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 inyouth.
  • More information on youth tobacco cessation can be found at


  • The American Academy of Pediatrics (AAP) has comprehensive information to help pediatric health clinicians address tobacco use in clinical settings.
  • Visit for more information on youth tobacco prevention and cessation.
  • Additional case studies were developed to show the variations in clinical settings, common products, screening techniques, motivational interviewing, patient response, and clinician considerations. Please return to the home page to see additional case studies.
  • Feedback and information request can be sent to Leticia Brown MPH -AAP Program Manager Tobacco Control and Prevention 
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American Academy of Pediatrics