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APHA Scientific Session and Event Listing

James H. Price, PhD, MPH¹, Jaime E. Sidani, MPH¹, and Joy A. Price, MD, PhD². (1) Department of Public Health, University of Toledo, 2801 W. Bancroft, Mailstop 119, Toledo, OH 43606, 419-530-4180, jprice@utnet.utoledo.edu, (2) Zepf Community Mental Health Center, 6605 W. Central Ave., Toledo, OH 43617

Objective: This national study examined the practices of smoking cessation activities among child and adolescent psychiatrists. Methods: A random sample of child and adolescent psychiatrists was identified from the membership list of a national professional organization and were mailed a valid and reliable 34-item questionnaire. Results: A total of 184 responses (47%) were received. A plurality (48%) of psychiatrists reported being self taught in smoking cessation techniques. A majority (67%) of psychiatrists were in the maintenance stage for asking about smoking status. Only 30% consistently gave messages urging the smoker to quit, and 19% consistently made attempts to assess willingness to quit. The number of barriers for addressing smoking was correlated with the levels of confidence (r=-0.35, p=0.01) and preparedness (r=-0.39, p=0.01) in addressing smoking cessation. Those with the most barriers were less likely to be in the action or maintenance stages (t=4.14, p=0.01). Estimations by the psychiatrists of youths who smoked were 61% of those with conduct disorders, 46% of those with schizophrenia, and 40% of those with ADHD. Conclusion: Considering the high rate of smoking and the self-reported lack of training in smoking cessation, more postgraduate education is needed to prepare these professionals for adequately addressing tobacco cessation. At the conclusion of the session, the participant (learner) will be able to: 1) discuss the use of the 5As by child and adolescent psychiatrists, 2) explain child and adolescent psychiatrists' confidence and preparedness in smoking cessation, and 3) describe the percentage of patients that smoke cigarettes.

Learning Objectives: At the conclusion of the session, the participant (learner) will be able to

• discuss the use of the 5As by child and adolescent psychiatrists,
• explain child and adolescent psychiatrists’ confidence and preparedness in smoking cessation, and
• describe the percentage of patients that smoke cigarettes.

Presenting author's disclosure statement:

Not Answered