Effects of e-cigarettes versus nicotine replacement therapy on short-term smoking abstinence when delivered at a community pharmacy

Journal article


Cox, S, Dawkins, L, Dosh, J and Cameron, J (2019). Effects of e-cigarettes versus nicotine replacement therapy on short-term smoking abstinence when delivered at a community pharmacy. Addictive Behaviors Reports. 10.
AuthorsCox, S, Dawkins, L, Dosh, J and Cameron, J
Abstract

E-cigarettes (EC) are now the most popular quit aid in England but their effectiveness for cessation if offered at a pharmacy has not been tested. Here we test the effectiveness of offering an e-cigarette with and without nicotine replacement therapy (NRT) on 4–6-week quit rates in adult smokers seeking support from a community phar- macy. A between subject, six-week, prospective, cohort design. 115 smokers (female=74; M age=46.37, SD = 13.56) chose either an EC, EC + NRT or NRT alone, alongside standard behavioural support. Smokers opting for an EC alone or an EC + NRT were more likely to report complete abstinence from smoking at 4–6weeks (62.2% and 61.5% respectively) compared to NRT alone (34.8%). An EC intervention was sig- nificantly more effective for smoking cessation than NRT in this community pharmacy. The results for e-ci- garettes appear positive but with the caveat that participants chose their own products which may have in- troduced bias.

Keywordse-cigarettes; smoking cessation; pharmacy; nicotine
Year2019
JournalAddictive Behaviors Reports
Journal citation10
PublisherElsevier
ISSN2352-8532
Digital Object Identifier (DOI)doi:10.1016/j.abrep.2019.100202
Publication dates
Print03 Jul 2019
Publication process dates
Deposited16 Jul 2019
Accepted01 Jul 2019
Publisher's version
License
CC BY-NC-ND 4.0
Permalink -

https://openresearch.lsbu.ac.uk/item/865zw

  • 28
    total views
  • 33
    total downloads
  • 8
    views this month
  • 2
    downloads this month

Related outputs

Smoking amongst adults experiencing homelessness: A systematic review of prevalence rates, interventions and the barriers and facilitators to quitting and staying quit
Soar, Kirstie, Dawkins, Lynne, Robson, Deborah and Cox, Sharon (2020). Smoking amongst adults experiencing homelessness: A systematic review of prevalence rates, interventions and the barriers and facilitators to quitting and staying quit. Journal of Smoking Cessation.
Developing an E-Cigarette Ontology
Cox, Sharon, Notley, Caitlin, West, Robert and Hastings, Janna (2020). Developing an E-Cigarette Ontology. Global Forum of Nicotine. Warsaw 13 - 15 Jun 2019
Editorial for special issue: Vulnerable Groups: Addiction Research, Policy and Practice
Cox, S., Moss, A. and Ritter, A. (2020). Editorial for special issue: Vulnerable Groups: Addiction Research, Policy and Practice. Addictive Behaviors.
Communicating the Relative Health Risks of E-Cigarettes: An online experimental study exploring the Effects of a Comparative Health Message versus the EU Nicotine Addiction Warnings on Smokers’ and Non-Smokers’ Risk Perceptions and Behavioural Intentions.
Kimber, C., Frings, D., Cox, S., Albery, I. and Dawkins, L. (2020). Communicating the Relative Health Risks of E-Cigarettes: An online experimental study exploring the Effects of a Comparative Health Message versus the EU Nicotine Addiction Warnings on Smokers’ and Non-Smokers’ Risk Perceptions and Behavioural Intentions. Addictive Behaviors. 101, p. 106177.
A survey of the effect of viewing an on-line e-cigarette advertisement on attitudes towards cigarette and e-cigarette use in adults located in the UK and USA: a cross-sectional study.
Booth, P, Albery, I, Frings, D and Cox, S (2019). A survey of the effect of viewing an on-line e-cigarette advertisement on attitudes towards cigarette and e-cigarette use in adults located in the UK and USA: a cross-sectional study. BMJ Open.
The effect of alcohol dependence on automatic visuo-spatial perspective taking
Cox, S, Chandler, C, Simpson, A and Riggs, K (2016). The effect of alcohol dependence on automatic visuo-spatial perspective taking. Drug and Alcohol Dependence. 166, pp. 21-25.
What is the value of peer involvement in advancing tobacco harm reduction?
Cox, S, Notley, C, Ross, L and Jakes, S (2019). What is the value of peer involvement in advancing tobacco harm reduction? Harm Reduction Journal. 16 (2).
E-cigarettes compared with nicotine replacement therapy within the UK stop smoking services: The TEC RCT
Hajek, P, Phillips-Waller, A, Przulj, D, Pesola, F, Smith, KM, Bisal, N, Li, J, Parrott, S, Sasieni, P, Dawkins, L, Ross, L, Goniewicz, M, Wu, Q and McRobbie, HJ (2019). E-cigarettes compared with nicotine replacement therapy within the UK stop smoking services: The TEC RCT. Health Technology Assessment. 23 (43), pp. vii-81.
A systematic review of smoking, smoking cessation and the homeless: there is a will but is there a way?
Cox, S., Dawkins, L., Robson, D. and Soar, K. (2019). A systematic review of smoking, smoking cessation and the homeless: there is a will but is there a way? Lisbon Addictions Conference 2019. Lisbon 09 - 11 Oct 2019
Investigating within-person patterns and trajectories of dual e-cigarette and tobacco use: the TRAJECT mixed methods study protocol
Cox, S., Notley, C., Dawkins, L., Naughton, F., Beard, E., Kimber, C., Ward, E., Holland, R. and Kwasnicka, D. (2019). Investigating within-person patterns and trajectories of dual e-cigarette and tobacco use: the TRAJECT mixed methods study protocol. Society for Research on Nicotine and Tobacco. Oslo 17 - 21 Sep 2019
Addiction’s policy on fair authorship and acknowledgment practices
Cox, S., O'Reilly, Jean, West, Robert and Neale, Jo (2019). Addiction’s policy on fair authorship and acknowledgment practices. Addiction.
Cost-effectiveness of e-cigarettes compared with nicotine replacement therapy in stop smoking services in England (TEC study): a randomised controlled trial
Li, J., Hajek, P., Pesola, F., Wu, Q., Phillips-Waller, A., Przuli, D., Myers Smith, K., Bisal, N., Sasieni, P., Dawkins, L., Ross, L., Goniewicz, M., McRobbie, H. and Parrott, S. (2019). Cost-effectiveness of e-cigarettes compared with nicotine replacement therapy in stop smoking services in England (TEC study): a randomised controlled trial.
Understanding women's feelings about safety and hazards of street drinking in London through interpretative phenomenological analysis
Tyler, A., Moss, A. and Cox, S. (2019). Understanding women's feelings about safety and hazards of street drinking in London through interpretative phenomenological analysis. Addictive Behaviors. 99, p. 106042.
Data for 'Real-world’ compensatory behaviour with low nicotine concentration e-liquid: subjective effects and nicotine, acrolein and formaldehyde exposure
Dawkins, LE, Cox, S, Goniewicz, M, McRobbie, H, Kimber, CF, Doig, M and Kosmider, L (2019). Data for 'Real-world’ compensatory behaviour with low nicotine concentration e-liquid: subjective effects and nicotine, acrolein and formaldehyde exposure. John Wiley & Sons Ltd on behalf of Society for the Study of Addiction. doi:10.18744/LSBU.002952
A randomized trial of E-cigarettes versus nicotine-replacement therapy
Hajek, P, Phillips-Waller, A, Przulj, D, Pesola, F, Smith, KM, Bisal, N, Li, J, Parrott, S, Sasieni, P, Dawkins, L, Ross, L, Goniewicz, M, Wu, Q and McRobbie, HJ (2019). A randomized trial of E-cigarettes versus nicotine-replacement therapy. New England Journal of Medicine. 380 (7), pp. 629-637.
A cross sectional survey of smoking characteristics and quitting behaviour from a sample of homeless adults in Great Britain
Dawkins, L, Ford, A., Bauld, L, Balaban, S, Tyler, A and Cox, S (2019). A cross sectional survey of smoking characteristics and quitting behaviour from a sample of homeless adults in Great Britain. Addictive Behaviors. 95 (2019), pp. 35-40.
An exploration into “do-it-yourself” (DIY) e-liquid mixing: Users' motivations, practices and product laboratory analysis
Cox, S, Dawkins, L, Leigh, N, Choo, E, Vanderbush, T and Goniewicz, M (2018). An exploration into “do-it-yourself” (DIY) e-liquid mixing: Users' motivations, practices and product laboratory analysis. Addictive Behaviors Reports.
Response to Campbell et al., (2018) - Health risk perceptions and reasons for use of tobacco products among clients in addictions treatment
Cox, S and Notley, C (2018). Response to Campbell et al., (2018) - Health risk perceptions and reasons for use of tobacco products among clients in addictions treatment. Addictive Behaviors. 90, pp. 378-379.
The effects of the European E-cigarette health warning and comparative health messages on non-smokers' and smokers' risk perceptions and behavioural intentions: study protocol
Kimber, C, Frings, D, Cox, S, Albery, I and Dawkins, L (2018). The effects of the European E-cigarette health warning and comparative health messages on non-smokers' and smokers' risk perceptions and behavioural intentions: study protocol. BMC Public Health. 18 (1259).
Vaping as an alternative to smoking relapse following brief lapse
Notley, C, Ward, E, Dawkins, L, Holland, R and Jakes, S (2018). Vaping as an alternative to smoking relapse following brief lapse. Drug and Alcohol Review.
Messages matter: The Tobacco Products Directive nicotine addiction health warning versus an alternative relative risk message on smokers' willingness to use and purchase an electronic cigarette
Cox, S, Daniel, F, Reeda, A and Lynne, D (2018). Messages matter: The Tobacco Products Directive nicotine addiction health warning versus an alternative relative risk message on smokers' willingness to use and purchase an electronic cigarette. Addictive Behaviors Reports. 8, pp. 136-139.
Helping you helps me: Giving and receiving social support in recovery groups for problem gamblers
Hutchison, P, Cox, S and Frings, DJ (2018). Helping you helps me: Giving and receiving social support in recovery groups for problem gamblers. Group Dynamics: Theory, Research, and Practice. 22 (4), pp. 187-199.
Nicotine absorption from e-cigarettes over 12 months
Soar, K, Kimber, CF, McRobbie, H and Dawkins, LE (2018). Nicotine absorption from e-cigarettes over 12 months. Addictive Behaviors. 91, pp. 102-105.
Global and local perspectives on tobacco harm reduction: what are the issues and where do we go from here?
Cox, SA and Dawkins, LE (2018). Global and local perspectives on tobacco harm reduction: what are the issues and where do we go from here? Harm Reduction Journal. 15 (32).
A pre-post pilot study of electronic cigarettes to reduce smoking in people with severe mental illness
Hickling, L, Perez-Iglesias, R, McNeil, A, Dawkins, LE, Moxham, J, Ruffell, T, Sendt, K-V and McQuire, P (2018). A pre-post pilot study of electronic cigarettes to reduce smoking in people with severe mental illness. Psychological Medicine. 49 (6), pp. 1033-1040.
Automatic visual-spatial perspective taking in alcohol-dependence: a study with happy emotional faces
Cox, SA, Maurage, P, O'Connor, R, Chandler, C and Riggs, K (2018). Automatic visual-spatial perspective taking in alcohol-dependence: a study with happy emotional faces. Drug and Alcohol Dependence. 190, pp. 42-45.
The unique contribution of e-cigarettes for tobacco harm reduction in supporting smoking relapse prevention
Notley, C, Ward, E, Dawkins, LE and Holland, R (2018). The unique contribution of e-cigarettes for tobacco harm reduction in supporting smoking relapse prevention. Harm Reduction Journal. 15 (1).
'Real-world' compensatory behaviour with low nicotine concentration e-liquid: subjective effects and nicotine, acrolein and formaldehyde exposure
Dawkins, LE, Cox, SA, Goniewicz, M, McRobbie, H, Kimber, CF, Doig, M and Kosmider, L (2018). 'Real-world' compensatory behaviour with low nicotine concentration e-liquid: subjective effects and nicotine, acrolein and formaldehyde exposure. Addiction.
Aspects of alcohol use disorder affecting social cognition as assessed using the Mini Social and Emotional Assessment (mini-SEA)
Cox, SA, Bertoux, M, Turner, JJD, Moss, AC, Locker, K and Riggs, K (2018). Aspects of alcohol use disorder affecting social cognition as assessed using the Mini Social and Emotional Assessment (mini-SEA). Drug and Alcohol Dependence. 187, pp. 165-170.
A Qualitative Exploration of the Role of Vape Shop Environments in Supporting Smoking Abstinence
Ward, E, Cox, SA, Dawkins, LE, Jakes, S, Holland, R and Notley, C (2018). A Qualitative Exploration of the Role of Vape Shop Environments in Supporting Smoking Abstinence. International Journal of Environmental Research and Public Health. 15 (2), p. 297.
Optics and Illusions of Street Drinking in East London: A thematic analysis
Tyler, A., Cox, S. and Moss, A. (2018). Optics and Illusions of Street Drinking in East London: A thematic analysis. SSA Annual Conference, Society for the Study of Addiction. Newcastle 07 - 08 Nov 2018
Correction: Global and local perspectives on tobacco harm reduction: What are the issues and where do we go from here? [Harm Reduct J., 15, (2018) (32)] DOI: 10.1186/s12954-018-0239-5
Cox, S and Dawkins, L (2018). Correction: Global and local perspectives on tobacco harm reduction: What are the issues and where do we go from here? [Harm Reduct J., 15, (2018) (32)] DOI: 10.1186/s12954-018-0239-5. Harm Reduction Journal. 15 (1), p. 37.
Predictors of heroin abstinence in opiate substitution therapy in heroin-only users and dual users of heroin and crack
Heidebrecht, F, MacLeod, MB and Dawkins, LE (2017). Predictors of heroin abstinence in opiate substitution therapy in heroin-only users and dual users of heroin and crack. Addictive Behaviors.
Changing Behaviour: Electronic Cigarettes
Dawkins, LE and McRobbie, H (2017). Changing Behaviour: Electronic Cigarettes. British Psychological Society.
Compensatory puffing with lower nicotine concentration e-liquids increases carbonyl exposure in e-cigarette aerosols
Dawkins, LE, Kosmider, L, Kimber, CF, Kurek, J and Corcoran, O (2017). Compensatory puffing with lower nicotine concentration e-liquids increases carbonyl exposure in e-cigarette aerosols. Nicotine and Tobacco Research (OUP).
Nicotine and e-cigarettes: Rethinking addiction in the context of reduced harm.
Cox, SA and Jakes, S (2017). Nicotine and e-cigarettes: Rethinking addiction in the context of reduced harm. International Journal of Drug Policy. 44, pp. 84-85.
E-cigarette puffing patterns associated with high and low nicotine e-liquid strength: effects on toxicant and carcinogen exposure (study protocol)
Dawkins, LE, Cox, SA, Kosmider, L, McRobbie, H, Goniewicz, M, Kimber, CF and Doig, M (2016). E-cigarette puffing patterns associated with high and low nicotine e-liquid strength: effects on toxicant and carcinogen exposure (study protocol). BMC Public Health. 16.
Adolescent awareness and use of electronic cigarettes: A review of emerging trends and findings
Dawkins, LE, Greenhill, R, Notley, C, Finn, M and Turner, J (2016). Adolescent awareness and use of electronic cigarettes: A review of emerging trends and findings. Journal of Adolescent Health. 59 (6), pp. 612-619.
Alcohol Gel Ingestion Among Homeless Eastern and Central Europeans in London: Assessing the Effects on Cognitive Functioning and Psychological Health
Dawkins, LE, Soar, K and Papaioannou, G (2016). Alcohol Gel Ingestion Among Homeless Eastern and Central Europeans in London: Assessing the Effects on Cognitive Functioning and Psychological Health. Substance Use and Misuse.
Self-titration by experienced e-cigarette users: blood nicotine delivery and subjective effects
Dawkins, LE, Kimber, CF, Doig, M, Feyerabend, C and Corcoran, O (2016). Self-titration by experienced e-cigarette users: blood nicotine delivery and subjective effects. Psychopharmacology. 233 (15), pp. 2933-2941.