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 aap.org/cessation.

Inpatient Case Study 1

This case explores a patient who is inpatient for asthma exacerbation.

Inpatient Case Study 2

This case explores an inpatient with generalized tonic clonic seizures. This case demonstrates how to prescribe Nicotine Replacement Therapy in the form of gum to a patient under 18 years of age.

School-Based Health Center Case Study 1

This case study explores a patient who is unsure of quitting.

School-based Health Center Case Study 2

This case explores a patient in for a general visit. This case demonstrates how to prescribe Nicotine Replacement Therapy in the form of nicotine path to a patient under 18.

Substance Use Treatment Center Case Study 1

This case study explores a patient in intensive outpatient program for alcohol use disorder and vaping.

Substance Use Treatment Center Case Study 2

This case explores a patient for substance use, cannabis & tobacco use. This case demonstrates how to prescribe Nicotine Replacement Therapy in the form of gum and patch to a patient under 18.

Federally Qualified Health Center Case Study 1

This case explores a patient visiting a federally qualified health center for a sports physical.

Federally Qualified Health Center Case Study 2

This case explores a patient who is visiting a federally qualified health center for an annual visit. This case demonstrates how to prescribe Varenicline to a patient.

Last Updated

05/07/2024

Source

American Academy of Pediatrics