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An Interpretative Phenomenological Analysis of Discontinued Use of the E-Cigarette

Published online by Cambridge University Press:  02 July 2018

Camille Alexis-Garsee ,
Stephanie Meehan  and
Olga van den Akker
Camille Alexis-Garsee*
Affiliation:
Middlesex University, School of Science and Technology, The Burroughs, Hendon, London, UK
Stephanie Meehan
Affiliation:
Middlesex University, School of Science and Technology, The Burroughs, Hendon, London, UK
Olga van den Akker
Affiliation:
Middlesex University, School of Science and Technology, The Burroughs, Hendon, London, UK
*
Address for correspondence: Dr Camille Alexis-Garsee, PhD, Senior Lecturer, Middlesex University, School of Science and Technology, The Burroughs, Hendon, London NW4 4BT, UK. Email: [email protected]
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Abstract

Introduction: Many UK smokers use e-cigarettes as a quitting aid; however, a substantial number discontinue use of the e-cigarette and revert to smoking. Understanding why this may happen is important both for individuals and for stop smoking services.

Aims: To explore young adult smokers’ experiences of use and discontinued use of the e-cigarette.

Methods: Semi-structured interviews were conducted with six participants who tried e-cigarettes for at least seven days and returned to smoking. Data was transcribed and analysed using interpretative phenomenological analysis.

Results: Findings suggested participants held conflicting attitudes about using e-cigarettes, which undermined attempts to quit smoking, and led to the discontinuation of the e-cigarette. These conflicts centred on participants’ discomfort with the e-cigarette or vaping identity, lack of abstinence self-efficacy and navigation of barriers to e-cigarette use. The complex interplay of these factors may have led to an underestimation of the individual effort required to continue vaping and reinforced participants’ perception of the e-cigarette as an inferior product to the cigarette.

Conclusions: Future research should focus on the role of identity, self-efficacy, control and smokers’ expectations of e-cigarettes on smoking cessation as these may be important factors to consider for a more tailored service for e-cigarette users.

Type
Original Articles
Information
Journal of Smoking Cessation , Volume 14 , Issue 2 , June 2019 , pp. 104 - 111
Copyright
Copyright © The Author(s) 2018 

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References

ASH. (2017, May). Use of e-cigarettes (vapourisers) among adults in Great Britain. Retrieved from www.ash.org.uk:file:///C:/Users/Ccc/Downloads/Use-of-e-cigarettesamong-adults-in-Great-Britain-May-2017.pdfGoogle Scholar
Brown, J., Beard, E., Kotz, D., Michie, S., & West, R. (2014). Real-world effectiveness of e-cigarettes when used to aid smoking cessation: A cross-sectional population study. Addiction, 109 (9), 1531–1540. https://doi.org/10.1111/add.12.Google Scholar
Bullen, C., Howe, C., Laugesen, M., McRobbie, H., Parag, V., Williman, J. et al. (2013). Electronic cigarettes for smoking cessation: A randomised controlled trial. The Lancet, 382 (9905), 1629–37. doi: 10.1016/S0140-6736(13)61842-5.Google Scholar
Chen (2013). FDA summary of adverse effects on electronic cigarettes. Nicotine & Tobacco Research, 15 (2), 615– 616.Google Scholar
Coleman, B. N., Johnson, S. E., Tessman, G. K., Tworek, C., Alexander, J., Dickinson, D. M. et al. (2016). “It's not smoke. It's not tar. It's not 4000 chemicals. Case closed”: Exploring attitudes, beliefs, and perceived social norms of e-cigarette use among adult users. Drug and Alcohol Dependence, 159, 80–85. doi: 10.1016/j.drugalcdep.2015.11.028.Google Scholar
Farrimond, H. R. (2017). A typology of vaping: Identifying differing beliefs, motivations for use, identity and political interest amongst e-cigarette users. International Journal of Drug Policy, 48, 81–90. https://doi.org/10.1016/j.drugpo.2017.07.011.Google Scholar
Flouris, A., Chorti, M., Poulianiti, K., Jamurtas, A., Kostikas, K., & Tzatzarakis, M. (2013). Acute impact of active and passive electronic cigarette smoking on serum cotinine and lung function. Inhalation Toxicxology, 25 (2), 91–101. doi: 10.3109/08958378.2012.758197.Google Scholar
Gwaltney, C. J., Metrik, J., Kahler, C. W., & Shiffman, S. (2009). Self-efficacy and smoking cessation: A meta-analysis. Psychology of Addictive Behaviors, 23 (1), 1–20, DOI: 10.1037/a0013529.Google Scholar
Gwaltney, C. J., Shiffman, S., Norman, G., Paty, J. A., Kassel, J. D., Gnys, M. et al. (2001). Does smoking abstinence self-efficacy vary across situations? identifying context-specificity within the relapse situation efficacy questionnaire. Journal of Consulting and Clinical Psychology, 69 (3), 516—527. doi: 10.1037//0022-006X.69.3.516Google Scholar
Gwaltney, C., Shiffman, S., Balabanis, M., & Paty, J. (2005). Dynamic self-efficacy and outcome expectancies: Prediction of smoking lapse and relapse. Journal of Abnormal Psychology, 114, 661—675. doi: 10.1037/0021-843X.114.4.661Google Scholar
Hartmann-Boyce, J., McRobbie, H., Bullen, C., Begh, R., Stead, L. F., & Hajek, P. (2016). Electronic cigarettes for smoking cessation. Cochrane Database of Systematic Reviews, 9, CD010216, 1–94. DOI: 10.1002/14651858.CD010216.pub3.Google Scholar
Heydari, G., Ahmady, A. F. C., Masjedi, M., & Fadaizadeh, L. (2017). Electronic cigarette, effective or harmful for quitting smoking and respiratory health: A quantitative review papers. Lung India, 34, 25–28.Google Scholar
Kalkhoran, S., & Glanrz, S. A. (2016). E-cigarettes and smoking cessation in real-world and clinical settings: A systematic review and meta-analysis. The Lancet Respiratory Medicine, 4 (2), 116–28. doi: 10.1016/S2213-2600(15)00521-4Google Scholar
Kong, G., Morean, M. E., Cavallo, D. A., Camenga, D. R., & Krishnan-Sarin, S. (2015). Reasons for electronic cigarette experimentation and discontinuation among adolescents and young adults. Nicotine & Tobacco Research, 17 (7), 847–854. doi:10.1093/ntr/ntu257Google Scholar
Lucherini, M., Rooke, C., & Amos, A. (2017). “They're thinking, well it's not as bad, I probably won't get addicted to that. But it's still got the nicotine in it, so. . .”: Maturity, control, and socializing: Negotiating identities in relation to smoking and vaping—a qualitative study of young adults in Scotland. Nicotine & Tobacco Research, ntx245, 1–7. doi: 10.1093/ntr/ntx245Google Scholar
Luck, K., & Beagan, B. (2014). Occupational transition of smoking cessation in women: “You're restructuring your whole life,” Journal of Occupational Science, 22 (2), 183–196. doi: 10.1080/14427591.2014.887418Google Scholar
Marlatt, G. A., & Donovan, D. M. (Eds.). (2005). Relapse prevention: Maintenance strategies in the treatment of addictive behaviors (2nd ed.). New York, NY, USA: Guilford Press.Google Scholar
McEwan, A., & McRobbie, H. (2016, January). Electronic cigarettes: A briefing for stop smoking services. National Centre for Smoking Cessation and Training (NCSCT). Retrieved from http://www.ncsct.co.uk/usr/pub/Electronic_cigarettes._A_briefing_for_stop_smoking_services.pdfGoogle Scholar
Orton, S., Coleman, T., Lewis, S., Cooper, S., & Jones, L. L. (2016). “I was a full time proper smoker”: A qualitative exploration of smoking in the home after childbirth among women who relapse postpartum. PLoS ONE, 11 (6), e0157525. doi: 10.1371/journal.pone.0157525Google Scholar
Pepper, J. K., Ribisl, K. M., Emery, S. L., & Brewer, N. T. (2014). Reasons for starting and stopping electronic cigarette use. International Journal of Environmental Research and Public Health, 11, 10345–10361. doi: 10.3390/ijerph111010345.Google Scholar
Perkins, K. A., Parzynski, C. S., Mercincavage, M., Conklin, C. A., & Fonte, C. A. (2012). Is self-efficacy for smoking abstinence a cause of, or a reflection on, smoking behaviour change? Experimental Clinical Psychopharmacology, 20 (1), 56–62. doi: 10.1037/a0025482.Google Scholar
Pietkiewicz, I., & Smith, J. (2012). A practical guide to using interpretative phenomenological analysis. Psychological Journal, 18 (2), 361–369.Google Scholar
Public Health England (PHE). (2017). Models of delivery for stop smoking services: Options and evidence. PHE Publications. Retrieved from https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/647069/models_of_delivery_for_stop_smoking_services.pdfGoogle Scholar
Rooke, C., Cunningham-Burley, S., & Amos, A. (2016). Smokers’ and ex-smokers’ understanding of electronic cigarettes: A qualitative study. Tobacco Control, 25, e60–e66. doi:10.1136/tobaccocontrol-2014-052151Google Scholar
Sherratt, F. C., Newson, L., Marcus, M. W., Field, J. K., & Robinson, J. (2016). Perceptions towards electronic cigarettes for smoking cessation among stop smoking service users. British Journal of Health Psychology, 21 (2), 421–33. doi: 10.1111/bjhp.12177Google Scholar
Simonavicius, E., McNeill, A., Arnott, D., & Brose, L. S. (2017). What factors are associated with current smokers using or stopping e-cigarette use? Drug and Alcohol Dependence, 173, 139–143.Google Scholar
Slovic, P. (Ed.). (2000). Risk, society, and policy series. The perception of risk. London, UK: Earthscan Publications.Google Scholar
Smith, J., Flowers, P., & Osborn, M. (1997). Interpretative phenomenological analysis and the psychology of health and illness. In Yardley, L. (Ed.), Material discourses of health and illness. London, UK: Routledge.Google Scholar
Smith, J., & Osborn, M. (2003). Interpretative phenomenological analysis. In Smith, J. A. (Ed.), Qualitative psychology: A practical guide to research methods (pp. 51–80). London, UK: Sage Publications.Google Scholar
Tombor, I., Shahab, L., Brown, J., Notley, C., & West, R. (2015). Does non-smoker identity following quitting predict long-term abstinence? Evidence from a population survey in England. Addictive Behaviors, 45, 99–103.Google Scholar
Tombor, I., Shahab, L., Brown, J., & West, R. (2013). Positive smoker identity as a barrier to quitting smoking: Findings from a national survey of smokers in England. Drug and Alcohol Dependence, 133, 740–745, DOI: 10.1016/j.drugalcdep.2013.09.001.Google Scholar
Tombor, I., Shahab, L., Herbec, A., Neale, J., & West, S. M. (2015). Smoker identity and its potential role in young adults’ smoking behavior: A meta-ethnography. Heath Psychology, 34 (10), 992–1003.Google Scholar
Tombor, I., Vangeli, E., West, R., & Shahab, L. (2018). Progression towards smoking cessation: Qualitative analysis of successful, unsuccessful, and never quitters. Journal of Substance Use, 23 (2), 214–222, https://doi.org/10.1080/14659891.2017.1378746Google Scholar
Vangeli, E. (2010). An exploration of the role of identity in smoking, cessation, maintenance and relapse. (Unpublished Doctoral thesis, City University London). http://openaccess.city.ac.uk/1184/Google Scholar
Vangeli, E., & West, R. (2012). Transition towards a ‘non-smoker’ identity following smoking cessation: An interpretative phenomenological analysis. British Journal of Health Psychology, 17 (1), 171–84. doi: 10.1111/j.2044-8287.2011.02031.x.Google Scholar
Wagener, T., Siegel, M., & Borrelli, B. (2012). Electronic cigarettes: Achieving a balanced perspective. Addiction, 107 (9), 1545–1548.Google Scholar
West, R. (2006). Theory of addiction. Oxford: Blackwell Publishing.Google Scholar
West, R., Beard, E., & Brown, J. (2018, April). STS documents. Smoking In England. Retrieved from www.smokinginengland.info/latest-statisticsGoogle Scholar
West, R., May, S., West, M., Croghan, E., & McEwen, A. (2013). Performance of English stop smoking services in first 10 years: Analysis of service monitoring data. BMJ, 347, f4921 doi: 10.1136/bmj.f4921.Google Scholar