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

Author

Listed:
  • 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
    Department of Nursing, National Taiwan University Hospital, Taipei 10002, Taiwan)

  • Yi-Hsuan Li

    (Department of Family Medicine, National Taiwan University Hospital, Taipei 10002, Taiwan
    Department of Nursing, 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)

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.

Suggested Citation

  • Kuan-Lun Chen & Yun-Chen Hsu & Yi-Hsuan Li & Fei-Ran Guo & Jaw-Shiun Tsai & Shao-Yi Cheng & Hsien-Liang Huang, 2021. "Shared Decision-Making Model for Adolescent Smoking Cessation: Pilot Cohort Study," IJERPH, MDPI, vol. 18(20), pages 1-13, October.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:20:p:10970-:d:659581
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    References listed on IDEAS

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    1. Phantara Chulasai & Dujrudee Chinwong & Surarong Chinwong & John J. Hall & Purida Vientong, 2021. "Feasibility of a Smoking Cessation Smartphone App (Quit with US) for Young Adult Smokers: A Single Arm, Pre-Post Study," IJERPH, MDPI, vol. 18(17), pages 1-15, September.
    2. Natalie Joseph-Williams & Robert Newcombe & Mary Politi & Marie-Anne Durand & Stephanie Sivell & Dawn Stacey & Annette O’Connor & Robert J. Volk & Adrian Edwards & Carol Bennett & Michael Pignone & , 2014. "Toward Minimum Standards for Certifying Patient Decision Aids," Medical Decision Making, , vol. 34(6), pages 699-710, August.
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    4. Aveyard, Paul & Massey, Louise & Parsons, Amanda & Manaseki, Semira & Griffin, Carl, 2009. "The effect of Transtheoretical Model based interventions on smoking cessation," Social Science & Medicine, Elsevier, vol. 68(3), pages 397-403, February.
    5. Rehab Auf & Mary Jo Trepka & Mazen Selim & Ziyad Ben Taleb & Mario De La Rosa & Elena Bastida & Miguel Ángel Cano, 2019. "E-cigarette use is associated with other tobacco use among US adolescents," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(1), pages 125-134, January.
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    1. Shan-Fu Yu & Hui-Ting Wang & Meng-Wei Chang & Tien-Tsai Cheng & Jia-Feng Chen & Chia-Li Lin & Hsing-Tse Yu, 2022. "Determining the Development Strategy and Suited Adoption Paths for the Core Competence of Shared Decision-Making Tasks through the SAA-NRM Approach," IJERPH, MDPI, vol. 19(20), pages 1-23, October.

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