Shared Decision-Making Model for Adolescent Smoking Cessation: Pilot Cohort Study

The control of tobacco use in adolescents is a critical public health issue that has long been studied, yet has received less attention than adult smoking cessation. Shared decision making (SDM) is a method that highlights a patient’s preference-based medical decision. This study aimed to investigat...

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Bibliographic Details
Published in:International journal of environmental research and public health 2021-10, Vol.18 (20), p.10970
Main Authors: Chen, Kuan-Lun, Hsu, Yun-Chen, Li, Yi-Hsuan, Guo, Fei-Ran, Tsai, Jaw-Shiun, Cheng, Shao-Yi, Huang, Hsien-Liang
Format: Article
Language:English
Subjects:
Adolescents
Behavior
Brochures
Cigarette smoking
Cigarettes
Clinical decision making
Cohort analysis
Counseling
Decision making
Drug addiction
Electronic cigarettes
Health hazards
Health promotion
Patients
Peer relationships
Peers
Public health
Secondary school students
Secondary schools
Smoking
Smoking cessation
Systematic review
Teachers
Teenagers
Tobacco
Trends
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Summary:The control of tobacco use in adolescents is a critical public health issue that has long been studied, yet has received less attention than adult smoking cessation. Shared decision making (SDM) is a method that highlights a patient’s preference-based medical decision. This study aimed to investigate the effects of a novel SDM-integrated cessation model and early intervention on the control of tobacco use in adolescents. The SDM-integrated model provides psychological support and motivational enhancement by involving the participants in making decisions and plans through the three-talk model of the SDM principle. The primary outcome shows positive effects by both increasing the cessation rate (a 25% point abstinence rate at 3 month follow up) and decreasing the number of cigarettes smoked per day (60% of the participants at 3 month follow up) among 20 senior high school participants (mean age, 17.5 years; 95% male). The results also show that the model can achieve the goal of SDM and optimal informed decision making, based on the positive SURE test and the satisfaction survey regarding the cessation model. The SDM cessation model can be further applied to different fields of adolescent substance cessation, yielding beneficial effects regarding reducing potential health hazards. The dissemination of the model may help more adolescent smokers to cease smoking worldwide.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph182010970