{
  "abstract": "Introduction Nicotine vaping is common among children and youth, and even more so among those with mental health concerns. Identifying and managing nicotine vaping in child and youth mental health treatment settings is key to addressing this modifiable risk factor for poorer physical and mental health in young people. Recommendations exist for screening, assessment and treatment of youth vaping; however, it remains unclear whether current practices in child and youth mental health programmes align with recommended standards.Methods and analysis An explanatory sequential mixed methods design with three stages will be employed. In the first stage, a cross-sectional survey will be distributed to all eligible Canadian hospitals to identify practices in assessment and treatment of nicotine vaping within their child and youth mental health and addictions programmes. This survey will also assess barriers and facilitators for the uptake of the 2021 Canadian Paediatric Society recommendations on management of youth vaping. Semi-structured focus groups and interviews will be conducted in stage two, with clinicians, managers, youth and caregivers. Qualitative data will be analysed using a reflexive thematic approach. In stage three, findings and proposed behaviour change interventions will be reviewed at a knowledge mobilisation meeting with the goal of developing a national knowledge mobilisation plan to improve assessment and treatment of youth vaping in hospital-based mental health and addictions programmes.Ethics and dissemination This study has received ethics approval from the Research Ethics Board at the Children’s Hospital of Eastern Ontario (Protocol #25/19X). Participants will provide informed consent prior to participating. Results will be published in peer-reviewed journals and presented at scientific conferences. Summaries will be provided to the funders of the study and to participating hospitals.",
  "authors": [
    {
      "affiliations": [
        "Children’s Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada"
      ],
      "name": "Aaya Mahdi"
    },
    {
      "affiliations": [
        "Children’s Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada"
      ],
      "name": "Laila Alfadhli"
    },
    {
      "affiliations": [
        "Azrieli Research Centre, Centre Hospitalier Universitaire Sainte-Justine, Montreal, Quebec, Canada",
        "Department of Pediatrics, Universite de Montreal, Montreal, Quebec, Canada"
      ],
      "name": "Nicholas Chadi"
    },
    {
      "affiliations": [
        "IWK Health Centre, Halifax, Nova Scotia, Canada",
        "Department of Psychiatry, Dalhousie University, Halifax, Nova Scotia, Canada"
      ],
      "name": "Selene Etches"
    },
    {
      "affiliations": [
        "Child and Adolescent Psychiatry, BC Children’s Hospital, Vancouver, British Columbia, Canada",
        "The University of British Columbia Faculty of Medicine, Vancouver, British Columbia, Canada"
      ],
      "name": "Martha J Ignaszewski"
    },
    {
      "affiliations": [
        "Peel Public Health, Brampton, Ontario, Canada"
      ],
      "name": "Balpreet Panesar"
    },
    {
      "affiliations": [
        "Children’s Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada",
        "Knowledge Institute on Child and Youth Mental Health and Addictions, Ottawa, Ontario, Canada",
        "Psychology, University of Ottawa, Ottawa, Ontario, Canada"
      ],
      "name": "Amy Porath"
    },
    {
      "affiliations": [
        "Children’s Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada",
        "Knowledge Institute on Child and Youth Mental Health and Addictions, Ottawa, Ontario, Canada",
        "School of Human Kinetics, University of Ottawa, Ottawa, Ontario, Canada"
      ],
      "name": "Poppy Desclouds"
    },
    {
      "affiliations": [
        "Children’s Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada"
      ],
      "name": "Sofia Constantakis"
    },
    {
      "affiliations": [
        "Department of Psychiatry, Queen’s University, Kingston, Ontario, Canada"
      ],
      "name": "Zainab Samaan"
    },
    {
      "affiliations": [
        "Ottawa Hospital Research Institute, Ottawa, Ontario, Canada",
        "Department of Psychiatry, University of Ottawa, Ottawa, Ontario, Canada"
      ],
      "name": "Simon Hatcher"
    },
    {
      "affiliations": [
        "School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada"
      ],
      "name": "Melissa Brouwers"
    },
    {
      "affiliations": [
        "Children’s Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada",
        "Department of Psychiatry, University of Ottawa, Ottawa, Ontario, Canada"
      ],
      "name": "Tea Rosic"
    }
  ],
  "title": "Evaluating practices in the management of youth nicotine vaping in hospital-based child and youth mental health and addictions settings in Canada: protocol for a mixed-methods study",
  "uid": "92bcb1aa-2724-595c-b0f0-936fbe9d65e1"
}
