What Strategies Do Healthcare Providers Use to Promote Adolescents' Vaping Cessation? A Scoping Review

doi:10.3390/ijerph22060839

. 2025 May 27;22(6):839.

doi: 10.3390/ijerph22060839.

What Strategies Do Healthcare Providers Use to Promote Adolescents' Vaping Cessation? A Scoping Review

Naima Nimmi¹, Bindu Joseph¹, Habib Bhurawala^{2

3

4}, Smita Shah^{5

6

7}, Anita Munoz⁸, Muhammad Aziz Rahman^{1

9}

Affiliations

¹ Institute of Health and Wellbeing, Federation University Australia, Berwick, VIC 3806, Australia.
² Paediatric Department, Nepean Hospital, Nepean Blue Mountains Local Health District, Penrith, NSW 2750, Australia.
³ Paediatrics, Nepean Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW 2050, Australia.
⁴ Paediatrics, School of Medicine, The University of Notre Dame Australia, Sydney, NSW 2007, Australia.
⁵ The Woolcock Institute of Medical Research, Macquarie University, Sydney, NSW 2113, Australia.
⁶ Prevention Education and Research Unit, Western Sydney Local Health District, North Parramatta, NSW 2151, Australia.
⁷ School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW 2050, Australia.
⁸ Healthcare on Collins, Melbourne, VIC 3000, Australia.
⁹ Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia.

PMID: 40566267
PMCID: PMC12193372
DOI: 10.3390/ijerph22060839

What Strategies Do Healthcare Providers Use to Promote Adolescents' Vaping Cessation? A Scoping Review

Naima Nimmi et al. Int J Environ Res Public Health. 2025.

. 2025 May 27;22(6):839.

doi: 10.3390/ijerph22060839.

Authors

Naima Nimmi¹, Bindu Joseph¹, Habib Bhurawala^{2

3

4}, Smita Shah^{5

6

7}, Anita Munoz⁸, Muhammad Aziz Rahman^{1

9}

Affiliations

¹ Institute of Health and Wellbeing, Federation University Australia, Berwick, VIC 3806, Australia.
² Paediatric Department, Nepean Hospital, Nepean Blue Mountains Local Health District, Penrith, NSW 2750, Australia.
³ Paediatrics, Nepean Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW 2050, Australia.
⁴ Paediatrics, School of Medicine, The University of Notre Dame Australia, Sydney, NSW 2007, Australia.
⁵ The Woolcock Institute of Medical Research, Macquarie University, Sydney, NSW 2113, Australia.
⁶ Prevention Education and Research Unit, Western Sydney Local Health District, North Parramatta, NSW 2151, Australia.
⁷ School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW 2050, Australia.
⁸ Healthcare on Collins, Melbourne, VIC 3000, Australia.
⁹ Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia.

PMID: 40566267
PMCID: PMC12193372
DOI: 10.3390/ijerph22060839

Abstract

Background: Healthcare providers (HCPs) can play a pivotal role in providing vaping cessation support to adolescents. They can screen adolescents for vaping, offer interventions to quit, and educate adolescents about the dangers of vaping, including nicotine addiction. This review aims to assess the knowledge, attitudes, and practices of HCPs regarding vaping cessation promotion to adolescents.

Methods: We conducted a scoping review following the Arksey and O'Malley framework and searched five databases, including MEDLINE, PubMed, PsycINFO, CINAHL, and Scopus, to identify relevant articles. We created a comprehensive search strategy using keywords relevant to healthcare providers, adolescents, practices, and vaping.

Results: A total of 1387 articles were identified from the initial search, and 14 were included. There was considerable variation regarding the knowledge, attitudes, and practices of HCPs in supporting adolescents. Although 50-92% of HCPs reported some knowledge about vaping, significant gaps persisted, especially regarding health effects and cessation strategies. Many HCPs lacked confidence in discussing vaping with adolescent patients. While most of the HCPs, 86%, screened for cigarette smoking, only 14% routinely screened adolescents for vaping. They expressed concerns about vaping as a gateway to tobacco use and believed that it was less harmful than cigarettes. HCPs encountered barriers with a lack of time, knowledge, and screening tools in supporting adolescents to quit vaping, particularly related to counselling, treatment recommendations, and referral procedures.

Conclusions: There is an urgent need for enhanced understanding, evidence-based guidelines, and clinical tools for HCPs to address the current vaping epidemic among adolescents.

Keywords: adolescents; e-cigarettes; healthcare providers; practices.

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Conflict of interest statement

None of the authors have any conflicts of interest to declare.

Figures

**Figure 1**
PRISMA flow chart of the study selection process.

See this image and copyright information in PMC

References

1. Lyzwinski L.N., Naslund J.A., Miller C.J., Eisenberg M.J. Global youth vaping and respiratory health: Epidemiology, interventions, and policies. Npj Prim. Care Respir. Med. 2022;32:14. doi: 10.1038/s41533-022-00277-9. - DOI - PMC - PubMed
1. Hwang J., Lee C., Mastrolonardo E., Frasso R. Where there’s smoke, there’s fire: What current and future providers do and do not know about electronic cigarettes. BMC Public Health. 2020;20:1145. doi: 10.1186/s12889-020-09265-5. - DOI - PMC - PubMed
1. Baenziger O.N., Ford L., Yazidjoglou A., Joshy G., Banks E. E-cigarette use and combustible tobacco cigarette smoking uptake among non-smokers, including relapse in former smokers: Umbrella review, systematic review and meta-analysis. BMJ Open. 2021;11:e045603. doi: 10.1136/bmjopen-2020-045603. - DOI - PMC - PubMed
1. Oliver A.P., Bell L.A., Agley J., Bixler K., Hulvershorn L.A., Adams Z.W. Examining the Efficacy of Project ECHO to Improve Clinicians’ Knowledge and Preparedness to Treat Adolescent Vaping. Clin. Pediatr. 2022;61:869–878. doi: 10.1177/00099228221107816. - DOI - PMC - PubMed
1. Yoong S.L., Hall A., Leonard A., McCrabb S., Wiggers J., d’Espaignet E.T., Stockings E., Gouda H., Fayokun R., Commar A. Prevalence of electronic nicotine delivery systems and electronic non-nicotine delivery systems in children and adolescents: A systematic review and meta-analysis. Lancet Public Health. 2021;6:e661–e673. doi: 10.1016/S2468-2667(21)00106-7. - DOI - PMC - PubMed

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[1] Lyzwinski L.N., Naslund J.A., Miller C.J., Eisenberg M.J. Global youth vaping and respiratory health: Epidemiology, interventions, and policies. Npj Prim. Care Respir. Med. 2022;32:14. doi: 10.1038/s41533-022-00277-9. - DOI - PMC - PubMed

[2] Lyzwinski L.N., Naslund J.A., Miller C.J., Eisenberg M.J. Global youth vaping and respiratory health: Epidemiology, interventions, and policies. Npj Prim. Care Respir. Med. 2022;32:14. doi: 10.1038/s41533-022-00277-9. - DOI - PMC - PubMed

[3] Hwang J., Lee C., Mastrolonardo E., Frasso R. Where there’s smoke, there’s fire: What current and future providers do and do not know about electronic cigarettes. BMC Public Health. 2020;20:1145. doi: 10.1186/s12889-020-09265-5. - DOI - PMC - PubMed

[4] Hwang J., Lee C., Mastrolonardo E., Frasso R. Where there’s smoke, there’s fire: What current and future providers do and do not know about electronic cigarettes. BMC Public Health. 2020;20:1145. doi: 10.1186/s12889-020-09265-5. - DOI - PMC - PubMed

[5] Baenziger O.N., Ford L., Yazidjoglou A., Joshy G., Banks E. E-cigarette use and combustible tobacco cigarette smoking uptake among non-smokers, including relapse in former smokers: Umbrella review, systematic review and meta-analysis. BMJ Open. 2021;11:e045603. doi: 10.1136/bmjopen-2020-045603. - DOI - PMC - PubMed

[6] Baenziger O.N., Ford L., Yazidjoglou A., Joshy G., Banks E. E-cigarette use and combustible tobacco cigarette smoking uptake among non-smokers, including relapse in former smokers: Umbrella review, systematic review and meta-analysis. BMJ Open. 2021;11:e045603. doi: 10.1136/bmjopen-2020-045603. - DOI - PMC - PubMed

[7] Oliver A.P., Bell L.A., Agley J., Bixler K., Hulvershorn L.A., Adams Z.W. Examining the Efficacy of Project ECHO to Improve Clinicians’ Knowledge and Preparedness to Treat Adolescent Vaping. Clin. Pediatr. 2022;61:869–878. doi: 10.1177/00099228221107816. - DOI - PMC - PubMed

[8] Oliver A.P., Bell L.A., Agley J., Bixler K., Hulvershorn L.A., Adams Z.W. Examining the Efficacy of Project ECHO to Improve Clinicians’ Knowledge and Preparedness to Treat Adolescent Vaping. Clin. Pediatr. 2022;61:869–878. doi: 10.1177/00099228221107816. - DOI - PMC - PubMed

[9] Yoong S.L., Hall A., Leonard A., McCrabb S., Wiggers J., d’Espaignet E.T., Stockings E., Gouda H., Fayokun R., Commar A. Prevalence of electronic nicotine delivery systems and electronic non-nicotine delivery systems in children and adolescents: A systematic review and meta-analysis. Lancet Public Health. 2021;6:e661–e673. doi: 10.1016/S2468-2667(21)00106-7. - DOI - PMC - PubMed

[10] Yoong S.L., Hall A., Leonard A., McCrabb S., Wiggers J., d’Espaignet E.T., Stockings E., Gouda H., Fayokun R., Commar A. Prevalence of electronic nicotine delivery systems and electronic non-nicotine delivery systems in children and adolescents: A systematic review and meta-analysis. Lancet Public Health. 2021;6:e661–e673. doi: 10.1016/S2468-2667(21)00106-7. - DOI - PMC - PubMed

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What Strategies Do Healthcare Providers Use to Promote Adolescents' Vaping Cessation? A Scoping Review

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What Strategies Do Healthcare Providers Use to Promote Adolescents' Vaping Cessation? A Scoping Review

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Affiliations

Abstract

Conflict of interest statement

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