Population Sciences Program, University of Hawai'i at Mānoa, 701 Ilalo St., Honolulu, HI 96813, United States.
Population Sciences Program, University of Hawai'i at Mānoa, 701 Ilalo St., Honolulu, HI 96813, United States.
Addict Behav. 2023 Nov;146:107787. doi: 10.1016/j.addbeh.2023.107787. Epub 2023 Jun 25.
The present study addresses the need to synthesize the findings in the current literature on e-cigarette use cessation.
PubMed, MEDLINE, and EMBASE databases were searched in November 2022 to systematically review studies focused on intentions, attempts, and successful e-cigarette use cessation. Three authors independently reviewed the full-texts of the initial pool of potentially eligible articles. Narrative data synthesis was conducted, and the risk of bias was evaluated.
A total of 12 studies were selected for review, 7 of which were experimental and 5longitudinal. The majority of the studies focused on participants' intentions to quit e-cigarette use. The experimental studies varied in sample size, intervention type, and length of participant follow-up. Findings across the experimental studies were mixed, with only one full-fledged trial having examined cessation as an outcome. The experimental studies that assessed cessation outcomes utilized mobile technology as an intervention tool. Results from longitudinal studies indicated sociodemographic characteristics (gender, race/ethnicity), vaping frequency, and cigarette smoking status as predictors of intentions, attempts and e-cigarette use cessation.
This review highlights the current paucity of methodologically rigorous research on e-cigarette use cessation. Our findings suggest that vaping cessation programs that employ mobile health technology to provide personalized cessation services may help promote intentions, attempts, and e-cigarette use cessation. Limitations of the current studies on vaping cessation include small sample sizes, heterogeneous cohorts that limit comparisons, and inconsistent ways of assessing vaping cessation. Future research needs to test long-term intervention effects using experimental and prospective designs among representative samples.
本研究旨在综合当前关于电子烟戒烟的文献研究结果。
2022 年 11 月，我们通过 PubMed、MEDLINE 和 EMBASE 数据库进行了系统检索，以综述专注于电子烟戒烟意图、尝试和成功的研究。三位作者独立审查了最初可能符合条件的文章全文。我们进行了叙述性数据综合，并评估了偏倚风险。
共选择了 12 项研究进行综述，其中 7 项为实验研究，5 项为纵向研究。大多数研究都集中在参与者戒烟的意图上。实验研究的样本量、干预类型和参与者随访时间长短各不相同。实验研究的结果不一，只有一项全面的试验将戒烟作为结果进行了评估。评估戒烟结果的实验研究使用移动技术作为干预工具。纵向研究的结果表明，社会人口学特征（性别、种族/民族）、电子烟使用频率和吸烟状况是意图、尝试和电子烟使用戒烟的预测因素。
本综述强调了当前关于电子烟戒烟的研究方法学严谨性不足。我们的研究结果表明，使用移动健康技术提供个性化戒烟服务的电子烟戒烟方案可能有助于促进戒烟意图、尝试和电子烟使用戒烟。目前关于电子烟戒烟的研究存在局限性，包括样本量小、限制比较的异质队列以及评估电子烟戒烟的方法不一致。未来的研究需要在代表性样本中使用实验和前瞻性设计来测试长期干预效果。
