GPs’ and nurses’ perceptions of electronic cigarettes in England: a qualitative interview study

Stepney, Melissa; Aveyard, Paul; Begh, Rachna

doi:10.3399/bjgp18x699821

Cited by 29 publications

(50 citation statements)

References 15 publications

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“…While emerging results from this review and similar studies from other countries are beginning to provide evidence regarding the association between e-cigarette and traditional cigarette use, public health policy makers in the UK still need clear conclusions about the effects and safety of e-cigarettes. In a recent qualitative study of GPs' and nurses' perceptions of electronic cigarettes in England, many practitioners reported uncertainties about the safety and long-term risks of e-cigarettes 51 . Health professionals wanted advice from healthcare regulators such as the National Institute for Health and Care Excellence to reassure them about the safety of e-cigarettes 51 .…”

Section: Discussionmentioning

confidence: 99%

“…In a recent qualitative study of GPs' and nurses' perceptions of electronic cigarettes in England, many practitioners reported uncertainties about the safety and long-term risks of e-cigarettes 51 . Health professionals wanted advice from healthcare regulators such as the National Institute for Health and Care Excellence to reassure them about the safety of e-cigarettes 51 .…”

Section: Discussionmentioning

confidence: 99%

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Is adolescent e-cigarette use associated with smoking in the United Kingdom?: A systematic review with meta-analysis

Aladeokin

Haighton

2019

Tob. Prev. Cessation

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INTRODUCTION Though smoking is a public health problem the use of e-cigarettes has been associated with a reduction in smoking in developed countries. However, public health experts have raised concerns about the association of e-cigarette use with an increase in traditional cigarette smoking in adolescents. Reviewlevel evidence is generally supportive of this concern, but as it is mainly based on studies from the USA we investigated if e-cigarette use is associated with traditional cigarette smoking in adolescents (aged 10-19 years) in the UK. METHODS We conducted a systematic review of empirical studies. Databases (PubMed, Medline via ProQuest, CINAHL and SCOPUS) were searched between January 2005 and May 2018 using search terms based on the concepts: adolescents, traditional cigarette smoking, e-cigarettes, and UK. Using predefined inclusion and exclusion criteria, a total of eight studies (involving 73076 adolescents) were included in this review. Three of the included studies were eligible to be combined in a meta-analysis. The CASP appraisal tool was used to assess study quality while risk of bias was assessed using ROBINS-I. RESULTS Studies included in the meta-analysis showed that adolescents who use e-cigarettes are up to six times more likely to smoke traditional cigarettes. Furthermore, results showed that traditional cigarette smoking can also precede e-cigarette use in adolescents and there was increased likelihood of an increase in initial product use (e-cigarette or traditional cigarette) when the alternate product was initiated. CONCLUSIONS Public health policy makers in the UK still need clear conclusions about the effects and safety of e-cigarettes. AFFILIATION

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Is adolescent e-cigarette use associated with smoking in the United Kingdom?: A systematic review with meta-analysis

Aladeokin

Haighton

2019

Tob. Prev. Cessation

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“…Harms remain disputed, and perspectives differ among academics [11], policymakers, health professionals and the public on how to manage this uncertainty [12,13]. At the time of submission for example, an outbreak of pulmonary conditions and its links to use of e-cigarettes are the subject of widespread international debate [14].…”

Section: Introductionmentioning

confidence: 99%

Associations of Socioeconomic Status, Parental Smoking and Parental E-Cigarette Use with 10–11-Year-Old Children’s Perceptions of Tobacco Cigarettes and E-Cigarettes: Cross Sectional Analysis of the CHETS Wales 3 Survey

Moore

Angel

Gray

et al. 2020

IJERPH

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Background: This study examines primary schoolchildren’s perceptions of e-cigarettes and tobacco cigarettes, and associations with parental smoking, vaping and socioeconomic status. Methods: Survey of 2218 10–11-year-old children in 73 schools in Wales. Results: Overall, 36% reported that a parent figure smoked compared to 21% for vaping, with parental smoking lower in affluent families (OR = 0.72; 95% CI = 0.68 to 0.76). Overall, 1% had tried a cigarette, while 5% had tried an e-cigarette. Most said they would not smoke or vape in 2 years’ time; susceptibility to vaping (20%) was higher than smoking (12%). Exposure to and perceptions of tobacco cigarettes were more positive for children of smokers. Having a parent who vaped was associated with exposure to and positive perceptions of e-cigarettes, but not smoking. Most children perceived e-cigarettes as used by adults to stop smoking (64%). Susceptibility to smoking (OR = 0.57; 95% CI = 0.41 to 0.79) and vaping (OR = 0.78; 95% CI = 0.62 to 0.99) were lower among children who perceived e-cigarettes as cessation aids. Conclusions: Parental smoking continues to be concentrated in poorer families. This study provides no evidence that parental vaping in the absence of smoking is associated with more positive perceptions of tobacco cigarettes. Communicating to children the role of e-cigarettes as cessation devices for smokers may help to limit their appeal to young people.

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“…The main limitation of this work was the time elapsed between the end of participants’ roles in the SLS and the initiation of this qualitative research (up to 5 years in some cases), which may have affected recall. While the overall sample size ( n = 26) was comparable with other qualitative research conducted in similar settings using broadly similar methodologies (analysis of semi-structured interviews, focus groups, interview transcripts) [ 28 – 32 ], the numbers in each participant group were small. The limited sample of patients ( n = 10) reflected the difficulty and considerable effort required to re-establish contact with patients and GPs from the SLS.…”

Section: Discussionmentioning

confidence: 93%

Patient and healthcare professional experiences of the Salford Lung Studies: qualitative insights for future effectiveness trials

Gemzoe

Crawford²,

Caress

et al. 2020

Trials

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Background Randomized controlled trials (RCTs) conducted in the routine care setting provide the opportunity to better understand the effectiveness of new medicines but can present recruitment difficulties. An improved understanding of the challenges/opportunities for patient and healthcare professional (HCP) engagement in clinical research is needed to enhance participation and trial experience. In this study, we explored patient and HCP drivers for, and experiences of, participation in the Salford Lung Studies (SLS), and their views on future trial participation and the overall value of such trials. Methods This was a qualitative study set in Salford, UK, comprising patient telephone interviews (N = 10) and HCP advisory boards (one with general practitioners [GPs], one with practice managers [PMs]); all individuals had participated in the SLS. Semi-structured telephone interviews were recorded, transcribed and analysed thematically. Advisory board meetings were analysed based on transcriptions of audio recordings and field notes. Results For patients, key positive aspects of the SLS were the ease/convenience of study assessments and excellent relationships with study nurses. GPs and PMs considered the SLS to be well-organized and highlighted the value of research nurse support; they also described minor challenges relating to trial systems, initial financial strain on practices and staff turnover. All participants indicated that they were very likely to participate in future trials, citing a design closely aligned with routine care practice as essential. Several strategies to encourage trial participation were suggested, such as clearly communicating benefits to patients and ensuring flexible study assessments. Conclusions Patients and HCPs had positive experiences of the SLS. The study design, closely aligned with routine care, was considered important to their high likelihood of participating in future trials. The experiences of patients and HCPs in the SLS provide valuable insights that will help inform future best practice in the design and conduct of future real-world effectiveness RCTs in primary care. The detailed first-hand experiences of HCPs will be of significant value to others considering engaging in clinical research and participating in effectiveness RCTs.

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GPs’ and nurses’ perceptions of electronic cigarettes in England: a qualitative interview study

Cited by 29 publications

References 15 publications

Is adolescent e-cigarette use associated with smoking in the United Kingdom?: A systematic review with meta-analysis

Is adolescent e-cigarette use associated with smoking in the United Kingdom?: A systematic review with meta-analysis

Associations of Socioeconomic Status, Parental Smoking and Parental E-Cigarette Use with 10–11-Year-Old Children’s Perceptions of Tobacco Cigarettes and E-Cigarettes: Cross Sectional Analysis of the CHETS Wales 3 Survey

Patient and healthcare professional experiences of the Salford Lung Studies: qualitative insights for future effectiveness trials

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