Table 2 Screening and quality improvement criteria for tobacco and ENDS cessation
Patient characteristics | Standards of care |
|---|---|
Youth: ≤ 12 to 17 years old | - Provide a confidential space for youth by asking parents/guardians to leave the room. Disclose positive screens only after getting permission from patients |
- Ask and document tobacco and ENDS use status | |
- If no, provide education to prevent tobacco and ENDS use | |
- If yes, use clinical judgement to determine how best to assist: | |
○ Behavioral counseling: The USPSTF found insufficient evidence to support behavioral counseling for tobacco and ENDS in youth, but the harms of behavioral counseling are likely to be small [40] | |
○ Pharmacotherapy: The USPSTF found no evidence supporting the use of medications to improve tobacco or ENDS cessation among youth [40] | |
Adults: 18 years old or older | - Ask and document tobacco and ENDS use status |
- If yes, advise them to stop, provide behavioral interventions and FDA approved pharmacotherapy [6] | |
Pregnant: 18 years old or older | - Ask and document tobacco and ENDS use status |
- If yes, advise them to stop and provide behavioral interventions [6] |