JUUL, Vapes and All That Jazzy Technology

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New technology and nicotine salts in pod vapes have led to an epidemic of youth nicotine use and addiction (MTF 2018). Current research by the CDC indicates that 1 in 5 high school students now vapes. Nicotine addiction is impacting our youngest athletes in a way that it hasn’t in decades. Screening athletes for substance use is complicated by new vocabulary used by students. There are a plethora of e-cigarette types including pod vapes such as JUUL. Current health history screening questions are obsolete and nicotine salt addiction appears to be different in early research than cigarette addiction. To further complicate the issue of vaping, tetrahydrocannabinol (THC) concentrates are now the most consumed marijuana and THC is used in vape technology.  This session will provide an update on current health research related to these technologies and chemicals. Participants will learn strategies for prevention, screening, and early intervention. Treatment resources will be shared.


At the end of this presentation, attendees will be better able to:

  1. Summarize current health research findings about e-cigarettes, including vapes and JUUL, and describe their implications with nicotine and marijuana use/addiction.
  2. Distinguish the most effective health history screening vocabularies and approaches for tobacco, nicotine, marijuana and other substances used in e-cigs.
  3. Be able to apply evidence-based motivational interviewing strategies for helping student athletes re-think, reduce and quit their use of e-cigarettes.


Target Audience: ATs, RDs, CSCS, and other sports medicine or athlete support staff



Linda C Hancock, FNP, PhD, Educational Consultant, LindaGivesBack.com

Dr. Linda Hancock a Family Nurse Practitioner with a PhD in Education. She has spent decades working with young people on challenging health and wellness issues. She calls these health topics “all the S’s” – Smoking, Sex, Substances, Stress, and Social Norms. Linda has spent over thirty years helping people with nicotine addiction and has written publications related to tobacco use prevention as well as to e-cigarette use. Linda’s specialty is making science user-friendly and fun. Linda recently retired from Virginia Commonwealth University. Her focus now is to educate, advocate and donate! She wants to provide enjoyable yet meaningful education and donate part any fee generated to recovery related causes.


Drug Free Sport International (BOC AP# P8729) is approved by the Board of Certification, Inc. to provide continuing education to Athletic Trainers. This program is eligible for a maximum of 1.5 Category A hours/CEUs. ATs should claim only those hours actually spent in the session. 



Drug Free Sport (Accredited Provider 99D4E11) is approved by the Commission on Dietetic Registration to provide continuing education to Registered Dietitians. This program is eligible for a maximum of 1 CPEU.

Suggested Performance Indicators: 4.2.1, 4.2.6, 12.2.6

Suggested Learning Needs Codes: 4000, 4090, 6000