487 - Feasibility of a Quality Improvement Project for Adolescent E-cigarette Use
Friday, April 22, 2022
6:15 PM – 8:45 PM US MT
Poster Number: 487 Publication Number: 487.100
Kristen R. Kaseeska, American Academy of Pediatrics, Itasca, IL, United States; Page Pomo, Farmington Community Health Center---Presbyterian Medical Services, Farmington, NM, United States; Thaina Rousseau-Pierre, Mount Sinai School of Medicine, Elmhurst, NY, United States; S. Christy Sadreameli, Johns Hopkins University School of Medicine, Baltimore, MD, United States; Paula C. Martin, American Academy of Pediatrics, Itasca, IL, United States; Shannon Limjuco, American Academy of Pediatrics, Itasca, IL, United States; Rachel Boykan, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, United States
Program Manager, Tobacco and Adolescent Health Initiatives American Academy of Pediatrics Itasca, Illinois, United States
Background: The US Surgeon General has declared youth e-cigarette use an epidemic. Significant work is needed to prevent youth from initiating use and to support those already addicted to nicotine. Pediatric providers are a trusted resource for youth e-cigarette prevention and cessation.
Objective: Describe the feasibility of a telementoring quality improvement (QI) program leveraging Project ECHO (Extension for Community Healthcare Outcomes) for adolescent e-cigarette use in primary care practice.
Design/Methods: Primary care practices from two cohorts (Cohort 1: Jun–Dec 2020; Cohort 2: Jan–Jul 2021) participated in an ECHO aimed at improving e-cigarette screening and counseling to adolescents. Practices participated in monthly, bi-directional learning sessions and entered monthly chart data from ≥10 adolescent patients ages 13-21 for 6 months. Practice and provider surveys assessed self-reported procedures and comfort related to e-cigarette screening and counseling. Chart data was used to assess changes in e-cigarette screening and counseling practice.
Results: 58 multi-disciplinary providers (62% physicians, 35% other clinicians, 3% administrative staff) from 23 practices (39% community primary care, 26% hospital primary care, 35% multi-care) participated. 11 practices (48%) completed a pre/post survey; practices described overall increase in staff’s ability and comfort in youth e-cigarette screening, discussing harms associated with e-cigarette use, presenting cessation resources, and establishing a follow-up plan (pConclusion(s): Participants in a telementoring QI program increased primary care clinician comfort and practice ability to screen and counsel for adolescent e-cigarette use. Clinical interventions should include a multi-disciplinary approach to ensure consistent e-cigarette screening and counseling. The ECHO model provides methodology to inform pediatric health providers in addressing adolescent e-cigarette use. Practice Providers’ Pre/Post Survey