Adolescent Inpatient Tobacco and ENDS Intervention

Use of electronic nicotine delivery system (ENDS), which are noncombustible tobacco products (e.g., e-cigarettes), has increased dramatically among youth and is associated with numerous adverse health outcomes as well as use of alcohol and other illicit substances. National guidelines recommend counseling to address tobacco use at every adolescent clinical visit; however, many at-risk adolescents do not routinely attend primary care. Although evidence supports treatment of tobacco use during an adult hospitalization, no interventions have been developed or tested in the pediatric hospital setting. Based on promising theoretically-based evidence from the primary care and hospital settings, we will design, iteratively refine and assess implementation of a novel tobacco and ENDS use intervention for hospitalized adolescents and young adults (AYAs). We do so by conducting a randomized controlled pilot study (n=144) with 3-month follow up to evaluate preliminary efficacy as well as implementation outcomes (i.e., acceptability, feasibility, fidelity).

Inclusion criteria

• Admitted to the hospital
• Screens positive for past 30 day e-cigarette use
• Parent/guardian agrees to leave the room

Exclusion criteria

• Age is less than 14 years or over 21 years
• Not comfortable speaking/reading English
• Too ill to participate
• Severe psychiatric illness
• Too developmentally delayed/cognitively impaired