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Original Article: Exploring Multi-Level Determinants of Implementation of Nicotine Replacement Therapy Guidelines for Youth Vaping: A Mixed-Methods Case Study

Multiple DFM faculty examine nicotine replacement therapy among patients ages 12 to 17.

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by Brittany Manansala | July 20, 2026
Perplexed teen holding a vape and cigarette in his hands.

“Exploring Multi-Level Determinants of Implementation of Nicotine Replacement Therapy Guidelines for Youth Vaping: A Mixed-Methods Case Study.”

July 2026

Implementation Science Communications

CU Anschutz Department of Family Medicine faculty, Joshua Crosbie Cockroft, MD; Brooke Dorsey, PhD, MA; and Russell Glasgow PhD, are co-authors of an Implementation Science Communications publication titled, “Exploring Multi-Level Determinants of Implementation of Nicotine Replacement Therapy Guidelines for Youth Vaping: A Mixed-Methods Case Study.”

This study used a mixed-methods case study design guided by the Practical, Robust Implementation and Sustainability Model (PRISM) to examine the use of nicotine replacement therapy (NRT) among patients ages 12 to 17 who vape.

From the article:

“Rates of youth vaping have become a major concern over the past decade with worries about impacts of vaping on neurodevelopment, mental health, transition to cigarettes, and unknown long-term physical sequelae. In 2023, the American Academy of Pediatrics (AAP)’s updated tobacco care guidelines encouraged primary care providers to consider using nicotine replacement therapy (NRT) products to help support youth vaping and tobacco cessation. This study sought to explore the determinants to using NRT products for youth vaping cessation per AAP recommendations amongst primary care providers in an urban, safety-net health system where use of NRT for youth was limited.”

Read more of this article.

Joshua Crosbie Cockroft, MD, 2026 Brooke DH STEM crop russell-e-glasgow-phd web

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