How do people quit smoking using e-cigarettes? A mixed-methods exploration of participant smoking pathways following receiving an opportunistic e-cigarette based smoking cessation intervention

Ward, Emma ORCID: https://orcid.org/0000-0002-7579-3215, Belderson, Pippa, Clark, Allan ORCID: https://orcid.org/0000-0003-2965-8941, Stirling, Susan, Clark, Lucy ORCID: https://orcid.org/0000-0001-7162-0512, Pope, Ian ORCID: https://orcid.org/0000-0002-5623-4178 and Notley, Caitlin ORCID: https://orcid.org/0000-0003-0876-3304 (2024) How do people quit smoking using e-cigarettes? A mixed-methods exploration of participant smoking pathways following receiving an opportunistic e-cigarette based smoking cessation intervention. Addiction, 119 (12). pp. 2185-2196. ISSN 0965-2140

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Abstract

Background and Aims: Pathways of transitioning from tobacco smoking to vaping after receiving an e-cigarette-based smoking cessation intervention have been minimally explored. Study aims: 1) identify pathways between intervention delivery and final follow-up; 2) describe baseline and post-intervention statistical data in relation to smoking/vaping behaviour of the different pathway groups; 3) explore qualitative participant perspectives contextualising pathway groups. Design: Embedded mixed-methods analysis of data collected for the Cessation of Smoking Trial in the Emergency Department (COSTED) randomised controlled trial. Setting: Recruitment from 6 Emergency Departments (5 in England and 1 in Scotland) between January and August 2022. Participants: 366 adult smokers who were randomised to receive the COSTED intervention and provided data at 6-month follow-up. Qualitative subsample of 24 participants interviewed after follow-up. Interventions: Brief smoking cessation advice, provision of an e-cigarette starter kit and referral to the local Stop Smoking Service. Measurements: Descriptive statistical reporting of identified pathways and smoking/vaping behaviour at baseline and 6-month follow-up. Semi-structured phone/video interviews analysed thematically. Findings: 13.4% (n = 49) of participants quit smoking within 1 month of receiving the intervention, 19.1% (n = 70) quit between 1 and 6 months, 24.9% (n = 91) reduced cigarettes per day (CPD) by at least 50%, and 42.6% did not experience a significant smoking reduction. Approximately a third of participants who quit reported not vaping at follow-up. Reporting dual use was associated with a reduction in CPD. Appoximately a third reported experimenting with a different device to the one provided as part of the intervention. Quitters reported themes of satisfaction with vaping, changes in environment facilitating quitting and motivation to quit. Conclusions: Dual use of cigarettes and e-cigarettes can result in a reduction of smoking and may prelude quitting smoking. Sustained e-cigarette use is not always necessary for quitting success. Success depends on personal context as well satisfaction with vaping.

Item Type: Article
Additional Information: Data availability statement: The data that support the findings of this study are available from the corresponding author upon reasonable request. Funding information: The National Institute for Health and Care Research Health Technology Assessment, Grant/Award Number: NIHR129438
Uncontrolled Keywords: e-cigarette,smoking cessation,pathways,mixed methods,qualitative,intervention,vaping,e-cigarette,psychiatry and mental health,medicine (miscellaneous) ,/dk/atira/pure/subjectarea/asjc/2700/2738
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups: Faculty of Social Sciences > Research Centres > Centre for Research on Children and Families
Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health
Faculty of Social Sciences > Research Groups > Child Protection & Family Support
Faculty of Medicine and Health Sciences > Research Groups > Norwich Clinical Trials Unit
Faculty of Medicine and Health Sciences > Research Groups > Health Services and Primary Care
Faculty of Medicine and Health Sciences > Research Groups > Epidemiology and Public Health
Faculty of Medicine and Health Sciences > Research Centres > Population Health
Faculty of Medicine and Health Sciences > Research Centres > Norwich Institute for Healthy Aging
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Depositing User: LivePure Connector
Date Deposited: 18 Jul 2024 08:33
Last Modified: 10 Dec 2024 01:44
URI: https://ueaeprints.uea.ac.uk/id/eprint/95942
DOI: 10.1111/add.16633

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