|
Youth: ≤ 12 to 17 years old
|
- Provide a confidential space for youth by asking parents/guardians to leave the room. Disclose positive screens only after getting permission from patients
|
|
- Ask and document tobacco and ENDS use status
|
|
- If no, provide education to prevent tobacco and ENDS use
|
|
- If yes, use clinical judgement to determine how best to assist:
|
| ○ Behavioral counseling: The USPSTF found insufficient evidence to support behavioral counseling for tobacco and ENDS in youth, but the harms of behavioral counseling are likely to be small [40]
|
| ○ Pharmacotherapy: The USPSTF found no evidence supporting the use of medications to improve tobacco or ENDS cessation among youth [40]
|
|
Adults: 18 years old or older
|
- Ask and document tobacco and ENDS use status
|
|
- If yes, advise them to stop, provide behavioral interventions and FDA approved pharmacotherapy [6]
|
|
Pregnant: 18 years old or older
|
- Ask and document tobacco and ENDS use status
|
|
- If yes, advise them to stop and provide behavioral interventions [6]
|
