scholarly journals Effects of electronic cigarette e-liquid flavouring on cigarette craving

2021 ◽  
pp. tobaccocontrol-2021-056769
Author(s):  
Maddy L Dyer ◽  
Jasmine N Khouja ◽  
Abigail R Jackson ◽  
Michelle A Havill ◽  
Martin J Dockrell ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Unintended Consequences ◽  
Electronic Cigarette ◽  
Cigarette Use ◽  
Quit Smoking ◽  
Motivation To Quit ◽  
Cigarette Craving ◽  
Secondary Outcomes ◽  
Smoking Lapse ◽  
Motivation To Quit Smoking

BackgroundE-liquid flavour restrictions may discourage electronic cigarette (e-cigarette) uptake among youth. However, possible unintended consequences may include reduced appeal and effectiveness of e-cigarettes for smoking cessation. Non-tobacco flavours appear to be important for smoking cessation, but how and why are currently unclear.MethodsWe conducted an experimental study in a UK sample of adult daily smokers using an independent groups design (N=84). Participants were randomised to use an e-cigarette with nicotine-containing fruit/sweet-flavoured e-liquid (blackcurrant, strawberry, vanilla, caramel) or unflavoured e-liquid for 1 week. The primary outcomes were average, peak and cue-elicited cigarette craving (the latter was assessed using a cue exposure task). The secondary outcomes were smoking lapse occurrence, enjoyment of the e-cigarette, ease of transitioning from smoking to using an e-cigarette, intentions to continue using an e-cigarette, intentions and motivation to quit smoking, return to smoking, and continuation of e-cigarette use.ResultsE-liquid flavouring did not appear to have an effect on average cigarette craving (b 0.18, 95% CI −0.44 to 0.79, p=0.57), peak cigarette craving (b −0.12, 95% CI −0.59 to 0.35, p=0.62) or cue-elicited cigarette craving (b −0.21, 95% CI −3.86 to 3.43, p=0.91). We did not find evidence of a difference in secondary outcomes.ConclusionsWe did not find evidence to suggest that nicotine-containing fruit/sweet-flavoured and unflavoured e-liquids have different effects on cigarette cravings after 1 week of use. Further research is needed to establish if differences emerge over longer periods of exposure and extend to smoking cessation outcomes.

Effects of six weeks of electronic cigarette use on smoking rate, CO, cigarette dependence, and motivation to quit smoking: A pilot study

2018 ◽  
Vol 80 ◽  
pp. 65-70 ◽  
Author(s):  
Damaris J. Rohsenow ◽  
Jennifer W. Tidey ◽  
Rosemarie A. Martin ◽  
Suzanne M. Colby ◽  
Thomas Eissenberg
Keyword(s):  
Pilot Study ◽  
Electronic Cigarette ◽  
Cigarette Use ◽  
Smoking Rate ◽  
Quit Smoking ◽  
Motivation To Quit ◽  
Cigarette Dependence ◽  
Motivation To Quit Smoking

scholarly journals Correlation Between The Knowledge On Health Effects Of Smoking And Motivation On Smoking Cessation In Ex-Smokers Of Lung Department Patients, Siloam General Hospital, Lippo Village.

Medicinus ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. 38
Author(s):  
Clarinda Wong ◽  
Brian Lucas ◽  
Veli Sungono ◽  
Andree Kurniawan ◽  
Allen Widysanto
Keyword(s):  
Smoking Cessation ◽  
General Hospital ◽  
Health Effects ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Quit Smoking ◽  
Stop Smoking ◽  
Motivation To Quit ◽  
Level Of Knowledge ◽  
Motivation To Quit Smoking

<p><strong>Introduction:</strong><strong> </strong>Data from WHO showed that deaths caused by tobacco reaches approximately ± 6 million deaths annually. There are many information about the danger of smoking which spreading from various sources. The level of  knowledge about the danger of smoking can be associated with motivation to stop smoking. Therefore, motivation toward smoking cessation arises if someone knows the benefits that can be taken, through an adequate knowledge.</p><p><strong>Aim:</strong><strong> </strong>To determine the relationship between the level of knowledge on the health effects of  smoking with motivation to stop smoking in ex-smokers of lung department patients at Siloam General Hospital, Lippo Village.</p><p><strong>Methodology: </strong>This is a cross-sectional study, analyzing 138 ex-smokers of Siloam General Hospital’s lung department patients using consecutive sampling techniques.</p><p><strong>Results: </strong>the results showed 73.2% of people have good knowledge about the danger of smoking and 26.8% are not. Then, 58% of people have high motivation to stop smoking and 42% have low motivation. The results of statistical test using Chi Square showed a significant relationship between the level of knowledge and the motivation to quit smoking (OR = 4.293 [95% CI: 1,921-9,594], <em>P</em>&lt;.001). The results of the multivariate logistic regression test showed educational factors (<em>P</em>=0.014), and the frequency of smoking (<em>P</em>=0.007) also influence the motivation to stop smoking.</p><strong>Conclusion : </strong>There’s a significant relation between knowledge about the danger of smoking and the motivation to quit smoking.

scholarly journals Effectiveness of Combining Feedback about Lung Age or Exhaled Carbon Monoxide Levels with Very Brief Advice (VBA) and Support for Smoking Cessation in Primary Care Compared to Giving VBA and Support Alone – Protocol for a Randomized Controlled Trial withi

2020 ◽  
Vol 8 (E) ◽  
pp. 28-36
Author(s):  
Dragan Gjorgjievski ◽  
Radmila Ristovska ◽  
Katarina Stavrikj ◽  
Amanda Farley ◽  
Peymane Adab ◽  
...  
Keyword(s):  
Primary Care ◽  
Smoking Cessation ◽  
Cost Effectiveness ◽  
Republic Of Macedonia ◽  
Quit Smoking ◽  
Lung Age ◽  
Motivation To Quit ◽  
Exhaled Carbon Monoxide ◽  
Brief Advice ◽  
Motivation To Quit Smoking

INTRODUCTION: In 2015, smoking prevalence in Republic of Macedonia was 36% in men and 21% in women We aim to assess the effectiveness and cost-effectiveness of two methods of motivating smokers to quit smoking compared with very brief advice (VBA) alone. Тo date, there are no studies investigating smoking cessation treatment in Republic of Macedonia. METHODS/DESIGN: RCT with process evaluation and cost-effectiveness analysis within 31 general practices in Republic of Macedonia recruiting smokers currently smoking >10 cigarettes per day, aged >35 years, attending primary care practices for any reason, regardless of motivation to quit smoking. Respondents will be randomized into one of three groups: (1) VBA and assessment and communication of lung age; (2) VBA and additional assessment and communication of exhaled carbon monoxide (CO) levels; or (3) control group – VBA. All participants who attempt to quit smoking will be offered behavioral support based on the UK standard program for smoking cessation. Primary outcome: Proportion of smokers who are quit at 4 weeks (7-day point prevalence, confirmed by salivary cotinine level). Secondary outcomes: Proportion who have attempted to quit smoking or have quit smoking, a proportion that has reduced the number of cigarettes and motivation to quit smoking; cost-effectiveness analysis calculating cost per quality-adjusted life year. We will evaluate the fidelity to the intervention and will explore patients’ and GPs’ experience and the acceptability of the study intervention by interview. DISCUSSION: The study will evaluate the effectiveness of combining feedback about lung age or exhaled CO levels with VBA and support for smoking cessation in primary care compared to giving VBA and support alone. It will explore how willing primary care physicians are to perform such interventions and the acceptability and effectiveness of such interventions to patients in Republic of Macedonia. TRIAL REGISTRATION: The study is registered on the ISRCTN registry (ISRCTN54228638).

scholarly journals Systematic Review of Clinician-Reported Barriers to Provision of Smoking Cessation Interventions in Hospital Inpatient Settings

2018 ◽  
Vol 13 (4) ◽  
pp. 233-243 ◽  
Author(s):  
Tom Sharpe ◽  
Ali Alsahlanee ◽  
Ken D. Ward ◽  
Frank Doyle
Keyword(s):  
Smoking Cessation ◽  
Healthcare Workers ◽  
Perceived Barriers ◽  
Inpatient Setting ◽  
Hospital Inpatient ◽  
Cross Sectional ◽  
Quit Smoking ◽  
Motivation To Quit ◽  
Inpatient Settings ◽  
Motivation To Quit Smoking

Background: Although the hospital inpatient setting arguably provides an ideal opportunity to engage patients in smoking cessation interventions, this is done infrequently. We therefore aimed to systematically review the perceived barriers to the implementation of smoking cessation interventions in the hospital inpatient setting.Methods: A systematic literature search was conducted specific to hospital-based healthcare workers’ perceived barriers to implementing smoking cessation interventions. Reported barriers were categorised using the capability, opportunity and motivation (COM-B) framework.Results: Eighteen studies were selected for inclusion, which consisted of cross-sectional surveys and interviews. The most commonly identified barrier in capability was lack of knowledge (56% of studies); in Opportunity, it was a lack of time (78%); while in Motivation, a lack of perceived patient motivation to quit smoking (44%). Seventeen other barriers were also endorsed, but less frequently.Conclusion: Healthcare workers report a plethora of barriers to providing smoking cessation interventions in hospital settings, which cover all aspects of the COM-B framework. These impediments need to be addressed in a multidisciplinary approach, at clinical, educational, and administrative levels, to improve intervention provision.

scholarly journals Electronic cigarettes

2017 ◽  
Author(s):  
Spencer Kaspick ◽  
BCIT School of Health Sciences, Environmental Health ◽  
Helen Heacock
Keyword(s):  
Smoking Cessation ◽  
Electronic Cigarettes ◽  
Smoking Status ◽  
Electronic Cigarette ◽  
Cigarette Use ◽  
Chi Square ◽  
Post Secondary ◽  
Quit Smoking ◽  
Quitting Smoking ◽  
Chi Squared

  Background: Electronic cigarettes are a widely-used, yet still emerging technology. As such, there is relatively little data regarding the reasons why people take up their use. Many claim to use them as a smoking-cessation method. Concern exists that experimentation in non-smokers may lead to nicotine addiction and subsequent smoking. The purpose of this study was to determine the primary reasons for the commencement of electronic cigarette use, and to suggest way in which these findings could affect current policies and regulations pertaining to electronic cigarettes. Methods: A survey examining electronic cigarette use was prepared. The survey contained questions respecting primary motivation for use, frequency of use, present and former smoking status as well as agreement with common perception about electronic cigarettes. Basic demographic information was also collected. The survey was posted to “www.reddit.com” and was accessible to users who used electronic cigarettes themselves via the “/r/electronic_cigarettes” sub-Reddit for a period of five days. Once responses were collected, Chi-square tests of independence were run to determine if any associations existed. Responses were also compared to previous studies of a similar nature to see if any similarities existed. Results: In total, 155 responses were received. The majority of the respondents were males (89.7%) between the ages of 19 and 28 (47.7%). 30.32% listed their occupation as “student”, and almost three-quarters of the respondents had some post-secondary experience. 78.1% of respondents were former smokers, and 61.3% identified their primary reason for electronic cigarette use as “to quit smoking.” Chi-squared tests for association between responses yielded statistically-significant associations between being a previous smoker and believing that electronic-cigarettes are healthier than conventional cigarettes, and between gender (specifically being male) and reasons for electronic cigarette use (specifically “to quit smoking”). However, the latter result was possibly skewed by a higher response rate from males as opposed to females. Conclusion: The high proportion of previous smokers among electronic cigarette users suggested that quitting smoking was the most common reason individuals take up electronic cigarette usage. It is therefore suggested that studies be done to determine if their use is less harmful than that of conventional cigarettes, and that existing legislation regarding their use in public be modified in light of this evidence. It is also suggested that they be given consideration as a legitimate means of smoking cessation.  

scholarly journals Roll-your-own cigarette use and smoking cessation behaviour: a cross-sectional population study in England

BMJ Open ◽  
2018 ◽  
Vol 8 (12) ◽  
pp. e025370 ◽  
Author(s):  
Sarah E Jackson ◽  
Lion Shahab ◽  
Robert West ◽  
Jamie Brown
Keyword(s):  
Lower Incidence ◽  
Cigarette Use ◽  
Cross Sectional ◽  
Cigarette Smokers ◽  
Quit Attempt ◽  
Quit Smoking ◽  
Quit Attempts ◽  
Motivation To Quit ◽  
The Impact ◽  
Motivation To Quit Smoking

ObjectivesRoll-your-own (RYO) cigarettes have become popular in the UK and reduce the cost of smoking, potentially mitigating the impact of tax increases on quitting. We examined whether RYO cigarette use was associated with reduced motivation to quit smoking, incidence of quit attempts and quit success.DesignCross-sectional survey.SettingEngland.Participants38 590 adults who reported currently smoking or having stopped within the past 12 months.Main outcome measuresMotivation to quit smoking, quit attempt in the last year, motives for quitting and quit success were regressed onto RYO cigarette use, adjusting for sociodemographic variables and level of cigarette addiction. Mediation by weekly spending on smoking was tested.ResultsCompared with manufactured cigarette smokers, RYO smokers had lower odds of high motivation to quit (OR=0.77, 95% CI 0.73 to 0.81) or having made a quit attempt (OR=0.87, 95% CI 0.84 to 0.91). Among those who had attempted to quit smoking, quit success did not differ by cigarette type (OR=1.00, 95% CI 0.89 to 1.12), but RYO smokers were less likely to report cost of smoking as a motive to quit (OR=0.68, 95% CI 0.61 to 0.74). Spending on smoking mediated the association between RYO use and quit attempts (β=−0.02, SE=0.003, 95% CI −0.03 to −0.02).ConclusionsIn England, compared with smokers of manufactured cigarettes, RYO cigarette smokers appear to have lower motivation to quit and lower incidence of quit attempts but similar success of quit attempts. The lower cost of RYO smoking appears to mediate the lower incidence of quit attempts among RYO users.

Associations Between Secondhand Tobacco Smoke Exposure and Nicotine Dependence and Smoking Cessation Attempts Among Adult Tobacco Users With a Psychiatric Disorder

2018 ◽  
Vol 20 (5) ◽  
pp. 558-565
Author(s):  
Chizimuzo T. C. Okoli ◽  
Sarret Seng
Keyword(s):  
Smoking Cessation ◽  
Nicotine Dependence ◽  
Smoke Exposure ◽  
Tobacco Smoke Exposure ◽  
Primary Sources ◽  
Regression Analyses ◽  
Targeted Interventions ◽  
Quit Smoking ◽  
Motivation To Quit ◽  
Motivation To Quit Smoking

Introduction: Secondhand smoke exposure (SHSe) is predictive of greater nicotine dependence (ND) and poor smoking cessation (SC) outcomes. SHSe and its impact on ND and SC attempts in people with psychiatric disorders (PD) remain poorly understood. Hence, the objectives of this study were to (1) quantify SHSe, (2) examine the association of SHSe with ND, and (3) assess the association between SHSe and SC among tobacco users with PD. Method: A cross-sectional survey of 118 tobacco users in an inpatient psychiatric facility was conducted. Data on demographics, tobacco use and SHSe history, motivation to quit smoking, ND, and SC attempts were obtained. Participants’ environmental and psychosocial sources of and perceived SHSe were described. Multivariate linear regression analyses were used to examine the associations between SHSe and ND, while logistic regression analyses were used to assess the associations between SHSe and SC. Results: The primary sources of environmental SHSe were from the car (63.6%) and home (51.7%); primary sources of psychosocial SHSe were close friends (67.8%) and parents/grandparents (65.3%); and mean perceived SHSe was 6.2 ( SD = 3.5). Although perceived SHSe was significantly associated with ND (β = .39, p < .0001) in multivariate analyses, no SHSe variable was associated with SC. However, scores on items measuring motivation to quit smoking were associated with SC attempts. Discussion: Patients with PD reported high levels of SHSe, which was associated with higher ND. Routine screening for SHSe should be implemented as part of health assessments in this population to address ND treatment options. Moreover, targeted interventions and policies should be considered toward reducing SHSe in this vulnerable population.

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