Singh, Binu. Communication of e-cigarettes among providers and their adolescent patients: a mixed method study. Retrieved from https://doi.org/doi:10.7282/t3-28ca-0546
DescriptionBackground: E-cigarettes continue to be the most used tobacco product by adolescents. With health care providers playing an important role in providing health information and tobacco counselling, it is important to examine the communication of e-cigarettes between providers and their adolescent patients. Objectives: This dissertation aims to 1) Examine e-cigarette communication among a national sample of pediatricians, 2) Examine report of communication by adolescents and 3) Provide qualitative data for a deeper context of e-cigarette communications.
Methods: This dissertation employed a mixed-methods study design. National survey data of pediatricians as well as New Jersey Youth Tobacco survey data were analyzed as wells as semi-structured interviews of adolescent health care providers to explore e-cigarette communication.
Results: A majority of providers report screening adolescents for e-cigarettes. Common topics of discussion include the potential health harms of e-cigarettes, their addiction potential, and not starting to use e-cigarettes. Self-efficacy was a significant factor in whether topics were discussed. Providers reported an increase of conversations post EVALI outbreak. Less than half of adolescents reported being asked or advised.
Conclusions: While a high number of providers reported screening and advising against e-cigarette use, less than half of adolescents reported being asked or advised. Conversations of e-cigarettes are common during adolescent healthcare visits and have increased with the emergence of health concerns such as EVALI. However, rates of cessation counseling remain low. Guidelines focused on e-cigarette cessation may assist providers in effective counseling and reduce rates of e-cigarette use among adolescents.