Trial Outcomes & Findings for Enhanced E-cigarette Coaching Intervention for Dual Users of Cigarettes and E-cigarettes (NCT NCT03575468)

NCT ID: NCT03575468

Last Updated: 2023-10-16

Results Overview

In Phase 2, average treatment satisfaction and acceptability rating will be compared for EEC and TAU participants. Full 1-6 scale description: 1 - very satisfied; 2 - satisfied; 3 - somewhat satisfied; 4 - somewhat dissatisfied; 5 - dissatisfied; 6 - very dissatisfied. Participants can also respond "I don't know" or "I prefer not to answer". On scale 1-6, 1 is the best outcome.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

110 participants

Primary outcome timeframe

3 months after baseline

Results posted on

2023-10-16

Participant Flow

Participant milestones

Participant milestones
Measure
Enhanced E-cigarette Coaching (EEC)
The EEC intervention calls will include assessment of e-cigarette use and discussion about how and why e-cigarettes are being used on every call. In addition to the standard quitline cessation program, the enhanced program will include education (via quit coaches and two tailored quit guides), behavioral support tailored to dual users, and shared decision making strategies to address how and why FDA-approved quitting aids and ENDS are being used and to develop an integrated quit plan based on callers' decisions. Enhanced E-cigarette Coaching: The EEC intervention calls will include assessment of e-cigarette use and discussion about how and why e-cigarettes are being used on every call. In addition to the standard quitline cessation program, the enhanced program will include education (via quit coaches and two tailored quit guides), behavioral support tailored to dual users, and shared decision making strategies to address how and why FDA-approved quitting aids and ENDS are being used and to develop an integrated quit plan based on callers' decisions.
Quitline Treatment as Usual (TAU)
The standard tobacco quitline program is a proactive 5-call intervention grounded in social cognitive theory and the U.S. Public Health Service clinical practices guidelines for treating tobacco use and dependence. All enrollees in the study are eligible for 2-8 weeks of nicotine replacement therapy (depending on their standard quitline benefit offering), if they medically qualify and/or return a medical override letter from their doctor. Quitline treatment as usual: The standard tobacco quitline program is a proactive 5-call intervention grounded in social cognitive theory and the U.S. Public Health Service clinical practices guidelines for treating tobacco use and dependence. All enrollees in the study are eligible for 2-8 weeks of nicotine replacement therapy (depending on their standard quitline benefit offering), if they medically qualify and/or return a medical override letter from their doctor.
Overall Study
STARTED
56
54
Overall Study
COMPLETED
30
33
Overall Study
NOT COMPLETED
26
21

Reasons for withdrawal

Reasons for withdrawal
Measure
Enhanced E-cigarette Coaching (EEC)
The EEC intervention calls will include assessment of e-cigarette use and discussion about how and why e-cigarettes are being used on every call. In addition to the standard quitline cessation program, the enhanced program will include education (via quit coaches and two tailored quit guides), behavioral support tailored to dual users, and shared decision making strategies to address how and why FDA-approved quitting aids and ENDS are being used and to develop an integrated quit plan based on callers' decisions. Enhanced E-cigarette Coaching: The EEC intervention calls will include assessment of e-cigarette use and discussion about how and why e-cigarettes are being used on every call. In addition to the standard quitline cessation program, the enhanced program will include education (via quit coaches and two tailored quit guides), behavioral support tailored to dual users, and shared decision making strategies to address how and why FDA-approved quitting aids and ENDS are being used and to develop an integrated quit plan based on callers' decisions.
Quitline Treatment as Usual (TAU)
The standard tobacco quitline program is a proactive 5-call intervention grounded in social cognitive theory and the U.S. Public Health Service clinical practices guidelines for treating tobacco use and dependence. All enrollees in the study are eligible for 2-8 weeks of nicotine replacement therapy (depending on their standard quitline benefit offering), if they medically qualify and/or return a medical override letter from their doctor. Quitline treatment as usual: The standard tobacco quitline program is a proactive 5-call intervention grounded in social cognitive theory and the U.S. Public Health Service clinical practices guidelines for treating tobacco use and dependence. All enrollees in the study are eligible for 2-8 weeks of nicotine replacement therapy (depending on their standard quitline benefit offering), if they medically qualify and/or return a medical override letter from their doctor.
Overall Study
Withdrawal by Subject
3
0
Overall Study
Call 1 completion required to stay in study per consent process (not contacted for 3-month survey)
10
4
Overall Study
Lost to Follow-up
13
17

Baseline Characteristics

Enhanced E-cigarette Coaching Intervention for Dual Users of Cigarettes and E-cigarettes

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Enhanced E-cigarette Coaching (EEC)
n=46 Participants
The EEC intervention calls will include assessment of e-cigarette use and discussion about how and why e-cigarettes are being used on every call. In addition to the standard quitline cessation program, the enhanced program will include education (via quit coaches and two tailored quit guides), behavioral support tailored to dual users, and shared decision making strategies to address how and why FDA-approved quitting aids and ENDS are being used and to develop an integrated quit plan based on callers' decisions. Enhanced E-cigarette Coaching: The EEC intervention calls will include assessment of e-cigarette use and discussion about how and why e-cigarettes are being used on every call. In addition to the standard quitline cessation program, the enhanced program will include education (via quit coaches and two tailored quit guides), behavioral support tailored to dual users, and shared decision making strategies to address how and why FDA-approved quitting aids and ENDS are being used and to develop an integrated quit plan based on callers' decisions.
Quitline Treatment as Usual (TAU)
n=50 Participants
The standard tobacco quitline program is a proactive 5-call intervention grounded in social cognitive theory and the U.S. Public Health Service clinical practices guidelines for treating tobacco use and dependence. All enrollees in the study are eligible for 2-8 weeks of nicotine replacement therapy (depending on their standard quitline benefit offering), if they medically qualify and/or return a medical override letter from their doctor. Quitline treatment as usual: The standard tobacco quitline program is a proactive 5-call intervention grounded in social cognitive theory and the U.S. Public Health Service clinical practices guidelines for treating tobacco use and dependence. All enrollees in the study are eligible for 2-8 weeks of nicotine replacement therapy (depending on their standard quitline benefit offering), if they medically qualify and/or return a medical override letter from their doctor.
Total
n=96 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Categorical
Between 18 and 65 years
43 Participants
n=93 Participants
47 Participants
n=4 Participants
90 Participants
n=27 Participants
Age, Categorical
>=65 years
3 Participants
n=93 Participants
3 Participants
n=4 Participants
6 Participants
n=27 Participants
Sex: Female, Male
Female
30 Participants
n=93 Participants
29 Participants
n=4 Participants
59 Participants
n=27 Participants
Sex: Female, Male
Male
16 Participants
n=93 Participants
21 Participants
n=4 Participants
37 Participants
n=27 Participants
Race (NIH/OMB)
American Indian or Alaska Native
5 Participants
n=93 Participants
7 Participants
n=4 Participants
12 Participants
n=27 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Black or African American
5 Participants
n=93 Participants
2 Participants
n=4 Participants
7 Participants
n=27 Participants
Race (NIH/OMB)
White
32 Participants
n=93 Participants
30 Participants
n=4 Participants
62 Participants
n=27 Participants
Race (NIH/OMB)
More than one race
4 Participants
n=93 Participants
11 Participants
n=4 Participants
15 Participants
n=27 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Region of Enrollment
United States
46 participants
n=93 Participants
50 participants
n=4 Participants
96 participants
n=27 Participants

PRIMARY outcome

Timeframe: 3 months after baseline

Population: This analysis focused on 3-month survey respondents (N=66).

In Phase 2, average treatment satisfaction and acceptability rating will be compared for EEC and TAU participants. Full 1-6 scale description: 1 - very satisfied; 2 - satisfied; 3 - somewhat satisfied; 4 - somewhat dissatisfied; 5 - dissatisfied; 6 - very dissatisfied. Participants can also respond "I don't know" or "I prefer not to answer". On scale 1-6, 1 is the best outcome.

Outcome measures

Outcome measures
Measure
Enhanced E-cigarette Coaching (EEC)
n=32 Participants
The EEC intervention calls will include assessment of e-cigarette use and discussion about how and why e-cigarettes are being used on every call. In addition to the standard quitline cessation program, the enhanced program will include education (via quit coaches and two tailored quit guides), behavioral support tailored to dual users, and shared decision making strategies to address how and why FDA-approved quitting aids and ENDS are being used and to develop an integrated quit plan based on callers' decisions. Enhanced E-cigarette Coaching: The EEC intervention calls will include assessment of e-cigarette use and discussion about how and why e-cigarettes are being used on every call. In addition to the standard quitline cessation program, the enhanced program will include education (via quit coaches and two tailored quit guides), behavioral support tailored to dual users, and shared decision making strategies to address how and why FDA-approved quitting aids and ENDS are being used and to develop an integrated quit plan based on callers' decisions.
Quitline Treatment as Usual (TAU)
n=34 Participants
The standard tobacco quitline program is a proactive 5-call intervention grounded in social cognitive theory and the U.S. Public Health Service clinical practices guidelines for treating tobacco use and dependence. All enrollees in the study are eligible for 2-8 weeks of nicotine replacement therapy (depending on their standard quitline benefit offering), if they medically qualify and/or return a medical override letter from their doctor. Quitline treatment as usual: The standard tobacco quitline program is a proactive 5-call intervention grounded in social cognitive theory and the U.S. Public Health Service clinical practices guidelines for treating tobacco use and dependence. All enrollees in the study are eligible for 2-8 weeks of nicotine replacement therapy (depending on their standard quitline benefit offering), if they medically qualify and/or return a medical override letter from their doctor.
Treatment Satisfaction and Acceptability Measured on a Scale From 1-6 (Very Satisfied to Very Dissatisfied)
5.5 units on a scale
Interval 5.3 to 5.8
5.0 units on a scale
Interval 4.5 to 5.5

PRIMARY outcome

Timeframe: Phase 2 time frame: 3 months after baseline

In Phase 2, call completion (captured via standard quitline data systems) will be compared for EEC and TAU participants. There is no limit to number of calls that can be completed, although participants are called to complete 5 scheduled calls (best outcome).

Outcome measures

Outcome measures
Measure
Enhanced E-cigarette Coaching (EEC)
n=32 Participants
The EEC intervention calls will include assessment of e-cigarette use and discussion about how and why e-cigarettes are being used on every call. In addition to the standard quitline cessation program, the enhanced program will include education (via quit coaches and two tailored quit guides), behavioral support tailored to dual users, and shared decision making strategies to address how and why FDA-approved quitting aids and ENDS are being used and to develop an integrated quit plan based on callers' decisions. Enhanced E-cigarette Coaching: The EEC intervention calls will include assessment of e-cigarette use and discussion about how and why e-cigarettes are being used on every call. In addition to the standard quitline cessation program, the enhanced program will include education (via quit coaches and two tailored quit guides), behavioral support tailored to dual users, and shared decision making strategies to address how and why FDA-approved quitting aids and ENDS are being used and to develop an integrated quit plan based on callers' decisions.
Quitline Treatment as Usual (TAU)
n=34 Participants
The standard tobacco quitline program is a proactive 5-call intervention grounded in social cognitive theory and the U.S. Public Health Service clinical practices guidelines for treating tobacco use and dependence. All enrollees in the study are eligible for 2-8 weeks of nicotine replacement therapy (depending on their standard quitline benefit offering), if they medically qualify and/or return a medical override letter from their doctor. Quitline treatment as usual: The standard tobacco quitline program is a proactive 5-call intervention grounded in social cognitive theory and the U.S. Public Health Service clinical practices guidelines for treating tobacco use and dependence. All enrollees in the study are eligible for 2-8 weeks of nicotine replacement therapy (depending on their standard quitline benefit offering), if they medically qualify and/or return a medical override letter from their doctor.
Treatment Engagement: Call Completion
3.4 Coaching calls completed
Standard Deviation .24
2.7 Coaching calls completed
Standard Deviation .19

SECONDARY outcome

Timeframe: 3 months after baseline

Population: Analysis focused on 3-month survey respondents (N=66).

In Phase 2, quit plan development experience will be compared for EEC and TAU participants. Quit plan development experience will be measured with an adapted version of the CollaboRATE (not an abbreviation) shared decision making assessment measure. The adapted CollaboRATE measure included 3 questions (on a 5-point scale from "no effort (0)" to "every effort was made (4)"): "How much effort was made to help you understand your options for quitting smoking?", "How much effort was made to listen to the things that matter most to you about your plan for quitting smoking?", and "How much effort was made to include what matters most to you in creating your plan for quitting smoking?". Higher total scores indicate greater utilization of a shared decision-making approach during quit plan development. Scale minimum equals 0 and maximum equals 12.

Outcome measures

Outcome measures
Measure
Enhanced E-cigarette Coaching (EEC)
n=32 Participants
The EEC intervention calls will include assessment of e-cigarette use and discussion about how and why e-cigarettes are being used on every call. In addition to the standard quitline cessation program, the enhanced program will include education (via quit coaches and two tailored quit guides), behavioral support tailored to dual users, and shared decision making strategies to address how and why FDA-approved quitting aids and ENDS are being used and to develop an integrated quit plan based on callers' decisions. Enhanced E-cigarette Coaching: The EEC intervention calls will include assessment of e-cigarette use and discussion about how and why e-cigarettes are being used on every call. In addition to the standard quitline cessation program, the enhanced program will include education (via quit coaches and two tailored quit guides), behavioral support tailored to dual users, and shared decision making strategies to address how and why FDA-approved quitting aids and ENDS are being used and to develop an integrated quit plan based on callers' decisions.
Quitline Treatment as Usual (TAU)
n=34 Participants
The standard tobacco quitline program is a proactive 5-call intervention grounded in social cognitive theory and the U.S. Public Health Service clinical practices guidelines for treating tobacco use and dependence. All enrollees in the study are eligible for 2-8 weeks of nicotine replacement therapy (depending on their standard quitline benefit offering), if they medically qualify and/or return a medical override letter from their doctor. Quitline treatment as usual: The standard tobacco quitline program is a proactive 5-call intervention grounded in social cognitive theory and the U.S. Public Health Service clinical practices guidelines for treating tobacco use and dependence. All enrollees in the study are eligible for 2-8 weeks of nicotine replacement therapy (depending on their standard quitline benefit offering), if they medically qualify and/or return a medical override letter from their doctor.
Quit Plan Development Experience
10.0 score on a scale
Standard Error 0.4
9.2 score on a scale
Standard Error 0.6

SECONDARY outcome

Timeframe: Phase 2 time frame: 3 months after baseline

Population: Respondents to the 3-month survey

In Phase 2, Knowledge and Beliefs about ENDS, Smoking, and FDA-approved Cessation Medications was assessed via 3 relative risk questions about ENDS, Smoking, and FDA-approved Cessation Medications designed for this study, and compared for EEC and TAU participants. Responses to individual items will be described. To assess the relative risk of ENDS and cigarettes, the following question was asked, "Compared to cigarettes, how harmful are e-cigarettes to a person's health?" Answer responses included: less harmful, about the same, more harmful, and I prefer not to answer.

Outcome measures

Outcome measures
Measure
Enhanced E-cigarette Coaching (EEC)
n=30 Participants
The EEC intervention calls will include assessment of e-cigarette use and discussion about how and why e-cigarettes are being used on every call. In addition to the standard quitline cessation program, the enhanced program will include education (via quit coaches and two tailored quit guides), behavioral support tailored to dual users, and shared decision making strategies to address how and why FDA-approved quitting aids and ENDS are being used and to develop an integrated quit plan based on callers' decisions. Enhanced E-cigarette Coaching: The EEC intervention calls will include assessment of e-cigarette use and discussion about how and why e-cigarettes are being used on every call. In addition to the standard quitline cessation program, the enhanced program will include education (via quit coaches and two tailored quit guides), behavioral support tailored to dual users, and shared decision making strategies to address how and why FDA-approved quitting aids and ENDS are being used and to develop an integrated quit plan based on callers' decisions.
Quitline Treatment as Usual (TAU)
n=33 Participants
The standard tobacco quitline program is a proactive 5-call intervention grounded in social cognitive theory and the U.S. Public Health Service clinical practices guidelines for treating tobacco use and dependence. All enrollees in the study are eligible for 2-8 weeks of nicotine replacement therapy (depending on their standard quitline benefit offering), if they medically qualify and/or return a medical override letter from their doctor. Quitline treatment as usual: The standard tobacco quitline program is a proactive 5-call intervention grounded in social cognitive theory and the U.S. Public Health Service clinical practices guidelines for treating tobacco use and dependence. All enrollees in the study are eligible for 2-8 weeks of nicotine replacement therapy (depending on their standard quitline benefit offering), if they medically qualify and/or return a medical override letter from their doctor.
Knowledge and Beliefs- Relative Risk of ENDS and Cigarettes
Less Harmful
22 Participants
22 Participants
Knowledge and Beliefs- Relative Risk of ENDS and Cigarettes
About the Same
6 Participants
5 Participants
Knowledge and Beliefs- Relative Risk of ENDS and Cigarettes
More Harmful
0 Participants
5 Participants
Knowledge and Beliefs- Relative Risk of ENDS and Cigarettes
I prefer not to answer
2 Participants
1 Participants

SECONDARY outcome

Timeframe: Phase 2 time frame: 3 months after baseline

Population: Respondents to the 3-month survey

In Phase 2, Knowledge and Beliefs about ENDS, Smoking, and FDA-approved Cessation Medications was assessed via 3 relative risk questions about ENDS, Smoking, and FDA-approved Cessation Medications designed for this study, and compared for EEC and TAU participants. Responses to individual items will be described. To assess the relative risk of FDA-approved Cessation Medications and cigarettes, the following question was asked, "Compared to cigarettes, how harmful are quit medications like the nicotine patch to a person's health?" Answer responses included: less harmful, about the same, more harmful, and I prefer not to answer.

Outcome measures

Outcome measures
Measure
Enhanced E-cigarette Coaching (EEC)
n=30 Participants
The EEC intervention calls will include assessment of e-cigarette use and discussion about how and why e-cigarettes are being used on every call. In addition to the standard quitline cessation program, the enhanced program will include education (via quit coaches and two tailored quit guides), behavioral support tailored to dual users, and shared decision making strategies to address how and why FDA-approved quitting aids and ENDS are being used and to develop an integrated quit plan based on callers' decisions. Enhanced E-cigarette Coaching: The EEC intervention calls will include assessment of e-cigarette use and discussion about how and why e-cigarettes are being used on every call. In addition to the standard quitline cessation program, the enhanced program will include education (via quit coaches and two tailored quit guides), behavioral support tailored to dual users, and shared decision making strategies to address how and why FDA-approved quitting aids and ENDS are being used and to develop an integrated quit plan based on callers' decisions.
Quitline Treatment as Usual (TAU)
n=33 Participants
The standard tobacco quitline program is a proactive 5-call intervention grounded in social cognitive theory and the U.S. Public Health Service clinical practices guidelines for treating tobacco use and dependence. All enrollees in the study are eligible for 2-8 weeks of nicotine replacement therapy (depending on their standard quitline benefit offering), if they medically qualify and/or return a medical override letter from their doctor. Quitline treatment as usual: The standard tobacco quitline program is a proactive 5-call intervention grounded in social cognitive theory and the U.S. Public Health Service clinical practices guidelines for treating tobacco use and dependence. All enrollees in the study are eligible for 2-8 weeks of nicotine replacement therapy (depending on their standard quitline benefit offering), if they medically qualify and/or return a medical override letter from their doctor.
Knowledge and Beliefs- Relative Risk of FDA-approved Cessation Medications and Cigarettes
Less Harmful
25 Participants
32 Participants
Knowledge and Beliefs- Relative Risk of FDA-approved Cessation Medications and Cigarettes
About the Same
1 Participants
1 Participants
Knowledge and Beliefs- Relative Risk of FDA-approved Cessation Medications and Cigarettes
More Harmful
1 Participants
0 Participants
Knowledge and Beliefs- Relative Risk of FDA-approved Cessation Medications and Cigarettes
I Prefer Not to Answer
3 Participants
0 Participants

SECONDARY outcome

Timeframe: Phase 2 time frame: 3 months after baseline

Population: Respondents to the 3-month survey

In Phase 2, Knowledge and Beliefs about ENDS, Smoking, and FDA-approved Cessation Medications was assessed via 3 relative risk questions about ENDS, Smoking, and FDA-approved Cessation Medications designed for this study, and compared for EEC and TAU participants. Responses to individual items will be described. To assess the relative risk of FDA-approved Cessation Medications and ENDS, the following question was asked, "Compared to quit medications like the nicotine patch, how harmful are e-cigarettes to a person's health?" Answer responses included: less harmful, about the same, more harmful, and I prefer not to answer.

Outcome measures

Outcome measures
Measure
Enhanced E-cigarette Coaching (EEC)
n=30 Participants
The EEC intervention calls will include assessment of e-cigarette use and discussion about how and why e-cigarettes are being used on every call. In addition to the standard quitline cessation program, the enhanced program will include education (via quit coaches and two tailored quit guides), behavioral support tailored to dual users, and shared decision making strategies to address how and why FDA-approved quitting aids and ENDS are being used and to develop an integrated quit plan based on callers' decisions. Enhanced E-cigarette Coaching: The EEC intervention calls will include assessment of e-cigarette use and discussion about how and why e-cigarettes are being used on every call. In addition to the standard quitline cessation program, the enhanced program will include education (via quit coaches and two tailored quit guides), behavioral support tailored to dual users, and shared decision making strategies to address how and why FDA-approved quitting aids and ENDS are being used and to develop an integrated quit plan based on callers' decisions.
Quitline Treatment as Usual (TAU)
n=33 Participants
The standard tobacco quitline program is a proactive 5-call intervention grounded in social cognitive theory and the U.S. Public Health Service clinical practices guidelines for treating tobacco use and dependence. All enrollees in the study are eligible for 2-8 weeks of nicotine replacement therapy (depending on their standard quitline benefit offering), if they medically qualify and/or return a medical override letter from their doctor. Quitline treatment as usual: The standard tobacco quitline program is a proactive 5-call intervention grounded in social cognitive theory and the U.S. Public Health Service clinical practices guidelines for treating tobacco use and dependence. All enrollees in the study are eligible for 2-8 weeks of nicotine replacement therapy (depending on their standard quitline benefit offering), if they medically qualify and/or return a medical override letter from their doctor.
Knowledge and Beliefs- Relative Risk of FDA-approved Cessation Medications and ENDS
Less Harmful
12 Participants
4 Participants
Knowledge and Beliefs- Relative Risk of FDA-approved Cessation Medications and ENDS
About the Same
5 Participants
9 Participants
Knowledge and Beliefs- Relative Risk of FDA-approved Cessation Medications and ENDS
More Harmful
10 Participants
19 Participants
Knowledge and Beliefs- Relative Risk of FDA-approved Cessation Medications and ENDS
I Prefer Not to Answer
3 Participants
1 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Phase 2 time frame: 3 months after baseline

In Phase 2 participants will report their quit status during their outcome survey.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to 12 weeks

A descriptive analysis of how ENDS, NRT, and cigarettes are used during a participant's quit process through diary procedures.

Outcome measures

Outcome data not reported

Adverse Events

Enhanced E-cigarette Coaching (EEC)

Serious events: 0 serious events
Other events: 17 other events
Deaths: 0 deaths

Quitline Treatment as Usual (TAU)

Serious events: 0 serious events
Other events: 19 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Enhanced E-cigarette Coaching (EEC)
n=30 participants at risk;n=46 participants at risk
The EEC intervention calls will include assessment of e-cigarette use and discussion about how and why e-cigarettes are being used on every call. In addition to the standard quitline cessation program, the enhanced program will include education (via quit coaches and two tailored quit guides), behavioral support tailored to dual users, and shared decision making strategies to address how and why FDA-approved quitting aids and ENDS are being used and to develop an integrated quit plan based on callers' decisions. Enhanced E-cigarette Coaching: The EEC intervention calls will include assessment of e-cigarette use and discussion about how and why e-cigarettes are being used on every call. In addition to the standard quitline cessation program, the enhanced program will include education (via quit coaches and two tailored quit guides), behavioral support tailored to dual users, and shared decision making strategies to address how and why FDA-approved quitting aids and ENDS are being used and to develop an integrated quit plan based on callers' decisions.
Quitline Treatment as Usual (TAU)
n=33 participants at risk;n=50 participants at risk
The standard tobacco quitline program is a proactive 5-call intervention grounded in social cognitive theory and the U.S. Public Health Service clinical practices guidelines for treating tobacco use and dependence. All enrollees in the study are eligible for 2-8 weeks of nicotine replacement therapy (depending on their standard quitline benefit offering), if they medically qualify and/or return a medical override letter from their doctor. Quitline treatment as usual: The standard tobacco quitline program is a proactive 5-call intervention grounded in social cognitive theory and the U.S. Public Health Service clinical practices guidelines for treating tobacco use and dependence. All enrollees in the study are eligible for 2-8 weeks of nicotine replacement therapy (depending on their standard quitline benefit offering), if they medically qualify and/or return a medical override letter from their doctor.
Respiratory, thoracic and mediastinal disorders
Sore throat d/t reported use of e-cigarette
34.6%
9/26 • Outcomes surveys were completed approximately 3-months after baseline and randomization.
Only participants who responded to the 3-month survey and reported use of e-cigs and/or NRT were assessed for Other (Not Including Serious) Adverse Events. Participants who reported use of e-cigs or NRT since study enrollment were asked whether they experienced any side effects related to (1) using e-cigs (if they reported use) and (2) related to using NRT (if they reported use) using two separate questions. Participants could be at risk for adverse events related to both NRT and e-cig use.
15.4%
4/26 • Outcomes surveys were completed approximately 3-months after baseline and randomization.
Only participants who responded to the 3-month survey and reported use of e-cigs and/or NRT were assessed for Other (Not Including Serious) Adverse Events. Participants who reported use of e-cigs or NRT since study enrollment were asked whether they experienced any side effects related to (1) using e-cigs (if they reported use) and (2) related to using NRT (if they reported use) using two separate questions. Participants could be at risk for adverse events related to both NRT and e-cig use.
General disorders
Headache d/t reported use of e-cigarettes
23.1%
6/26 • Outcomes surveys were completed approximately 3-months after baseline and randomization.
Only participants who responded to the 3-month survey and reported use of e-cigs and/or NRT were assessed for Other (Not Including Serious) Adverse Events. Participants who reported use of e-cigs or NRT since study enrollment were asked whether they experienced any side effects related to (1) using e-cigs (if they reported use) and (2) related to using NRT (if they reported use) using two separate questions. Participants could be at risk for adverse events related to both NRT and e-cig use.
3.8%
1/26 • Outcomes surveys were completed approximately 3-months after baseline and randomization.
Only participants who responded to the 3-month survey and reported use of e-cigs and/or NRT were assessed for Other (Not Including Serious) Adverse Events. Participants who reported use of e-cigs or NRT since study enrollment were asked whether they experienced any side effects related to (1) using e-cigs (if they reported use) and (2) related to using NRT (if they reported use) using two separate questions. Participants could be at risk for adverse events related to both NRT and e-cig use.
General disorders
Breathing difficulties d/t reported e-cigarette use
11.5%
3/26 • Outcomes surveys were completed approximately 3-months after baseline and randomization.
Only participants who responded to the 3-month survey and reported use of e-cigs and/or NRT were assessed for Other (Not Including Serious) Adverse Events. Participants who reported use of e-cigs or NRT since study enrollment were asked whether they experienced any side effects related to (1) using e-cigs (if they reported use) and (2) related to using NRT (if they reported use) using two separate questions. Participants could be at risk for adverse events related to both NRT and e-cig use.
15.4%
4/26 • Outcomes surveys were completed approximately 3-months after baseline and randomization.
Only participants who responded to the 3-month survey and reported use of e-cigs and/or NRT were assessed for Other (Not Including Serious) Adverse Events. Participants who reported use of e-cigs or NRT since study enrollment were asked whether they experienced any side effects related to (1) using e-cigs (if they reported use) and (2) related to using NRT (if they reported use) using two separate questions. Participants could be at risk for adverse events related to both NRT and e-cig use.
Respiratory, thoracic and mediastinal disorders
Cough d/t reported e-cigarette use
11.5%
3/26 • Outcomes surveys were completed approximately 3-months after baseline and randomization.
Only participants who responded to the 3-month survey and reported use of e-cigs and/or NRT were assessed for Other (Not Including Serious) Adverse Events. Participants who reported use of e-cigs or NRT since study enrollment were asked whether they experienced any side effects related to (1) using e-cigs (if they reported use) and (2) related to using NRT (if they reported use) using two separate questions. Participants could be at risk for adverse events related to both NRT and e-cig use.
7.7%
2/26 • Outcomes surveys were completed approximately 3-months after baseline and randomization.
Only participants who responded to the 3-month survey and reported use of e-cigs and/or NRT were assessed for Other (Not Including Serious) Adverse Events. Participants who reported use of e-cigs or NRT since study enrollment were asked whether they experienced any side effects related to (1) using e-cigs (if they reported use) and (2) related to using NRT (if they reported use) using two separate questions. Participants could be at risk for adverse events related to both NRT and e-cig use.
General disorders
Dizziness d/t reported e-cigarette use
11.5%
3/26 • Outcomes surveys were completed approximately 3-months after baseline and randomization.
Only participants who responded to the 3-month survey and reported use of e-cigs and/or NRT were assessed for Other (Not Including Serious) Adverse Events. Participants who reported use of e-cigs or NRT since study enrollment were asked whether they experienced any side effects related to (1) using e-cigs (if they reported use) and (2) related to using NRT (if they reported use) using two separate questions. Participants could be at risk for adverse events related to both NRT and e-cig use.
7.7%
2/26 • Outcomes surveys were completed approximately 3-months after baseline and randomization.
Only participants who responded to the 3-month survey and reported use of e-cigs and/or NRT were assessed for Other (Not Including Serious) Adverse Events. Participants who reported use of e-cigs or NRT since study enrollment were asked whether they experienced any side effects related to (1) using e-cigs (if they reported use) and (2) related to using NRT (if they reported use) using two separate questions. Participants could be at risk for adverse events related to both NRT and e-cig use.
General disorders
Bad or vivid dreams/nightmares d/t reported e-cigarette use
11.5%
3/26 • Outcomes surveys were completed approximately 3-months after baseline and randomization.
Only participants who responded to the 3-month survey and reported use of e-cigs and/or NRT were assessed for Other (Not Including Serious) Adverse Events. Participants who reported use of e-cigs or NRT since study enrollment were asked whether they experienced any side effects related to (1) using e-cigs (if they reported use) and (2) related to using NRT (if they reported use) using two separate questions. Participants could be at risk for adverse events related to both NRT and e-cig use.
3.8%
1/26 • Outcomes surveys were completed approximately 3-months after baseline and randomization.
Only participants who responded to the 3-month survey and reported use of e-cigs and/or NRT were assessed for Other (Not Including Serious) Adverse Events. Participants who reported use of e-cigs or NRT since study enrollment were asked whether they experienced any side effects related to (1) using e-cigs (if they reported use) and (2) related to using NRT (if they reported use) using two separate questions. Participants could be at risk for adverse events related to both NRT and e-cig use.
General disorders
Nausea/stomach upset d/t reported e-cigarette use
7.7%
2/26 • Outcomes surveys were completed approximately 3-months after baseline and randomization.
Only participants who responded to the 3-month survey and reported use of e-cigs and/or NRT were assessed for Other (Not Including Serious) Adverse Events. Participants who reported use of e-cigs or NRT since study enrollment were asked whether they experienced any side effects related to (1) using e-cigs (if they reported use) and (2) related to using NRT (if they reported use) using two separate questions. Participants could be at risk for adverse events related to both NRT and e-cig use.
3.8%
1/26 • Outcomes surveys were completed approximately 3-months after baseline and randomization.
Only participants who responded to the 3-month survey and reported use of e-cigs and/or NRT were assessed for Other (Not Including Serious) Adverse Events. Participants who reported use of e-cigs or NRT since study enrollment were asked whether they experienced any side effects related to (1) using e-cigs (if they reported use) and (2) related to using NRT (if they reported use) using two separate questions. Participants could be at risk for adverse events related to both NRT and e-cig use.
General disorders
Chest pain d/t reported e-cigarette use
3.8%
1/26 • Outcomes surveys were completed approximately 3-months after baseline and randomization.
Only participants who responded to the 3-month survey and reported use of e-cigs and/or NRT were assessed for Other (Not Including Serious) Adverse Events. Participants who reported use of e-cigs or NRT since study enrollment were asked whether they experienced any side effects related to (1) using e-cigs (if they reported use) and (2) related to using NRT (if they reported use) using two separate questions. Participants could be at risk for adverse events related to both NRT and e-cig use.
7.7%
2/26 • Outcomes surveys were completed approximately 3-months after baseline and randomization.
Only participants who responded to the 3-month survey and reported use of e-cigs and/or NRT were assessed for Other (Not Including Serious) Adverse Events. Participants who reported use of e-cigs or NRT since study enrollment were asked whether they experienced any side effects related to (1) using e-cigs (if they reported use) and (2) related to using NRT (if they reported use) using two separate questions. Participants could be at risk for adverse events related to both NRT and e-cig use.
General disorders
Skin Irritation - rash, itchiness d/t reported NRT use
8.0%
2/25 • Outcomes surveys were completed approximately 3-months after baseline and randomization.
Only participants who responded to the 3-month survey and reported use of e-cigs and/or NRT were assessed for Other (Not Including Serious) Adverse Events. Participants who reported use of e-cigs or NRT since study enrollment were asked whether they experienced any side effects related to (1) using e-cigs (if they reported use) and (2) related to using NRT (if they reported use) using two separate questions. Participants could be at risk for adverse events related to both NRT and e-cig use.
6.7%
2/30 • Outcomes surveys were completed approximately 3-months after baseline and randomization.
Only participants who responded to the 3-month survey and reported use of e-cigs and/or NRT were assessed for Other (Not Including Serious) Adverse Events. Participants who reported use of e-cigs or NRT since study enrollment were asked whether they experienced any side effects related to (1) using e-cigs (if they reported use) and (2) related to using NRT (if they reported use) using two separate questions. Participants could be at risk for adverse events related to both NRT and e-cig use.
General disorders
Headache d/t reported NRT use
12.0%
3/25 • Outcomes surveys were completed approximately 3-months after baseline and randomization.
Only participants who responded to the 3-month survey and reported use of e-cigs and/or NRT were assessed for Other (Not Including Serious) Adverse Events. Participants who reported use of e-cigs or NRT since study enrollment were asked whether they experienced any side effects related to (1) using e-cigs (if they reported use) and (2) related to using NRT (if they reported use) using two separate questions. Participants could be at risk for adverse events related to both NRT and e-cig use.
6.7%
2/30 • Outcomes surveys were completed approximately 3-months after baseline and randomization.
Only participants who responded to the 3-month survey and reported use of e-cigs and/or NRT were assessed for Other (Not Including Serious) Adverse Events. Participants who reported use of e-cigs or NRT since study enrollment were asked whether they experienced any side effects related to (1) using e-cigs (if they reported use) and (2) related to using NRT (if they reported use) using two separate questions. Participants could be at risk for adverse events related to both NRT and e-cig use.
General disorders
Nausea/stomach upset d/t reported NRT use
4.0%
1/25 • Outcomes surveys were completed approximately 3-months after baseline and randomization.
Only participants who responded to the 3-month survey and reported use of e-cigs and/or NRT were assessed for Other (Not Including Serious) Adverse Events. Participants who reported use of e-cigs or NRT since study enrollment were asked whether they experienced any side effects related to (1) using e-cigs (if they reported use) and (2) related to using NRT (if they reported use) using two separate questions. Participants could be at risk for adverse events related to both NRT and e-cig use.
20.0%
6/30 • Outcomes surveys were completed approximately 3-months after baseline and randomization.
Only participants who responded to the 3-month survey and reported use of e-cigs and/or NRT were assessed for Other (Not Including Serious) Adverse Events. Participants who reported use of e-cigs or NRT since study enrollment were asked whether they experienced any side effects related to (1) using e-cigs (if they reported use) and (2) related to using NRT (if they reported use) using two separate questions. Participants could be at risk for adverse events related to both NRT and e-cig use.
General disorders
Any side effect d/t reported e-cigarette use
53.8%
14/26 • Outcomes surveys were completed approximately 3-months after baseline and randomization.
Only participants who responded to the 3-month survey and reported use of e-cigs and/or NRT were assessed for Other (Not Including Serious) Adverse Events. Participants who reported use of e-cigs or NRT since study enrollment were asked whether they experienced any side effects related to (1) using e-cigs (if they reported use) and (2) related to using NRT (if they reported use) using two separate questions. Participants could be at risk for adverse events related to both NRT and e-cig use.
42.3%
11/26 • Outcomes surveys were completed approximately 3-months after baseline and randomization.
Only participants who responded to the 3-month survey and reported use of e-cigs and/or NRT were assessed for Other (Not Including Serious) Adverse Events. Participants who reported use of e-cigs or NRT since study enrollment were asked whether they experienced any side effects related to (1) using e-cigs (if they reported use) and (2) related to using NRT (if they reported use) using two separate questions. Participants could be at risk for adverse events related to both NRT and e-cig use.
General disorders
Any side effect d/t NRT use
40.0%
10/25 • Outcomes surveys were completed approximately 3-months after baseline and randomization.
Only participants who responded to the 3-month survey and reported use of e-cigs and/or NRT were assessed for Other (Not Including Serious) Adverse Events. Participants who reported use of e-cigs or NRT since study enrollment were asked whether they experienced any side effects related to (1) using e-cigs (if they reported use) and (2) related to using NRT (if they reported use) using two separate questions. Participants could be at risk for adverse events related to both NRT and e-cig use.
40.0%
12/30 • Outcomes surveys were completed approximately 3-months after baseline and randomization.
Only participants who responded to the 3-month survey and reported use of e-cigs and/or NRT were assessed for Other (Not Including Serious) Adverse Events. Participants who reported use of e-cigs or NRT since study enrollment were asked whether they experienced any side effects related to (1) using e-cigs (if they reported use) and (2) related to using NRT (if they reported use) using two separate questions. Participants could be at risk for adverse events related to both NRT and e-cig use.

Additional Information

Dr. Katrina Vickerman

Consumer Wellness Solutions

Phone: 469-608-4208

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place