr/mm6836e2.htm. Accessed September 20, 2019 doi:10.15585/mmwr.mm6836e2.
  • Jatlaoui T. Outbreak of Lung Injury Associated with E-cigarette Product Use of Vaping: Information for Clinicians. Webinar at Clinician Outreach and Communication Activity (COCA). September 19, 2019. Centers for Disease Control and Prevention. https://emergency.cdc.gov/coca/ppt/2019/COCA_Call_Outbreak_of_lung_injury_ecigarettes_09.19.19_Final.pdf. Accessed September 19, 2019.
  • Roditis ML, Dineva A, Smith A, et al. Reactions to Electronic Nicotine Delivery System (ENDS) Prevention Messages: Results from Qualitative Research Used to Inform FDA’s First Youth ENDS Prevention CampaignTob Control. September 2019. doi:10.1136/tobaccocontrol-2019-055104.
  • CDC. Youth Tobacco Use Surged From 2017-2018. Cent Dis Control Prev. February 2019. https://www.cdc.gov/vitalsigns/youth-tobacco-use/index.html. Accessed February 14, 2019.
  • Johnston L, Miech R, O’Malley P. Monitoring the Future national survey results on drug use 1975-2018: Overview, key findings on adolescent drug use. Sponsored by NIDA; 2019. http://www.monitoringthefuture.org/pubs/monographs/mtf-overview2018.pdf. Accessed March 8, 2019.
  • Siu A, U.S. Preventive Services Task Force. Behavioral counseling and pharmacotherapy interventions for tobacco cessation in adults, including pregnant women: A review of reviews for the U.S. Preventive Services Task Force. Ann Intern Med. 2015;163(8):622-634. http://www.ncbi.nlm.nih.gov/pubmed/26389730. Accessed February 9, 2016.
  • Miller W, Rollnick S. Motivational Interviewing: Helping People Change. Vol 3rd ed. New York: Guilford Press; 2013. http://www.guilford.com/books/Motivational-Interviewing/Miller-Rollnick/9781609182274. Accessed July 8, 2014.
  • Resnicow K, McMaster F. Motivational Interviewing: moving from why to how with autonomy support. Int J Behav Nutr Phys Act. 2012;9:19. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3330017/. Accessed March 19, 2015.
  • Smedslund G, Berg RC, Hammerstrøm KT, et al. Motivational interviewing for substance abuse. In: The Cochrane Library. Vol John Wiley & Sons, Ltd; 2011. http://cochranelibrary-wiley.com/doi/10.1002/14651858.CD008063.pub2/full. Accessed July 24, 2018.
  • Jensen C, Cushing C, Aylward B, et al. Effectiveness of motivational interviewing interventions for adolescent substance use behavior change: A meta-analytic review. J Consult Clin Psychol. 2011;79(4):443-40. https://www.ncbi.nlm.nih.gov/pubmed/21728400. Accessed October 24, 2013.
  • American Academy of Pediatrics. Substance use screening, brief intervention, and referral to treatment for pediatricians. Pediatrics. 2011;128(5):e1330-e1340. http://pediatrics.aappublications.org/content/128/5/e1330.full.pdf. Accessed June 24, 2015.
  • Kandola A. Nicotine withdrawal symptoms and how to cope. MedicalNewsToday. January 2019. https://www.medicalnewstoday.com/articles/323012.php. Accessed October 8, 2019.
  • American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (5th Ed.) Arlington, VA; 2013.
  • Walley S, Jenssen B. Electronic Nicotine Delivery Systems. Pediatrics. 2015;136(5):1018-1026. https://pediatrics.aappublications.org/content/136/5/1018. Accessed October 3, 2019 doi:10.1542/peds.2015-3222.
  • CNN MN. Teen vaping and tobacco quitline launches in 9 states. CNN. https://www.cnn.com/2019/07/03/health/teen-vaping-quitline-trnd/index.html. Accessed October 9, 2019.
  • Truth Initiative. This is Quitting. Truth Initiat. 2019. https://truthinitiative.org/thisisquitting. Accessed October 9, 2019.
  • Moyer VA. Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse: US Preventive Services Task Force Recommendation StatementAnn Intern Med. 2013;159(3):210–218.
  • CDC. Planning and Implementing Screening and Brief Intervention for Risky Alcohol Use: A Step-by-Sep Guide for Primary Care Practices. 2014. https://www.cdc.gov/ncbddd/fasd/documents/AlcoholSBIImplementationGuide.pdf. Accessed August 17, 2017.
  • Gonzales D, Rennard SI, Nides M, et al. Varenicline, an Alpha4beta2 Nicotinic Acetylcholine Receptor Partial Agonist, vs Sustained-Release Bupropion and Placebo for Smoking Cessation: A Randomized Controlled TrialJAMA. 2006;296(1):47-55. doi:10.1001/jama.296.1.47.
  • U.S. Food & Drug Administration. FDA in Brief: FDA updates label for Chantix with data underscoring it’s not effective in children 16 and younger. FDA US Food Drug Adm. February 2019. https://www.fda.gov/news-events/fda-brief/fda-brief-fda-updates-label-chantix-data-underscoring-its-not-effective-children-16-and-younger. Accessed October 3, 2019.
  • O’Donnell J. Vaping illness: Tips for parents to help their teen quit vaping THC. USA Today. October 2019. https://www.usatoday.com/story/news/health/2019/10/01/tips-parents-stop-teens-vaping-illness-thc/2429184001/. Accessed October 3, 2019.
  • O’Donnell J. Is my kid vaping? If so, what? And how do I help them quit? Here are tips for worried parents. USA TODAY. October 2019. https://www.usatoday.com/story/news/health/2019/10/01/tips-parents-stop-teens-vaping-illness-thc/2429184001/. Accessed October 7, 2019.
  • AAFP. Electronic nicotine delivery system (ENDS). May 2017. https://www.aafp.org/dam/AAFP/documents/patient_care/tobacco/ends-fact-sheet.pdf. Accessed October 7, 2019.
  • Seymour K, MSN, RN, AHCNS. Free Webinar Replay: Vaping and Teens with ADHD: A Parents’ Guide to Prevention, Cessation, and Treatment. ADDitude. April 2019. https://www.additudemag.com/webinar/vaping-teens-with-adhd/. Accessed October 3, 2019.
  • 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. https://e-cigarettes.surgeongeneral.gov/takeaction.html. Accessed October 3, 2019.
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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.

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