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Styklunas GM, Shahid NN, Park ER, Haberer JE, Rigotti NA, Howard SE, Kruse GR. A qualitative analysis of nicotine replacement therapy uptake, consistent use, and persistence among primary care patients who smoke. DRUG AND ALCOHOL DEPENDENCE REPORTS 2021; 2:100018. [PMID: 36845902 PMCID: PMC9948942 DOI: 10.1016/j.dadr.2021.100018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/25/2021] [Revised: 12/05/2021] [Accepted: 12/06/2021] [Indexed: 10/19/2022]
Abstract
•Adherence can be broken into three processes: uptake, consistent use, and persistence.•Barriers and facilitators to NRT use vary over the three adherence processes.•Information gaps and negative stories about NRT are common barriers to adherence.•NRT adherence may be improved by addressing patient knowledge and concerns.
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Affiliation(s)
- GM Styklunas
- Division of General Internal Medicine, Massachusetts General Hospital, Boston, MA, United States,Tobacco Research and Treatment Center, Massachusetts General Hospital, Boston, MA, United States,Tufts University School of Medicine, Boston, MA, United States,Corresponding author at: Internal Medicine, Massachusetts General Hospital, 100 Cambridge Street, 16th Floor, Boston, Massachusetts 02114, United States.
| | - NN Shahid
- Department of Psychology, University of Miami, Miami, FL, United States
| | - ER Park
- Tobacco Research and Treatment Center, Massachusetts General Hospital, Boston, MA, United States,Harvard Medical School, Boston, MA, United States,Health Policy Research Center, Department of Medicine, Massachusetts General Hospital, Boston, MA, United States
| | - JE Haberer
- Division of General Internal Medicine, Massachusetts General Hospital, Boston, MA, United States,Center for Global Health, Massachusetts General Hospital, Boston, MA, United States,Harvard Medical School, Boston, MA, United States
| | - NA Rigotti
- Division of General Internal Medicine, Massachusetts General Hospital, Boston, MA, United States,Tobacco Research and Treatment Center, Massachusetts General Hospital, Boston, MA, United States,Harvard Medical School, Boston, MA, United States,Health Policy Research Center, Department of Medicine, Massachusetts General Hospital, Boston, MA, United States
| | - SE Howard
- Division of General Internal Medicine, Massachusetts General Hospital, Boston, MA, United States
| | - GR Kruse
- Division of General Internal Medicine, Massachusetts General Hospital, Boston, MA, United States,Tobacco Research and Treatment Center, Massachusetts General Hospital, Boston, MA, United States,Harvard Medical School, Boston, MA, United States
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Morphett K, Puljević C, Borland R, Carter A, Hall W, Gartner C. Attitudes towards a hypothetical 'clean nicotine' product and harm reduction among smokers. THE INTERNATIONAL JOURNAL OF DRUG POLICY 2020; 88:103020. [PMID: 33161296 DOI: 10.1016/j.drugpo.2020.103020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2020] [Revised: 10/18/2020] [Accepted: 10/22/2020] [Indexed: 01/09/2023]
Abstract
BACKGROUND Cleaner nicotine delivery devices, such as nicotine vaping products (NVPs), could expose smokers to less harm than combustible cigarettes. While use of NVPs is increasing, it is unknown how harm reduction attitudes are related to intention to use these or other "clean nicotine" products and how smokers would prefer to use them. METHODS A sample of 1,538 Australian smokers participated in an online survey. Questions covered use NVPs and nicotine replacement therapy (NRT), and attitudes towards a hypothetical "clean nicotine" product and tobacco harm reduction. RESULTS Lifetime use of NVPs was reported by 21% of participants, while 42% reported that they would probably or definitely use NVPs as a cessation aid in the future. Around three-quarters expressed interest in using a hypothetical clean nicotine product as a short-term cessation aid (75.7%), a long-term substitute for cigarettes (72.4%), or as a partial replacement for cigarettes (74.9%). However, despite this interest, 52% endorsed the statement that using nicotine products long-term was undesirable because it maintained nicotine addiction. A binary logistic regression showed that interest in using the hypothetical "clean nicotine" product was associated with higher education, moderate nicotine dependence, support of tobacco harm reduction, and previous use of NRT and NVPs. CONCLUSION Most smokers were interested in the use of a hypothetical clean nicotine product that is as addictive as combustible cigarettes but much less harmful. However, many of the participants who were interested in the use of a hypothetical clean nicotine product also endorsed statements that long-term addiction to nicotine is undesirable. These seemingly contradictory findings have implications for communication with smokers about tobacco harm reduction approaches with non-smoked nicotine products.
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Affiliation(s)
- Kylie Morphett
- School of Public Health, The University of Queensland, Herston, Queensland, Australia.
| | - Cheneal Puljević
- School of Public Health, The University of Queensland, Herston, Queensland, Australia; Queensland Alliance for Environmental Health Sciences, The University of Queensland, Woolloongabba, Queensland, Australia
| | - Ron Borland
- Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, Victoria, Australia
| | - Adrian Carter
- Turner Institute for Brain and Mental Health, Monash University, Clayton, Melbourne, Australia
| | - Wayne Hall
- National Centre for Youth Substance Use Research, The University of Queensland, St Lucia, Queensland, Australia
| | - Coral Gartner
- School of Public Health, The University of Queensland, Herston, Queensland, Australia; Queensland Alliance for Environmental Health Sciences, The University of Queensland, Woolloongabba, Queensland, Australia
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Thomas DP, Davey M, Sterren AE, Panaretto KS, Lyons L. Do stress, life satisfaction, depression and alcohol use predict quitting among Aboriginal and Torres Strait Islander smokers? Aust N Z J Public Health 2020; 44:186-192. [DOI: 10.1111/1753-6405.12993] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2019] [Revised: 02/01/2020] [Accepted: 03/01/2020] [Indexed: 11/27/2022] Open
Affiliation(s)
- David P. Thomas
- Menzies School of Health ResearchCharles Darwin University Northern Territory
| | | | - Anke E. Sterren
- Alcohol Tobacco and Other Drug Association ACT Australian Capital Territory
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Twyman L, Watts C, Chapman K, Walsberger SC. Electronic cigarette use in New South Wales, Australia: reasons for use, place of purchase and use in enclosed and outdoor places. Aust N Z J Public Health 2018; 42:491-496. [DOI: 10.1111/1753-6405.12822] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2018] [Revised: 04/01/2018] [Accepted: 06/01/2018] [Indexed: 01/06/2023] Open
Affiliation(s)
- Laura Twyman
- Tobacco Control Unit, Cancer Council NSW, New South Wales
- School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, New South Wales
| | - Christina Watts
- Tobacco Control Unit, Cancer Council NSW, New South Wales
- School of Public Health, Sydney Medical School, University of Sydney, New South Wales
| | - Kathy Chapman
- School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, New South Wales
- School of Life and Environment Sciences, Faculty of Science, University of Sydney, New South Wales
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Cockburn N, Gartner C, Ford PJ. Smoking behaviour and preferences for cessation support among clients of an Indigenous community-controlled health service. Drug Alcohol Rev 2018; 37:676-682. [DOI: 10.1111/dar.12691] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2017] [Revised: 12/21/2017] [Accepted: 02/11/2018] [Indexed: 11/29/2022]
Affiliation(s)
- Nicole Cockburn
- School of Dentistry; The University of Queensland; Brisbane Australia
| | - Coral Gartner
- Faculty of Medicine, School of Public Health; The University of Queensland; Brisbane Australia
| | - Pauline J. Ford
- School of Dentistry; The University of Queensland; Brisbane Australia
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