**We are currently recruiting providers for training portion ONLY. No adolescent recruitment yet.**

This is a pilot study addressing office systems and clinician behavior change surrounding smoking cessation interventions for teens. Our long-term goal is to improve the quality of clinical preventive services in practice-based research network settings. Our specific aims are to:

1. a) pilot procedures for recruitment and randomization of PROS practices and b)field trial/pilot PROS practitioner cessation counseling and practices’ enrollment of adolescent patients; and,
2. assess the feasibility of pediatric clinician referral of adolescent patients to Internet-based adjuncts for smoking cessation.

We will evaluate a pilot round of recruitment and randomization, and smoking cessation training and delivery in 10 PROS practice sites; and assess acceptability of study procedures and on-line Internet counseling adjunct referral feasibility within PROS practice sites. Up to 1000 adolescents presenting for well visits will complete a short baseline survey prior to their well-visit. A sample of them will be surveyed by phone at 2-3 weeks, as a pilot assessment of the intervention, and at 3 months, to provide preliminary estimates of cessation outcomes for future studies. We will field test measures, describe the patterns of smoking among youth, and explore how much receiving interventions affects motivation, quitting, abstinence/relapse attitudes, attitudes towards Internet based outreach strategies, and behaviors for 100 smokers.

**We are currently recruiting providers for training portion ONLY. No adolescent recruitment yet.**

This is a pilot study addressing office systems and clinician behavior change surrounding smoking cessation interventions for teens. Our long-term goal is to improve the quality of clinical preventive services in practice-based research network settings. Our specific aims are to:

1. a) pilot procedures for recruitment and randomization of PROS practices and b)field trial/pilot PROS practitioner cessation counseling and practices’ enrollment of adolescent patients; and,
2. assess the feasibility of pediatric clinician referral of adolescent patients to Internet-based adjuncts for smoking cessation.

We will evaluate a pilot round of recruitment and randomization, and smoking cessation training and delivery in 10 PROS practice sites; and assess acceptability of study procedures and on-line Internet counseling adjunct referral feasibility within PROS practice sites. Up to 1000 adolescents presenting for well visits will complete a short baseline survey prior to their well-visit. A sample of them will be surveyed by phone at 2-3 weeks, as a pilot assessment of the intervention, and at 3 months, to provide preliminary estimates of cessation outcomes for future studies. We will field test measures, describe the patterns of smoking among youth, and explore how much receiving interventions affects motivation, quitting, abstinence/relapse attitudes, attitudes towards Internet based outreach strategies, and behaviors for 100 smokers.

We are currently recruiting providers for training portion ONLY. No adolescent recruitment yet.

Accepts Healthy Volunteers

Inclusion Criteria:

Practitioner recruitment criteria:

• Has a patient flow of several adolescents per week.
• Reads and speaks English.
• Able and willing to provide informed consent

Patient recruitment criteria:

• 14 years or older
• Lives in a home or apartment with access to a phone or mail address
• Speaks English
• Cognitively able to respond to survey questions
• Cognitively able to give assent and obtain parent/guardian permission or consent

Exclusion Criteria:

• Providers: already participating in a PROS study