Pediatricians and other health care providers can utilize these case studies to understand the use of the Ask-Counsel-Treat (A.C.T.) model in assisting youth cessation attempts from smoking, vaping and/or other tobacco products.

A.C.T. Summary

  • Pediatric health clinicians have a collective responsibility to identify youth who use tobacco and connect them with the resources they need to quit successfully.
  • The A.C.T. model is used to facilitate conversations with youth about tobacco cessation.
  • The A.C.T. model is designed to minimize time and burden on the pediatric health clinician and maximize the patient’s chances of a successful quit.
  • The A.C.T. model can be used universally with all pediatric patients ages 11+.
  • This resource does not serve as official policy of the AAP, or as a clinical guideline. Rather, this resource is designed to provide practical advice and considerations for addressing tobacco cessation in youth.
  • More information on youth tobacco cessation can be found at
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American Academy of Pediatrics