Barriers and facilitators to using vaporised nicotine products as smoking cessation aids among people receiving treatment for substance use disorder

Lum, Alistair; Skelton, Eliza; Robinson, Maryanne; Guillaumier, Ashleigh; Wynne, Olivia; Gartner, Coral; Borland, Ron; Baker, Amanda; Dunlop, Adrian; Wilkinson, Ross B.; Bonevski, Billie

doi:10.1016/j.addbeh.2021.107097

Cited by 5 publications

(2 citation statements)

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“…Using NRT in residential AOD treatment settings is common, as these settings are smoke-free during treatment [30]. Consistent with other research [18,31], our findings show that NVPs can provide an alternative to cNRT that may be more acceptable for some clients, with participants noting the importance of satisfying both behavioural (e.g., inhalation) and biochemical aspects of smoking. As ability to choose NRT format is highly valued during quit attempts [32], this may fit with therapeutic frameworks that support providing a range of strategies for addressing substance use [33].…”

Section: Discussionsupporting

confidence: 88%

“…Qualitative studies have shown that social connectedness and practical barriers [16], and staff perceptions shape the cessation experience [17]. People in AOD treatment may find that using NVPs for nicotine replacement satisfies both nicotine cravings and behavioural habits associated with tobacco smoking [18], which may provide a better cessation experience than typical nicotine replacement (e.g., patches) [19].…”

Section: Introductionmentioning

confidence: 99%

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A qualitative study of using nicotine products for smoking cessation after discharge from residential drug and alcohol treatment in Australia

Trigg,

Rich,

Williams

et al. 2024

Drug and Alcohol Review

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IntroductionTobacco smoking is highly prevalent among alcohol and other drugs (AOD) service clients and, despite interest in quitting, abstinence is rarely sustained. Nicotine products may assist after discharge from residential treatment services, but little is known about client receptivity to them. This study examined AOD withdrawal service clients' experiences of two types of nicotine products for smoking cessation post‐discharge, combination nicotine replacement therapy (cNRT) and nicotine vaping products (NVP).MethodsWe held semi‐structured telephone interviews with 31 Australian AOD service clients in a clinical trial of a 12‐week smoking cessation intervention using Quitline support plus cNRT or NVP delivered post‐discharge from a smoke‐free residential service. We asked about health and social factors, nicotine cravings, Quitline experience, and barriers and facilitators to cNRT or NVP, then thematically analysed data.ResultscNRT and NVP were described by participants as feasible and acceptable for smoking cessation. For most participants, cost limited cNRT access post study, as did difficulty navigating NVP prescription access. Quitline support was valued, but not consistently used, with participants noting low assistance with NVP‐facilitated cessation. Participants considered both cessation methods acceptable and socially supported, and sought information on decreasing nicotine use via NVP.Discussion and ConclusionsAOD service clients highly valued receiving cNRT or NVP with behavioural support for smoking reduction or abstinence. Both interventions were acceptable to service clients. Findings suggest a potential need to examine both whether NVP use should be permitted in this context, and guidance on the individual suitability of cNRT or NVP.

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