Clinical approach to the treatment of e-cigarette use among adolescents

Assisting young people aged 12–25 years to cease e-cigarette use in general practice

“…GPs need to keep the young person's developmental stage in mind and adjust the consultation accordingly. 25 Although some young people might wish to cease e-cigarette use due to health concerns, 12 including concerns about dependence and addiction, 19 the literature suggests that they might also want to cease to improve sports performance 12 or because they perceive that e-cigarettes are 'not cool' and not sanctioned by their peers 11,19 or parents. 11,26 Cost is often an important factor, 11,12,19 as is the perception that young people are being manipulated by a profit-making industry.…”

“…The Royal Australian College of General Practitioners suggests asking every person aged 10 years and above about smoking, 28 and international clinical guides suggest asking about e-cigarette use from age 11 years. 25,29,30…”

“…39 Working with young people requires GPs to respect autonomy and flag what worked and what did not to help young people build self-efficacy. 25,29 Some young people might not want to stop completely and are looking for ways to cut down. 17,18 Although this can work for some, others might find that their use rebounds when under stress, and they might need to stop completely.…”

“…Families are an important influence for young people and can take a role supporting e-cigarette cessation. 25 If others in the household smoke or use e-cigarettes, it might be helpful for them to also change their use. Agreeing to ban the use of cigarettes or e-cigarettes in the home by all family members and visitors and disposing of all devices might assist with cessation.…”

“…27 Mental health co-morbidity is common in young people, so it is important to take this into consideration. 25…”