目的:在接受基于电子烟的戒烟干预措施后,从吸烟过渡到电子烟的途径已被最低限度地探索。
目的:1)确定干预实施和最终随访之间的途径;2)描述与不同途径组的吸烟/吸烟行为相关的基线和干预后统计数据;3)探索定性参与者观点,将途径组情境化。
方法:在急诊科(COSTED)随机对照试验中收集的戒烟试验数据的嵌入式混合方法分析。
方法:在2022年1月至8月期间从6个急诊科(英格兰5个,苏格兰1个)招募。
方法:366名成年吸烟者被随机分配接受COSTED干预,并在6个月随访时提供数据。随访后接受采访的24名参与者的定性子样本。
方法:简短的戒烟建议,提供电子烟入门套件,并转介给当地的戒烟服务。
方法:基线和6个月随访时已确定的途径和吸烟/吸烟行为的描述性统计报告。半结构化电话/视频访谈按主题进行分析。
结果:13.4%(n=49)的参与者在接受干预后1个月内戒烟,19.1%(n=70)在1至6个月之间辞职,24.9%(n=91)每天减少香烟(CPD)至少50%,42.6%的人没有显著减少吸烟。大约三分之一的参与者在随访时报告没有吸烟。报告双重使用与CPD减少相关。几乎有三分之一的人报告了使用与作为干预措施一部分提供的设备不同的设备进行的实验。Quitters报告了对电子烟满意的主题,促进戒烟的环境变化和戒烟的动机。
结论:香烟和电子烟的双重使用可以减少吸烟,并可能阻止戒烟。持续使用电子烟并不总是成功戒烟所必需的。成功取决于个人背景以及对电子烟的满意度。
OBJECTIVE: Pathways of transitioning from tobacco smoking to vaping after receiving an e-cigarette-based smoking cessation intervention have been minimally explored.
OBJECTIVE: 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.
METHODS: Embedded mixed-methods analysis of data collected for the Cessation of Smoking Trial in the Emergency Department (COSTED) randomised controlled trial.
METHODS: Recruitment from 6 Emergency Departments (5 in England and 1 in Scotland) between January and August 2022.
METHODS: 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.
METHODS: Brief smoking cessation advice, provision of an e-cigarette starter kit and referral to the local Stop Smoking Service.
METHODS: Descriptive statistical reporting of identified pathways and smoking/vaping behaviour at baseline and 6-month follow-up. Semi-structured phone/video interviews analysed thematically.
RESULTS: 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 preclude quitting smoking. Sustained e-cigarette use is not always necessary for quitting success. Success depends on personal context as well satisfaction with vaping.