Original Publication
Open Access

Adolescent Tobacco Dependency: Evidence-Based Strategies to Help Adolescents Quit

Published: May 2, 2013 | 10.15766/mep_2374-8265.9410

Included in this publication:

  • Adolescent Tobacco Module Folder
  • BOHC Toolkit.pdf
  • Instructor's Guide.docx

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file.

Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.


Introduction: This curriculum is an innovative concept-based resource that educates medical students on the epidemiology of adolescent tobacco use and multiple evidence-based tobacco cessation strategies that can be used in clinical settings. The curriculum complements existing materials on MedEdPORTAL that focus on head, neck, and oral cancer examinations. Methods: A novel video case scenario highlights the real-world consequences of adolescent tobacco use. The curriculum includes six self-guided modules based on the Centers for Disease Control and Prevention’s 2006 Practical Guide on Tobacco-Use Treatment: (1) epidemiology of tobacco behaviors, (2) the 5 A’s model, (3) counseling-based tobacco cessation strategies, (4) pharmacotherapeutic tobacco cessation strategies, (5) strategies to implement effective tobacco cessation programs within medical office settings, and (6) strategies on how physicians can partner with dentists to provide tobacco cessation services to adolescents. To reinforce the educational objectives and measure the effectiveness of the curriculum, a 12-item precurriculum and postcurriculum test is administered to students. Results from the pre- and posttests are used to modify the curriculum as needed for future iterations. Results: The video case scenario showcased in this curriculum has been used to teach first-year dental students about adolescent tobacco disparities for 3 years. Most recent pre- and posttest data indicate that the video case scenarios are more effective than similar paper case scenarios on multiple outcomes. Discussion: The objectives of the curriculum are fact based. However, the pre- and postcurriculum surveys evaluate the behavioral factors associated with students’ willingness and ability to provide tobacco cessation services to adolescents. We assume that changes in knowledge will ultimately drive health providers’ behaviors. In the future, we hope to address this limitation by developing comprehensive educational materials aimed at educating medical students about tobacco cessation strategies.

Educational Objectives

By the end of this curriculum, learners will be able to:

  1. Describe the epidemiology of adolescent tobacco use.
  2. Summarize the 5 A’s tobacco cessation model.
  3. Outline two counseling and seven pharmaceutical tobacco cessation strategies.
  4. Provide three ways to incorporate effective tobacco cessation programs in medical office settings.
  5. Illustrate three ways physicians can partner with dentists to ensure access to tobacco cessation services for adolescents.

Author Information

  • Donald Chi, DDS, PhD: University of Washington - Oral Health Sciences
  • Christine Riedy, PhD, MPH: University of Washington - Oral Health Sciences
  • Jaqueline Pickrell, PhD: University of Washington - Oral Health Sciences

None to report.

None to report.


Chi D, Riedy C, Pickrell J. Adolescent tobacco dependency: evidence-based strategies to help adolescents quit. MedEdPORTAL. 2013;9:9410. https://doi.org/10.15766/mep_2374-8265.9410

This publication is co-sponsored by the American Dental Education Association.