Vaping as an alternative to smoking relapse following brief lapse

Journal article


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.
AuthorsNotley, C, Ward, E, Dawkins, L, Holland, R and Jakes, S
Abstract

Background and aims: E cigarettes are the most popular aid to quitting smoking in the UK. Although many smokers quit, relapse is common. Historically, the literature has reported strong associations between tobacco smoking lapse and relapse following a quit attempt. This article aims to explore how smoking lapse is experienced by those who vape to quit smoking. Methods: A purposive sample of 40 UK vapers were matched to a sampling frame from a representative sample of UK quitters. Semi-structured qualitative interviews were conducted. Data were thematically analysed iteratively situating reported experiences of smoking lapse within narrative descriptions of vaping. Iterative categorization was a technique to further explore a subset of data specifically focused on smoking lapse. Results: Analysis revealed that smoking lapse is perceived qualitatively differently when using e cigarettes as compared to past quit attempts. Having the pleasurable alternative of vaping meant that full relapse to smoking was not inevitable. Instead, lapses were perceived as ‘permissive’ or ‘purposive’, intentional and contextualised, or for some as unintentional, with the resulting emotional response negatively reinforcing ongoing tobacco smoking abstinence. Conclusions: Our novel findings suggest that the role of tobacco smoking lapse in relation to relapse status may be theoretically redefined, drawing on data from vapers. These findings question the utility of previous theories of the role of smoking lapse in the relapse process. For ex-smokers, vaping offers a pleasurable, viable pharmacological, but also social and psychological, substitution option for smoking and potentially powerfully alters the experience and threat of any lapse.

KeywordsElectronic cigarette; Vaping; Smoking relapse prevention; qualitative; 11 Medical And Health Sciences; 16 Studies In Human Society; 17 Psychology And Cognitive Sciences; Substance Abuse
Year2018
JournalDrug and Alcohol Review
PublisherWiley
ISSN1465-3362
Digital Object Identifier (DOI)doi:10.1111/dar.12876
Publication dates
Print28 Nov 2018
Publication process dates
Deposited23 Oct 2018
Accepted16 Oct 2018
Accepted author manuscript
License
CC BY 4.0
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https://openresearch.lsbu.ac.uk/item/86885

Accepted author manuscript

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