Cue Reactivity to Electronic Cigarettes: A Systematic Review

Cue reactivity to Electronic Nicotine Delivery Systems (ENDS) has been studied by several researchers, yet the variability in user types (smokers, former smokers, dual users, exclusive ENDS users) and ENDS designs used between the studies may have undermined consistent results. This systematic revie...

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Main Authors: Merel Keijsers, Maria Cecilia Vega-Corredor, Simon Hoermann, Melanie Tomintz
Format: Article
Language:English
Published: SAGE Publishing 2022-07-01
Series:Substance Abuse: Research and Treatment
Online Access:https://doi.org/10.1177/11782218221114971
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author Merel Keijsers
Maria Cecilia Vega-Corredor
Simon Hoermann
Melanie Tomintz
author_facet Merel Keijsers
Maria Cecilia Vega-Corredor
Simon Hoermann
Melanie Tomintz
author_sort Merel Keijsers
collection DOAJ
description Cue reactivity to Electronic Nicotine Delivery Systems (ENDS) has been studied by several researchers, yet the variability in user types (smokers, former smokers, dual users, exclusive ENDS users) and ENDS designs used between the studies may have undermined consistent results. This systematic review aims to give an overview of ENDS cue reactivity and how smoking status and device design may moderate this. A systematic search of Medline, Embase, Web of Science, PubMed and Cochrane was completed. All studies which reported findings on reactivity to ENDS cues in the form of craving or desire for ENDS or cigarettes, attention to cue, delay of gratification or economic decisions were included. Exclusion criteria were non-human subjects, non-adult participants or participants with comorbidities. Literature selection was carried out by 2 independent reviewers. The risk of bias and study quality were assessed using tools developed by Cochrane, BMJ and NHLBI. A total of 711 papers were screened and 22 studies were included in the current review. Study design, research question(s), population of interest, number of participants, dependent variable(s), ENDS generation and nicotine content used and study results were extracted. ENDS cues reliably induced ENDS craving, with no clear moderation by smoking status and no apparent moderation by device generation. In about half of the studies, ENDS cues induced craving for conventional cigarettes. Most studies used a smoker sample, thus limiting the conclusions that can be drawn on the moderation of cue reactivity by smoking status. The quality varied among studies but comparing the findings against the outcomes of only high-quality studies did not yield any different results. The results of this review support the notion of cue reactivity to ENDS, identifies gaps in current research on different user types and implies that ENDS design iterations have little impact on cue reactivity.
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spelling doaj.art-62d2e019b16c408391285b62b012f31d2022-12-22T01:33:08ZengSAGE PublishingSubstance Abuse: Research and Treatment1178-22182022-07-011610.1177/11782218221114971Cue Reactivity to Electronic Cigarettes: A Systematic ReviewMerel Keijsers0Maria Cecilia Vega-Corredor1Simon Hoermann2Melanie Tomintz3Human Interface Technology Laboratory, University of Canterbury, Christchurch, New ZealandGeospatial Research Institute, University of Canterbury, Christchurch, New ZealandSchool of Product Design, University of Canterbury, Christchurch, New ZealandGeospatial Research Institute, University of Canterbury, Christchurch, New ZealandCue reactivity to Electronic Nicotine Delivery Systems (ENDS) has been studied by several researchers, yet the variability in user types (smokers, former smokers, dual users, exclusive ENDS users) and ENDS designs used between the studies may have undermined consistent results. This systematic review aims to give an overview of ENDS cue reactivity and how smoking status and device design may moderate this. A systematic search of Medline, Embase, Web of Science, PubMed and Cochrane was completed. All studies which reported findings on reactivity to ENDS cues in the form of craving or desire for ENDS or cigarettes, attention to cue, delay of gratification or economic decisions were included. Exclusion criteria were non-human subjects, non-adult participants or participants with comorbidities. Literature selection was carried out by 2 independent reviewers. The risk of bias and study quality were assessed using tools developed by Cochrane, BMJ and NHLBI. A total of 711 papers were screened and 22 studies were included in the current review. Study design, research question(s), population of interest, number of participants, dependent variable(s), ENDS generation and nicotine content used and study results were extracted. ENDS cues reliably induced ENDS craving, with no clear moderation by smoking status and no apparent moderation by device generation. In about half of the studies, ENDS cues induced craving for conventional cigarettes. Most studies used a smoker sample, thus limiting the conclusions that can be drawn on the moderation of cue reactivity by smoking status. The quality varied among studies but comparing the findings against the outcomes of only high-quality studies did not yield any different results. The results of this review support the notion of cue reactivity to ENDS, identifies gaps in current research on different user types and implies that ENDS design iterations have little impact on cue reactivity.https://doi.org/10.1177/11782218221114971
spellingShingle Merel Keijsers
Maria Cecilia Vega-Corredor
Simon Hoermann
Melanie Tomintz
Cue Reactivity to Electronic Cigarettes: A Systematic Review
Substance Abuse: Research and Treatment
title Cue Reactivity to Electronic Cigarettes: A Systematic Review
title_full Cue Reactivity to Electronic Cigarettes: A Systematic Review
title_fullStr Cue Reactivity to Electronic Cigarettes: A Systematic Review
title_full_unstemmed Cue Reactivity to Electronic Cigarettes: A Systematic Review
title_short Cue Reactivity to Electronic Cigarettes: A Systematic Review
title_sort cue reactivity to electronic cigarettes a systematic review
url https://doi.org/10.1177/11782218221114971
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