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Training Practitioners in Adolescent Preventive Services Study (Pilot 1)
Adolescent Smoking Cessation in Pediatric Primary Care (Pilot 2)
(SMOKEBUSTERS)

Aims


Pilot 1:
The goal of this project was to conduct and evaluate an Internet-based training method for clinicians in the areas of adolescent smoking prevention and cessation, and the assessment of the Body Mass Index (BMI) of adolescents. Our long-term goal is to improve the quality of clinical preventive services targeting adolescents in these areas by developing more effective training methods for clinicians in anticipation of developing future randomized clinical trials designed to increase the effectiveness of primary care pediatric adolescent smoking cessation interventions and adolescent BMI assessment in preventive care. PROS conducted the work with principal investigator Jonathan Klein, MD, from the University of Rochester and the Center for Child Health Research Tobacco Consortium.

Pilot 2:
Adolescent Smoking Cessation in Pediatric Primary Care is a pilot study essential to developing a future clinical trial of the effectiveness of adolescent smoking cessation interventions in pediatric primary care settings.

We will test recruitment and enrollment of adolescents by PROS practices, and will also demonstrate feasibility of follow-up procedures for surveying adolescents about cessation. Our specific aims are to:

Pilot and establish the feasibility of practices' recruitment of adolescent patients and families for research study evaluation.

Further demonstrate fidelity to implementation and maintenance of guidelines based practice system changes and clinician cessation counseling interventions over time, including:
a) Systematic screening using charting tools;
b) Behavior change counseling using the Public Health Service 5 A's model, and,
c) Pediatric clinician referral of adolescent patient to internet and community-based adjuncts and resources.

Assess the impact of these pilot interventions on delivery of cessation interventions, and on intermediate outcomes, including self-reported quit attempts and cessation.

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