1. Youth Tobacco Cessation Collaborative (YTCC)  Formed in 1998 to address youth tobacco cessation gaps  Goal, “… ensure that every youth tobacco user (ages 12-24) has access to appropriate and effective cessation interventions by the year 2010.”

2. Why Focus on Youth for Tobacco Cessation?  25% of high school students smoked a whole cigarette before age 13  Almost 87% of all adult smokers started smoking when were teenagers  40% of youth indicated interest in receiving help to quit smoking  3 out of 4 teenage smokers have tried to quit at least once -- and failed  Almost 2 out of 3 youth wish they had never started smoking!

3. Trends in Adolescent Smoking High School Students Who Reported Current Cigarette Smoking, United States, 1991-2001 Smoking 1 or more cigarettes within past 30 days. Source: CDC, Youth Risk Behavior Survey

4. HP 2010 Goal: Increase Tobacco Use Cessation Attempts by Adolescent Smokers Ever-daily smokers in grades 9-12 Source: CDC, YRBSS

5. YTCC Members:  American Cancer Society  American Legacy Foundation  American Lung Association  Canadian Tobacco Control Research Initiative  Centers for Disease Control and Prevention  National Cancer Institute  National Cancer Institute of Canada  National Heart Lung and Blood Institute  National Institute on Drug Abuse  Robert Wood Johnson Foundation

6. Guide to Youth Cessation  Based on evidence review of published literature, recommendations from researchers, practitioners, policymakers, and funders of research  2003  Funded by CDC, CTCRI, NCI, Legacy

7. Guide to Youth Cessation  Why cessation interventions for youth are needed  Planning tasks for implementing a cessation program/intervention  Guidelines for selecting appropriate program/intervention  Differences among youth that may affect program decisions  Process and outcome evaluation activities

8. Process  CTCRI, CDC, NCI, & Legacy – determine best practices for youth tobacco cessation  Steve Sussman review of 66 studies (Tobacco Induced Diseases 1(1):35-81, 2002)  YTCC convened evidence review group to expand on Sussman review

9. Understanding the Evidence for Youth Tobacco Cessation  Debbie Wallace, Health Institute for Preventive Care - Background on youth cessation research  Brian Colwell, Texas A&M School of Rural Public Health – Considerations for analyzing evidence  Catherine Maule, Canadian Tobacco Control Research Initiative – Future research with potential for highest impact  Cathy Backinger, National Cancer Institute – Data and reporting needs for future research

10. Participants Ann Anderson Cathy Backinger Health Borski Suzanne Colby Debbie Coleman-Wallace Brian Colwell Sue Curry Josie D’Avernas Edward Ehlinger Pebbles Fagan Lisa Gertrudes J. Max Gilbert Donna Grande Dena Gregory Dawn Hachey Lori Halls David Hopkins Thomas Houston Corrine Husten Connie Kohler Chris Lavato Eva Matthews Catherine Maule Paul McDonald Robin Mermelstein Micah Milton Cheryl Moyer C. Tracy Orleans Debbie Ossip-Klein Patti Payne Karen Siener Steve Sussman Amber Hardy Thornton Merv Ungurain