AI Article Synopsis

  • - The study aimed to identify effective combinations of five online intervention components to aid smoking cessation among e-cigarette users through a randomized factorial design involving 1214 participants.
  • - Participants received various combinations of tailored advice on device selection, e-liquid nicotine strength, flavor, harm information, and text message support.
  • - The findings revealed that combining flavor advice with text message support significantly increased the likelihood of smoking abstinence, suggesting this combination may be particularly effective for smokers trying to quit using e-cigarettes.

Article Abstract

Aims, Design And Setting: The aim of this study was to determine which combination(s) of five e-cigarette-orientated intervention components, delivered on-line, affect smoking cessation. An on-line (UK) balanced five-factor (2 × 2 × 2 × 2 × 2 = 32 intervention combinations) randomized factorial design guided by the multi-phase optimization strategy (MOST) was used.

Participants: A total of 1214 eligible participants (61% female; 97% white) were recruited via social media.

Interventions: The five on-line intervention components designed to help smokers switch to exclusive e-cigarette use were: (1) tailored device selection advice; (2) tailored e-liquid nicotine strength advice; (3): tailored e-liquid flavour advice; (4) brief information on relative harms; and (5) text message (SMS) support.

Measurements: The primary outcome was 4-week self-reported complete abstinence at 12 weeks post-randomization. Primary analyses were intention-to-treat (loss to follow-up recorded as smoking). Logistic regressions modelled the three- and two-way interactions and main effects, explored in that order.

Findings: In the adjusted model the only significant interaction was a two-way interaction, advice on flavour combined with text message support, which increased the odds of abstinence (odds ratio = 1.55, 95% confidence interval = 1.13-2.14, P = 0.007, Bayes factor = 7.25). There were no main effects of the intervention components.

Conclusions: Text-message support with tailored advice on flavour is a promising intervention combination for smokers using an e-cigarette in a quit attempt.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10952247PMC
http://dx.doi.org/10.1111/add.16294DOI Listing

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