“Knowledge, recommendation, and beliefs of e-cigarettes among physicians involved in tobacco cessation: A qualitative study”

Singh, Binu; Hrywna, Mary; Wackowski, Olivia A; Delnevo, Cristine D.; Lewis, M. Jane; Steinberg, Michael B.

doi:10.1016/j.pmedr.2017.07.012

Cited by 44 publications

(87 citation statements)

References 23 publications

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“…Our findings also showed that just over half of the reported discussions about NVPs were initiated by the smokers themselves, and not by the HP, which may indicate that HPs do not feel entirely comfortable or confident bringing up the topic. This has also been found in other studies, where reasons for not advising about NVPs have included the HP's perceived uncertainty about the safety and efficacy of NVPs , negative beliefs , lack of knowledge , and lack of confidence in their own capacity to counsel smokers about NVPs . These cited studies, however, have mainly been conducted in the United States using convenience samples, with limited data on common practices in other countries.…”

Section: Discussionmentioning

confidence: 66%

“…Our findings showed that, overall, fewer than 10% of smokers reported having a discussion about NVPs with an HP in the last year. Moreover, a number of studies have shown that HPs are divided about recommending NVPs for smoking cessation . The results herein have shown that HPs rarely recommended NVPs to smokers (only 2% of smokers were encouraged to use an NVP, which was approximately a third among those who had a conversation about the topic).…”

Section: Discussionmentioning

confidence: 76%

“…The majority of research on HP–smoker discussions about NVPs comes from cross‐sectional and qualitative surveys of physicians. These studies have indicated that dialogues about NVPs have become increasingly frequent in clinical settings , are generally initiated by the patient , and typically do not end in a recommendation to use NVPs, apparently because most providers remain neutral or advise against use . To the best of our knowledge, only two studies have examined patient–physician NVP discussions from the patient's perspective .…”

Section: Introductionmentioning

confidence: 99%

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Discussions between health professionals and smokers about nicotine vaping products: results from the 2016 ITC Four Country Smoking and Vaping Survey

et al. 2019

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Background and Aims: Debate exists about whether health professionals (HPs) should advise smokers to use nicotine vaping products (NVPs) to quit smoking. The objectives were to examine in four countries: (1) the prevalence of HP discussions and recommendations to use an NVP; (2) who initiated NVP discussions; (3) the type of HP advice received about NVPs; and (4) smoker’s characteristics related to receiving advice about NVPs. Design: Cross-sectional study using multivariable logistic regression analyses on weighted data from the 2016 ITC Four Country Smoking and Vaping Survey (ITC 4CV1). Setting: Four countries with varying regulations governing the sale and marketing of NVPs: ‘most restrictive’ (Australia), ‘restrictive’ (Canada) or ‘less restrictive’ (England and United States). Participants: A total of 6615 adult smokers who reported having visited an HP in the last year (drawn from the total sample of 12 294 4CV1 respondents, of whom 9398 reported smoking cigarettes daily or weekly). Respondents were from the United States (n = 1518), England (n = 2116), Australia (n = 1046), and Canada (n = 1935). Measurements: Participants’ survey responses indicated if they were current daily or weekly smokers and had visited an HP in the past year. Among those participants, further questions asked participants to report (1) whether NVPs were discussed, (2) who raised the topic, (3) advice received on use of NVPs and (4) advice received on quitting smoking. Findings: Among the 6615 smokers who visited an HP in the last year, 6.8% reported discussing NVPs with an HP and 2.1% of smokers were encouraged to use an NVP (36.1% of those who had a discussion). Compared with Australia (4.3%), discussing NVPs with an HP was more likely in the United States [8.8%, odds ratio (OR) = 2.15, 95% confidence interval (CI) = 1.41–3.29] and Canada (7.8%, OR = 1.87, 95% CI = 1.26–2.78). Smokers in Australia were less likely to discuss NVPs than smokers in England (6.2%), although this was not statistically significant (OR = 1.47, 95% CI = 0.98–2.20). Overall, the prevalence of HPs recommending NVPs was three times more likely in the United States than in Australia (OR = 3.07, 95% CI = 1.45–6.47), and twice as likely in Canada (OR = 2.28, 95% CI = 1.06–4.87) than in Australia. Australia and England did not differ (OR = 1.76, 95% CI = 0.83–3.74). Just over half (54%) of respondents brought up NVPs themselves; there were no significant differences among countries. Conclusions: Discussions in Australia, Canada, England, and the United States between smokers and health professionals about nicotine vaping products appear to be infrequent, regardless of the regulatory environment. A low percentage of health professionals recommended vaping products. This was particularly evident in Australia, which has the most restrictive regulatory environment of the four countries studied.

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Section: Discussionmentioning

confidence: 66%

Section: Discussionmentioning

confidence: 76%

Section: Introductionmentioning

confidence: 99%

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Discussions between health professionals and smokers about nicotine vaping products: results from the 2016 ITC Four Country Smoking and Vaping Survey

et al. 2019

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“…26 Physicians have rated the most trusted sources of information for smokers; thus, they play the main role in disseminating information to the general population. 27 Therefore, this study was conducted to compare the knowledge and beliefs about electronic cigarettes between the health care providers either physicians or nurses who deliver education and guidance about electronic cigarettes and the general population who use it in Egypt.…”

Section: Discussionmentioning

confidence: 99%

<p>A survey exploring knowledge and beliefs about electronic cigarettes between health care providers and the general population in Egypt</p>

Dwedar

Ruby

Mostafa

2019

COPD

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Background: Electronic cigarettes are increasing in popularity, and they are easily accessible in a variety of locations. Despite increasing its popularity, little is known about its overall health effects. Physicians have rated the most trustful source of information about it and play also a role in disseminating information about it. Thus, this study identified the difference in knowledge and beliefs about electronic cigarettes between health care providers and the general population in Egypt. Methods: A cross-sectional study using the self-administered questionnaire in the Arabic language was conducted between December 2018 and March 2019 in the Chest Department in Ain Shams University Hospital in Egypt. Study population (n=610) was divided into health care providers (n=260) and general population (n=350). Result: A total of 593 respondents participated in this study and returned filled questionnaire with total response rate=97.2%, only 8.8% of all participates were smokers, none of the study population reported using electronic cigarettes, despite that, 79.3% of the participants have heard of electronic cigarettes, media advertisements were the main source of getting to know it and there was a statistically significant difference between both groups regarding most beliefs and attitudes toward electronic cigarettes. Conclusion: There was high awareness about electronic cigarettes in Egypt and more negative attitude about it among health care providers than the general population, but still educational programs and guidelines for health care providers are needed to raise more the awareness which will aid in counseling general population appropriately.

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“…Data were analysed using framework analysis, which has been shown to be applicable for studying influences on the uptake of behavioural support and vaping , including the role health professionals may play in such decisions . A sample of transcripts were carefully examined by the lead author in order to produce initial coding/thematic frames for the smoker and SSS interviews respectively.…”

Section: Methodsmentioning

confidence: 99%

Understanding decisions to use e‐cigarettes or behavioural support to quit tobacco: a qualitative study of current and ex‐smokers and stop smoking service staff

2019

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Aim To examine factors influencing current and ex‐smokers’ decisions to use e‐cigarettes or behavioural support, including potential impacts of any differences in perspectives between smokers and their local stop smoking services (SSSs). Design Semi‐structured qualitative interviews followed by framework analysis, with the ‘capability’, ‘opportunity’, ‘motivation’ and ‘behaviour’ (COM‐B) model of behaviour change used to frame findings. Setting SSSs and surrounding local areas in England. Participants Interviewees (n = 46) were current or recent smokers (n = 29) and SSS staff or stakeholders (n = 17). Measurements Interview topic guides explored influences on smokers' choice of quit method and characteristics of support offered by local SSSs. Findings Current and ex‐smokers showed a range of views on potential risks from long‐term vaping, which appeared to be particularly relevant for the capability dimension of COM‐B. These different attitudes to vaping appeared to be linked to variations in people's perceived capability to assess evidence around e‐cigarettes’ safety. Motivations for using or avoiding e‐cigarettes and SSSs often appeared to overlap: attitudes to both e‐cigarettes and nicotine replacement therapy from SSSs often reflected personal experiences and views on whether switching from smoking to these alternatives represented successful quitting or simply ongoing nicotine addiction. For smokers, opportunities to use e‐cigarettes or SSSs appeared to be largely determined by perceived time requirements. Furthermore, interviews with SSS professionals suggested that opportunities to access SSSs for ex‐smokers who were now regular vapers may be being influenced by different e‐cigarette policies adopted in individual areas. Conclusions In England, smokers’ decisions to use e‐cigarettes and local stop smoking services appear to be determined by varied influences across the COM‐B framework. Both smokers and stop smoking service professionals display diverse views about potential risks from e‐cigarettes, which has relevance for the provision of behavioural support as well as the uptake of vaping.

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“Knowledge, recommendation, and beliefs of e-cigarettes among physicians involved in tobacco cessation: A qualitative study”

Cited by 44 publications

References 23 publications

Discussions between health professionals and smokers about nicotine vaping products: results from the 2016 ITC Four Country Smoking and Vaping Survey

Discussions between health professionals and smokers about nicotine vaping products: results from the 2016 ITC Four Country Smoking and Vaping Survey

<p>A survey exploring knowledge and beliefs about electronic cigarettes between health care providers and the general population in Egypt</p>

Understanding decisions to use e‐cigarettes or behavioural support to quit tobacco: a qualitative study of current and ex‐smokers and stop smoking service staff

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