Abstract
Youth in foster care are at increased risk for tobacco-related disease and burden, with very little research and access to evidence-based care. This vulnerable population is also less likely to be involved in the creation of systems and programs that impact their health and well-being. As part of the initial trial of a technology-based smoking cessation program specifically targeting youth exiting foster care, participants (n = 18) provided feedback on their experiences with the approach, including strengths, barriers to cessation, and suggestions for improvement. Results indicated that young people enjoyed their experience with the intervention, as it was both easy to use and provided much needed support in their journey to reduce cigarette use. Participants cited a lack of coping skills and having many family members and friends who smoke as significant impediments to quitting. Finally, respondents suggested a connection to a tobacco quitline, further support from former foster youth, and additional resources for handling comorbid mental health issues as needed adaptations to the intervention. Overall, technology-based smoking cessation may be a feasible and scalable approach to addressing tobacco-related health disparities among youth exiting foster care.