“…Previous studies examining changes in smoking and vaping have generally relied on self-reported smoking and vaping (e.g., Adkison et al, 2013;Etter & Bullen, 2014;Prochaska & Grana, 2014;Vickerman, Carpenter, Altman, Nash, & Zbikowski, 2013;Vickerman et al, 2016). Even when an objective measure of smoking (e.g., breath CO) was obtained, it was generally at fixed, weekly time points or during follow-up visits (e.g., Adriaens et al, 2014;Caponnetto et al, 2013;Caponnetto, Polosa, Russo, Leotta, & Campagna, 2011;Halpern et al, 2018;Jorenby, Smith, Fiore, & Baker, 2017;Manzoli et al, 2015;Tseng et al, 2016;Wagener et al, 2014).…”