Identifying Adolescent Vaping With Screening to Brief Intervention and Brief Screener for Tobacco, Alcohol, and Drugs Screening Tools

Jennifer A Ross; Machiko Minegishi; Melissa Brogna; Geetha Subramaniam; Sharon Levy; Elissa Weitzman

doi:10.1016/j.jadohealth.2024.02.038

Identifying Adolescent Vaping With Screening to Brief Intervention and Brief Screener for Tobacco, Alcohol, and Drugs Screening Tools

J Adolesc Health. 2024 May 9:S1054-139X(24)00156-3. doi: 10.1016/j.jadohealth.2024.02.038. Online ahead of print.

Authors

Jennifer A Ross¹, Machiko Minegishi², Melissa Brogna³, Geetha Subramaniam⁴, Sharon Levy⁵, Elissa Weitzman⁶

Affiliations

¹ Adolescent Substance Use and Addiction Program, Boston Children's Hospital, Boston, Massachusetts; Division of Addiction Medicine, Boston Children's Hospital, Boston, Massachusetts; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts. Electronic address: Jennifer.ross@childrens.harvard.edu.
² Division of Addiction Medicine, Boston Children's Hospital, Boston, Massachusetts.
³ Adolescent Substance Use and Addiction Program, Boston Children's Hospital, Boston, Massachusetts; Division of Addiction Medicine, Boston Children's Hospital, Boston, Massachusetts.
⁴ Center for Clinical Trials Network, National Institute on Drug Abuse, Bethesda, Maryland.
⁵ Adolescent Substance Use and Addiction Program, Boston Children's Hospital, Boston, Massachusetts; Division of Addiction Medicine, Boston Children's Hospital, Boston, Massachusetts; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.
⁶ Department of Pediatrics, Harvard Medical School, Boston, Massachusetts; Division of Adolescent and Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts; Computational Health Informatics Program, Boston Children's Hospital, Boston, Massachusetts.

PMID: 38727658
DOI: 10.1016/j.jadohealth.2024.02.038

Abstract

Purpose: This study aimed to determine whether the modified Screening to Brief Intervention (S2BI) and Brief Screener for Tobacco, Alcohol, and Drugs (BSTAD) that included e-cigarettes/vaping as examples could identify all nicotine and cannabis use or whether additional questions specifically about vaping are needed.

Methods: Between July 2020 and February 2022, adolescents recruited from primary care or an outpatient adolescent substance use disorder program were randomized to complete S2BI or BSTAD followed by specific questions about vaping. Screen questions were updated to include "vaping" in the parenthetical examples of nicotine and cannabis use.

Results: Data from 502 adolescent participants who completed both the S2BI or BSTAD and vaping questions were analyzed. The S2BI and BSTAD identified 92% (23/25) and 100% (16/16) of nicotine vaping and 100% (16/16) and 95.5% (21/22) of cannabis vaping, respectively.

Discussion: The S2BI and BSTAD tools accurately identify nicotine and cannabis use without specific questions about vaping.

Keywords: Adolescents; Cannabis; Nicotine; Substance use; Vaping.