Informing the development of adolescent e-cigarette cessation interventions: A qualitative study.

Abstract:

INTRODUCTION:Adolescents are using e-cigarettes at high rates and there is limited information on how to help them quit. We aimed to inform e-cigarette cessation interventions by understanding why adolescents use and dislike e-cigarettes and their quit experiences. METHODS:Six focus groups with current users (i.e., past-month use) and 2 focus groups with past users (i.e., no past-month use) were conducted in Fall 2019 in Connecticut (N = 62). We used a focus group guide and an iterative approach to identify themes. RESULTS:Adolescents used e-cigarettes because of social reasons and to relieve stress and reported disliking e-cigarettes due to the cost, negative health effects, and addiction. They reported both intentional and unintentional experiences with quitting e-cigarettes. Reasons for unintentional quitting included lack of access to e-cigarettes. Reasons for intentional quitting included short-term "tolerance breaks" and health concerns. Of those who tried to quit, common quitting methods were "cold turkey," giving away their device, and limiting interactions with peer users. The most common withdrawal symptom was negative mood. Notable barriers to quitting included exposure to social influences at school, easy access to e-cigarettes, and lack of motivation to quit. DISCUSSION:Our qualitative evidence suggests that e-cigarette cessation interventions need to motivate youth to quit, and teach them to manage social influences, stress and other negative mood, and withdrawal symptoms. Interventions that address social norms related to use of e-cigarettes in school and reduce cues related to e-cigarette use may also be beneficial.

journal_name

Addict Behav

journal_title

Addictive behaviors

authors

Kong G,Bold KW,Cavallo DA,Davis DR,Jackson A,Krishnan-Sarin S

doi

10.1016/j.addbeh.2020.106720

subject

Has Abstract

pub_date

2021-03-01 00:00:00

pages

106720

eissn

0306-4603

issn

1873-6327

pii

S0306-4603(20)30850-9

journal_volume

114

pub_type

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