Helping the quitters quit: a systematic review and narrative synthesis of the barriers and facilitators to e-cigarette cessation and the support that is needed

Dyson, Judith and Bhatnagar, Malvika and Skinner, James and Crooks, Michael (2021) Helping the quitters quit: a systematic review and narrative synthesis of the barriers and facilitators to e-cigarette cessation and the support that is needed. Patient Education and Counseling. ISSN 0738-3991

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Abstract

Objective
To investigate the barriers and facilitators to and support needed for e-cigarette cessation.

Methods
We systematically searched the subject-specific databases MEDLINE, CINAHL complete and psycINFO and the Cochrane database using synonyms relating to the terms e-cigarettes and cessation including English language, empirical, peer reviewed research papers, published from 2010 to 2021. We included papers that addressed the research question in its broadest sense, including papers reporting reasons for and interventions to support e-cigarette cessation. Data extraction was completed two authors independently using a bespoke spreadsheet. We conducted a narrative synthesis of all data and we were able to extract and combine descriptive quantitative data from included survey papers.

Results
After reviewing 2593 titles 10 papers fit our criteria. Barriers to e-cigarette cessation were: a fear of returning to tobacco, dependency and stress reduction. Barriers or facilitators were: health and hazard beliefs, degree of enjoyment, social influences and environmental factors. A number of e-cigarette smoking support measures were suggested by participants.

Practice implications
E-cigarette cessation poses similar and additional challenges to that of tobacco cessation. E-cigarettes are not the final step on a journey to smoking cessation. Addressing barriers specific to e-cigarettes need to be considered in intervention design

Item Type: Article
Identification Number: https://doi.org/10.1016/j.pec.2021.09.024
Date: 17 September 2021
Uncontrolled Keywords: Smoking cessation E-cigarette cessation Behavioural interventions
Subjects: CAH02 - subjects allied to medicine > CAH02-04 - nursing and midwifery > CAH02-04-01 - nursing (non-specific)
Divisions: Faculty of Health, Education and Life Sciences > Centre for Social Care, Health and Related Research (C-SHARR) > Health Sciences
Depositing User: Judith Dyson
Date Deposited: 08 Oct 2021 09:54
Last Modified: 15 Oct 2021 14:50
URI: http://www.open-access.bcu.ac.uk/id/eprint/12267

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