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58 A digital screening and brief intervention tool to help parents and adolescents quit smoking and vaping: Feasibility results from a pilot randomized-controlled trial

Émile Diamant, N. Chadi, Tamara Perez, Cristal Namuhoranye, Olivier Drouin

Paediatrics & Child Health, 2025

280 participants

Abstract

Tobacco use is the single greatest preventable cause of mortality in Canada and 15% of Canadian children are exposed to household secondhand smoke. Clinical Effort Against Secondhand Smoke (CEASE) is an effective, cost-efficient intervention for parents accompanying children to medical appointments that offers systematic screening and facilitated access to evidence-based tobacco cessation resources.

This study is a single-blind pilot randomized controlled trial, comparing an adapted version of CEASE (CanCEASE) to usual care in 5 general and specialized paediatric clinics in Montreal.

Parents of children 0-17 years old and adolescents 14-17 years old were included if they reported using cigarettes or e-cigarettes in the past 7 days. Data regarding smoking and vaping consumption were collected at baseline and at 1-, 3- and 6-month follow-up through a web-based survey. Our primary outcome was the number of participants recruited per recruitment day. Secondary outcomes included proportion of individuals screened eligible for participation, interest in smoking/vaping cessation and participant retention.

Among the 280 adolescents and 568 parents screened, 53 adolescents and 74 parents were recruited (recruitment rate: 0.56/day for adolescents and 0.78/day for parents). Most participants were white (87% of adolescents and 85% of parents) and identified as female (55% of adolescents and 73% of parents); 44.6% of parents had not completed post-secondary education. Observed…

How strong is the evidence?

Evidence Hub reads this as a randomized trial, done in people. Its evidence level is 2 of 5 (High · randomized trial). Randomized trials of a reasonable size are the strongest single-study design. Reported size: 280 participants or records.

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