With over 20 million adolescents and young adults visiting emergency departments (EDs) each year in the United States, the ED visit represents a unique opportunity for preventive health intervention; yet, how to design interventions that can be implemented successfully into the distinct acute care setting remains unclear . In the ED, wait times can be long, resources are limited, and medical providers are busy. Providers often attend to the sickest of patients, sometimes at the expense of preventive conversations, to maintain patient flow. ED-based interventions must recognize these barriers to not only be feasible and acceptable to both providers and
patients but also sustain a chance of being implemented effectively within the ED system.