Project Information

Automatic tobacco screening and brief intervention for pediatric primary care

Project Description: Cigarette smoking remains the most preventable cause of death in the US and contributes significantly to the occurrence of chronic conditions. Adolescents are a particularly vulnerable and important group to target for tobacco prevention. Moreover, there has been rapid growth in electronic cigarette use and other non-cigarette tobacco products among adolescents, which may further increase their risk for transitioning to cigarette use and the development of other addictions. Primary care providers (PCPs) play a critical role in tobacco screening and counseling and there is an evidence base demonstrating that PCP brief interventions contribute to overall tobacco prevention. Yet there are significant gaps in screening and management of risk factors associated with tobacco use in primary care. Despite national recommendations, compliance with PCP best practices for tobacco prevention is low. The objective of this project is to promote tobacco prevention in adolescent primary care by automating tobacco screening and brief interventions within the patient portal. Novel features of the decision support interventions include: the use of the patient portal to screen for cigarette smoking, alternative tobacco products use and for susceptibly to tobacco use; and tailoring of health messages based on patient preferences. Our strategy involves deploying brief screening for tobacco use into pediatric primary care workflow in conjunction with (1) clinician and office staff training on best practices using clinical practice facilitators, and (2) clinician-engaged adaptations of the intervention to fit their practice workflow.

QPI: Ramzi, Salloum, (



UF Health Big Aims: Reduce Variation None

MeSH Keywords: Electronic Cigarettes, tobacco, smoking, cigarettes