Grant Details
Grant Number: |
5R01CA140576-03 Interpret this number |
Primary Investigator: |
Klein, Jonathan |
Organization: |
American Academy Of Pediatrics |
Project Title: |
Adolescent Smoking Cessation in Pediatric Primary Care |
Fiscal Year: |
2012 |
Abstract
Most smokers begin during early adolescence, and most adolescent smokers want to quit and
have tried unsuccessfully. The evidence for cessation counseling for adolescents is limited;
teenagers rarely think of quitting with assistance. This proposal examines the effectiveness of
adolescent smoking cessation interventions in pediatric primary care settings in the American
Academy of Pediatrics (AAP) Pediatric Research in Office Settings (PROS) practice-based
research network (PBRN) of 1768 clinicians in 725 primary care pediatric practices. We will
use self-study and distance learning clinician training modules for smoking cessation, practice
recruitment and randomization protocols and adolescent measures developed and tested in
pilot work supported by AHRQ (1R03 HS014418-01) and NCI (5R21CA122705-02). Building
on these preliminary studies, we propose a group randomized trial of guideline-based smoking
cessation counseling interventions with adolescents in pediatric primary care practice. Our
specific aims are to demonstrate providers' fidelity to guidelines for tobacco counseling and
delivery of cessation interventions, including systematic screening using charting tools and
linkages to adjunct materials, including web resources. We will also assess the impact of
primary care provider counseling interventions on adolescent smoking cessation. We
hypothesize that adolescents who receive guideline-based clinician delivered smoking
cessation counseling at primary care visits will be more likely to make quit attempts, and be
more likely to remain successfully abstinent at 6 months and 1 year after the intervention. We
will randomize providers from 126 PROS practice sites, 18,900 adolescents presenting for
care will complete short baseline surveys prior to their clinical visits, and 1890 smokers will be
surveyed by phone 2-4 weeks after their visits to assess quit attempts and short-term
cessation, and again at 6 and 12 months to evaluate intermediate and long-term adolescent
smoking cessation outcomes and self-reported quitters will provide saliva samples for cotinine
validation. We will describe patterns of smoking among youth, and explore whether receiving
interventions affects motivation, quitting, abstinence/relapse adjunct use, and other smoking
behaviors. Our long-term goal is to improve clinical preventive services for adolescent tobacco
cessation. Evidence from primary care community-based pediatricians has great potential for
rapid dissemination and translation of effective interventions into practice.
Publications
A Cluster Randomized Controlled Trial of a Primary Care Provider-Delivered Social Media Counseling Intervention.
Authors: Moreno M.A.
, Klein J.D.
, Kaseeska K.
, Gorzkowski J.
, Harris D.
, Davis J.
, Gotlieb E.
, Wasserman R.
.
Source: The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2023 Nov; 73(5), p. 924-930.
EPub date: 2023-08-12.
PMID: 37578406
Related Citations
Delivery and Impact of a Motivational Intervention for Smoking Cessation: A PROS Study.
Authors: Klein J.D.
, Gorzkowski J.
, Resnick E.A.
, Harris D.
, Kaseeska K.
, Pbert L.
, Prokorov A.
, Wang T.
, Davis J.
, Gotlieb E.
, et al.
.
Source: Pediatrics, 2020 Oct; 146(4), .
PMID: 32989082
Related Citations
Maintenance of Certification Part 4 Credit and recruitment for practice-based research.
Authors: Gorzkowski J.A.
, Klein J.D.
, Harris D.L.
, Kaseeska K.R.
, Whitmore Shaefer R.M.
, Bocian A.B.
, Davis J.B.
, Gotlieb E.M.
, Wasserman R.C.
.
Source: Pediatrics, 2014 Oct; 134(4), p. 747-53.
EPub date: 2014-09-01.
PMID: 25180282
Related Citations