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

Kuan-Lun Chen, Yun-Chen Hsu, Yi-Hsuan Li, Fei-Ran Guo, Jaw-Shiun Tsai, Shao-Yi Cheng and Hsien-Liang Huang
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Kuan-Lun Chen: Department of Medicine, National Taiwan University, Taipei 10002, Taiwan
Yun-Chen Hsu: Department of Family Medicine, National Taiwan University Hospital, Taipei 10002, Taiwan
Yi-Hsuan Li: Department of Family Medicine, National Taiwan University Hospital, Taipei 10002, Taiwan
Fei-Ran Guo: Department of Family Medicine, National Taiwan University Hospital, Taipei 10002, Taiwan
Jaw-Shiun Tsai: Department of Family Medicine, National Taiwan University Hospital, Taipei 10002, Taiwan
Shao-Yi Cheng: Department of Family Medicine, National Taiwan University Hospital, Taipei 10002, Taiwan
Hsien-Liang Huang: Department of Family Medicine, National Taiwan University Hospital, Taipei 10002, Taiwan

IJERPH, 2021, vol. 18, issue 20, 1-13

Abstract: 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.

Keywords: adolescent smoking cessation; shared decision-making; tobacco control; early intervention (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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