Publications by authors named "Theodore Wagener"

Introduction: The impact of e-cigarette flavoring on e-cigarette uptake and switching to e-cigarettes among adults who smoke is critical to e-cigarette regulation in the United Sates. The purpose of this secondary analysis was to assess the impact of e-cigarette flavoring choice on e-cigarette uptake and changes in cigarette smoking in a large nationwide trial of e-cigarette provision in the United States.

Methods: A free four-week supply of e-cigarettes was provided with minimal instructions to use to adults who smoke (N = 427).

View Article and Find Full Text PDF
Article Synopsis
  • Disposable e-cigarettes are the most popular choice among youth in the US, but there is limited data on their characteristics in the online market.
  • The study analyzed 2,320 unique disposable e-cigarette products from five online vape shops, focusing on features like size, pricing, consumer reviews, and key product attributes.
  • The findings revealed that products with higher nicotine concentrations received more positive reviews and ratings, while fruit and sweet flavors were preferred over alcohol flavors; additionally, online prices per milliliter were lower compared to in-store prices.
View Article and Find Full Text PDF

Background: Nicotine forms (salt vs. freebase) and isomers (synthetic vs. tobacco-derived) are key characteristics of e-cigarettes that manufacturers manipulate, and "tobacco-free" claims may have served to attract new consumers and increase their intention to use.

View Article and Find Full Text PDF
Article Synopsis
  • Modern e-cigarettes that contain nicotine salts, which are smoother to inhale, raise concerns about potential abuse and addiction among users.
  • A study was conducted on young adult e-cigarette users to analyze how different nicotine forms, concentrations, and flavors impact their vaping experiences and behaviors.
  • Results showed that participants had different subjective experiences and nicotine uptake depending on whether they used salt-based or freebase nicotine e-liquids.
View Article and Find Full Text PDF

Introduction: Many US young adults are susceptible to waterpipe (i.e., hookah) tobacco smoking (WTS) initiation, but research on factors associated with WTS susceptibility is limited.

View Article and Find Full Text PDF

Significance: Historically, tobacco product emissions testing using smoking machines has largely focused on combustible products, such as cigarettes and cigars. However, the popularity of newer products, such as electronic cigarettes (e-cigarettes), has complicated emissions testing because the products' mouth-end geometries do not readily seal with existing smoking and vaping machines. The demand for emissions data on popularly used products has led to inefficient and non-standardised solutions, such as laboratories making their geometry-specific custom adaptors and/or employing flexible tubing, for each unique mouth-end geometry tested.

View Article and Find Full Text PDF
Article Synopsis
  • Accurate characterization of tobacco product emissions is crucial for evaluating their health impacts, and a leak-tight seal is necessary for reliable data collection.
  • A prototype universal smoking machine adaptor (USMA) was developed to work with various tobacco products, demonstrating effective sealing with different shapes and sizes.
  • Testing showed that emissions measured with the USMA were consistent and precise, often outperforming other adaptors in repeatability and accuracy.
View Article and Find Full Text PDF

Background: Individuals who have metastatic cancer experience substantial physical and psychological distress (e.g., pain, depression, anxiety) from their disease and its treatment compared to patients with less advanced disease.

View Article and Find Full Text PDF

Aims: To measure nicotine delivery, vaping topography and subjective effects of current generations of disposable, cartridge-based and other types of electronic cigarettes (e-cigarettes) among young adults.

Design, Setting, Participants: Observational, human laboratory assessment of e-cigarette use in Columbus, Ohio, USA (July 2020 to June 2021). Participants (n = 96, 60.

View Article and Find Full Text PDF
Article Synopsis
  • The study examines how features of electronic cigarettes (like battery capacity and wattage) impact their prices in online vape shops, which can inform taxation and regulation policies.
  • It analyzes products from five popular U.S. vape shops and finds that mod starter kits are often cheaper than mod devices, while prices generally rise with increased battery and output specifications.
  • The findings suggest that different taxation methods, such as unit-based or volume-based taxes, could affect vape device pricing and consumer choices, placing heavier tax burdens on lower-priced devices like vape pens and pod systems.
View Article and Find Full Text PDF
Article Synopsis
  • Many oral nicotine pouches (ONPs) use synthetic nicotine, which includes a mix of S-nicotine and R-nicotine, but most tobacco-derived nicotine is primarily S-nicotine, making R-nicotine's effects mostly unknown.
  • In a study involving 18 adult smokers, participants tested ONPs with more than 99% S-nicotine and racemic nicotine, measuring nicotine levels in their blood and product appeal after usage.
  • Results showed that ONPs with over 99% S-nicotine had significantly higher nicotine concentrations in the blood, although perceived product liking and withdrawal relief were similar across both types of ONPs, with some reporting more adverse effects from the S-nicotine pouches.
View Article and Find Full Text PDF

The use of standard protocols in studies supports consistent data collection, improves data quality, and facilitates cross-study analyses. Funded by the National Institutes of Health, the PhenX (consensus measures for otypes and eposures) Toolkit is a catalog of recommended measurement protocols that address a wide range of research topics and are suitable for inclusion in a variety of study designs. In 2020, a PhenX Working Group of smoking cessation experts followed a well-established consensus process to identify and recommend measurement protocols suitable for inclusion in smoking cessation and smoking harm reduction studies.

View Article and Find Full Text PDF

Introduction: Considering recent and proposed bans on menthol cigarettes, methods are needed to understand the substitutability of potential menthol cigarette alternatives (MCAs) for menthol cigarettes. This study examined the prospective relationship between behavioral economic demand indices and subjective effects of usual brand menthol cigarettes (UBMC) and preferred MCAs with subsequent performance on a laboratory-based concurrent-choice task comparing UBMC and MCAs.

Methods: Eighty participants who typically smoked menthol cigarettes completed this clinical laboratory study.

View Article and Find Full Text PDF
Article Synopsis
  • The review discusses the difficulties of measuring and comparing emissions from various tobacco products like cigarettes, vapes, and hookah in controlled lab settings.
  • Key challenges include the variability of smoking/vaping machines, lack of standard adaptors, and puffing protocols that don't mimic real use.
  • The authors also highlight issues with analyzing the emissions and propose two methods for monitoring toxicants, while cautioning that focusing on relative exposure can overlook the actual harm of new products.
View Article and Find Full Text PDF

We examined if the therapeutic alliance between study participants and intervention facilitators in a psilocybin-assisted therapy (PAT) trial changed over time and whether there were relationships between alliance, acute psilocybin experiences, and depression outcomes. In a randomized, waiting list-controlled clinical trial for major depressive disorder in adults (N = 24), participants were randomized to an immediate (N = 13) or delayed (N = 11) condition with two oral doses of psilocybin (20mg/70kg and 30mg/70kg). Ratings of therapeutic alliance significantly increased from the final preparation session to one-week post-intervention (p = .

View Article and Find Full Text PDF
Article Synopsis
  • National studies on cannabis use in cancer patients often overlook the impact of treatment status on symptom management.
  • In a survey of 5,523 cancer survivors, those actively receiving treatment were found to have higher rates of cannabis use (9.3%) compared to those not in treatment (6.2%), with many using it for medicinal purposes.
  • Pain management is a significant factor, as patients experiencing either controlled or uncontrolled cancer-related pain were more likely to use cannabis, indicating a need for further research on its role in treatment and symptom management.
View Article and Find Full Text PDF

Introduction: E-cigarettes and heated tobacco products (HTPs) may serve as potential options for harm reduction for smokers if they possess reward profiles similar to cigarettes. Little is known about the abuse liability of HTPs and e-cigarettes versus cigarettes in racial/ethnic minority smokers.

Aims And Methods: Twenty-two nicotine-deprived people who smoke (black [n = 12] and white [n = 10]) completed three visits that included a standardized 10-puff bout followed by a 50-minute ad libitum use assessment with their usual brand cigarette (UBC), an e-cigarette, and HTP.

View Article and Find Full Text PDF

Background And Aims: Oral nicotine pouches (ONPs) probably offer reduced harm compared with cigarettes, but independent data concerning their misuse liability are lacking. We compared nicotine delivery and craving relief from ONPs with different nicotine concentrations to cigarettes.

Design: This was a single-blind, three-visit (≥ 48-hour washout), randomized-cross-over study.

View Article and Find Full Text PDF

Introduction: This study assessed the substitutability of plausible combustible menthol cigarette alternatives (MCAs) for usual brand menthol cigarettes (UBMCs) in adults who smoke menthol cigarettes.

Methods: Following three in-lab sampling sessions, 80 adults aged 21-50 who smoke menthol cigarettes chose their preferred MCA: (1) a menthol roll-your-own cigarette (mRYO), (2) a menthol filtered little cigar (mFLC) or (3) a non-menthol cigarette (NMC). Participants were instructed to completely substitute their preferred MCA for their UBMC for 1 week and complete daily diaries documenting adherence and subjective effects.

View Article and Find Full Text PDF

Background: Oral nicotine pouches (ONPs) are novel products, gaining popularity and marketed as "tobacco-free" alternatives to cigarettes and smokeless tobacco (SLT), but their public health impact is unknown. This study qualitatively examined ONP appeal and perceptions among cigarette smokers and SLT users from Ohio Appalachia.

Methods: In 2022, we conducted 10 virtual focus groups with smokers (n = 19) and smokeless tobacco users (n = 18) from Appalachia Ohio aged ≥21 to examine perceptions of risks and benefits, substitutability for cigarettes and SLT, and ONP marketing.

View Article and Find Full Text PDF

Unlabelled: Symptoms such as pain, nausea, and anxiety are common in individuals with cancer. Treatment of these issues is often challenging. Cannabis products may be helpful in reducing the severity of these symptoms.

View Article and Find Full Text PDF