Jones Gareth, McIntosh Emma, Brose Leonie S, Klonizakis Markos
From the Academy for Sport and Physical Activity, Health and Wellbeing Department, Sheffield Hallam University, Sheffield, UK (GJ), Lifestyle Exercise and Nutrition Improvement (LENI) Research Group, Department of Nursing and Midwifery, College of Health, Wellbeing and Life Sciences, Sheffield Hallam University, Sheffield, UK (GJ, EM, MK), Addictions, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK and SPECTRUM Research Consortium, UK (LSB).
J Addict Med. 2022;16(3):272-277. doi: 10.1097/ADM.0000000000000881.
There is a lack of evidence exploring experiences of using e-cigarettes for smoking cessation. The study's main aim was to explore participant experiences of e-cigarettes compared to nicotine replacement therapy (NRT) delivered through stop smoking services.
Semi-structured, face-to-face, and telephone interviews at 3-month post-quit follow-up in a randomized controlled trial comparing nicotine-containing e-cigarettes, nicotine-free e-cigarettes, and NRT for smoking cessation. N = 17 participants, 9 were male, mean age 44 years, 5 using nicotine-containing e-cigarettes, 7 nicotine-free e-cigarettes, and 5 NRT. Interviews were transcribed and analyzed using thematic analysis.
Two global themes and 5 organizing themes were identified. Global themes included: (1) experiences of e-cigarette and NRT quit aids (e-cigarette positive impact and dilemmas, NRT perceptions and experiences), and (2) key mechanisms to support quit attempt (physical aids, advice and support, feedback and structure). E-cigarettes were viewed with caution, however, generally evaluated positively alongside NRT methods, finding e-cigarettes useful during a quit attempt due to their versatility in application. Nicotinecontaining e-cigarettes were favored due to their support with nicotine cravings. Participants were, however, wary of replacing smoking addiction with vaping habit.
Participant e-cigarette experience were generally positive; however, concerns over long-term application were noted. There was a noticeable preference for nicotine-containing e-cigarettes, but further research is required to better understand how nicotine is used in conjunction with e-cigarettes long-term as a quit aid alongside other NRT.
缺乏关于使用电子烟戒烟体验的证据。本研究的主要目的是探讨与通过戒烟服务提供的尼古丁替代疗法（NRT）相比，参与者使用电子烟的体验。
在一项随机对照试验的戒烟后3个月随访中，进行半结构化、面对面和电话访谈，该试验比较含尼古丁电子烟、不含尼古丁电子烟和NRT用于戒烟的效果。N = 17名参与者，9名男性，平均年龄44岁，5人使用含尼古丁电子烟，7人使用不含尼古丁电子烟，5人使用NRT。访谈内容经转录后采用主题分析法进行分析。
确定了两个总体主题和5个组织主题。总体主题包括：（1）电子烟和NRT戒烟辅助工具的体验（电子烟的积极影响和困境、对NRT的看法和体验），以及（2）支持戒烟尝试的关键机制（物理辅助工具、建议和支持、反馈和结构）。人们对电子烟持谨慎态度，但总体上与NRT方法一起得到了积极评价，发现电子烟在戒烟尝试期间很有用，因为其应用具有多功能性。含尼古丁电子烟因其对尼古丁渴望的支持而更受青睐。然而，参与者担心用吸电子烟的习惯取代吸烟成瘾。
参与者对电子烟的体验总体上是积极的；然而，也注意到了对其长期应用的担忧。对含尼古丁电子烟有明显的偏好，但需要进一步研究，以更好地了解尼古丁如何与电子烟长期结合使用，作为与其他NRT一起使用的戒烟辅助工具。
