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

Purpose: This study aimed to determine whether the modi fied 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 speci fically 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 speci fic 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 identi fied 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 speci fic questions about vaping. (c) 2024 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.