Perceptions of family physicians in Istanbul about e-cigarettes as smoking cessation aids: a qualitative study

Abstract Background Family physicians (FPs) are the first point of contact for people who smoke who are seeking to quit smoking in Türkiye. We aimed to explore Turkish FPs knowledge, attitudes and perceptions of e-cigarettes as smoking cessation aids. Methods Eleven in-depth semi-structured intervie...

Full description

Saved in:
Bibliographic Details
Main Authors: Melis Selamoglu, Ayse Emel Onal, Bircan Erbas, Selma Karabey, Meryem Merve Oren, Mahmut Talha Ucar, Chris Barton
Format: Article
Language:English
Published: BMC 2024-12-01
Series:Addiction Science & Clinical Practice
Subjects:
Online Access:https://doi.org/10.1186/s13722-024-00532-z
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841559114171285504
author Melis Selamoglu
Ayse Emel Onal
Bircan Erbas
Selma Karabey
Meryem Merve Oren
Mahmut Talha Ucar
Chris Barton
author_facet Melis Selamoglu
Ayse Emel Onal
Bircan Erbas
Selma Karabey
Meryem Merve Oren
Mahmut Talha Ucar
Chris Barton
author_sort Melis Selamoglu
collection DOAJ
description Abstract Background Family physicians (FPs) are the first point of contact for people who smoke who are seeking to quit smoking in Türkiye. We aimed to explore Turkish FPs knowledge, attitudes and perceptions of e-cigarettes as smoking cessation aids. Methods Eleven in-depth semi-structured interviews were conducted with FPs in Istanbul, Türkiye. Participants were recruited through purposeful sampling from respondents to a previous survey study completed with 243 participants in 2022. The survey explored the knowledge, attitudes and recommendations of FPs in Istanbul about e-cigarettes as smoking cessation aids. Participants indicated availability for a follow up qualitative interview. FPs were interviewed and audio files were transcribed verbatim. QSR NVivo was used to aid coding, thematic analysis and retrieval of quotes. Results FPs expressed they had little knowledge about e-cigarettes and this impacted their confidence to discuss these with their patients. They held a range of views on the harms of e-cigarettes and the potential for a gateway effect and dual use with tobacco cigarettes. FPs stated they would not recommend e-cigarettes as smoking cessation aids and half were not keen on a prescription model for e-cigarettes. FPs did not feel comfortable or have the confidence to answer patient questions about e-cigarettes if asked. They were keen to learn more about e-cigarettes and receive training and education to be able to better inform their patients about e-cigarettes as smoking cessation aids. Conclusion FPs in Türkiye require more understanding of e-cigarettes if they are to answer patient questions about using e-cigarettes to support smoking cessation. They perceived to be lack of evidence and research on the harms of vaping and as such were not currently willing to recommend them to patients. FPs desired more information and resources from trusted sources to support them to learn about e-cigarettes in order to discuss them with patients. Providing evidence-based information and upskilling FPs on e-cigarettes may increase their knowledge and confidence to have discussions about e-cigarettes for smoking cessation.
format Article
id doaj-art-09b949fa12c84a5da6edeca89545eae1
institution Kabale University
issn 1940-0640
language English
publishDate 2024-12-01
publisher BMC
record_format Article
series Addiction Science & Clinical Practice
spelling doaj-art-09b949fa12c84a5da6edeca89545eae12025-01-05T12:42:36ZengBMCAddiction Science & Clinical Practice1940-06402024-12-011911810.1186/s13722-024-00532-zPerceptions of family physicians in Istanbul about e-cigarettes as smoking cessation aids: a qualitative studyMelis Selamoglu0Ayse Emel Onal1Bircan Erbas2Selma Karabey3Meryem Merve Oren4Mahmut Talha Ucar5Chris Barton6Department of General Practice, School of Public Health and Preventive Medicine, Monash UniversityDepartment of Public Health, Faculty of Medicine, Istanbul UniversityDepartment of Public Health, School of Psychology and Public Health, La Trobe UniversityDepartment of Public Health, Faculty of Medicine, Istanbul UniversityDepartment of Public Health, Faculty of Medicine, Istanbul UniversityDepartment of Public Health, Hamidiye Faculty of Medicine, University of Health SciencesDepartment of General Practice, School of Public Health and Preventive Medicine, Monash UniversityAbstract Background Family physicians (FPs) are the first point of contact for people who smoke who are seeking to quit smoking in Türkiye. We aimed to explore Turkish FPs knowledge, attitudes and perceptions of e-cigarettes as smoking cessation aids. Methods Eleven in-depth semi-structured interviews were conducted with FPs in Istanbul, Türkiye. Participants were recruited through purposeful sampling from respondents to a previous survey study completed with 243 participants in 2022. The survey explored the knowledge, attitudes and recommendations of FPs in Istanbul about e-cigarettes as smoking cessation aids. Participants indicated availability for a follow up qualitative interview. FPs were interviewed and audio files were transcribed verbatim. QSR NVivo was used to aid coding, thematic analysis and retrieval of quotes. Results FPs expressed they had little knowledge about e-cigarettes and this impacted their confidence to discuss these with their patients. They held a range of views on the harms of e-cigarettes and the potential for a gateway effect and dual use with tobacco cigarettes. FPs stated they would not recommend e-cigarettes as smoking cessation aids and half were not keen on a prescription model for e-cigarettes. FPs did not feel comfortable or have the confidence to answer patient questions about e-cigarettes if asked. They were keen to learn more about e-cigarettes and receive training and education to be able to better inform their patients about e-cigarettes as smoking cessation aids. Conclusion FPs in Türkiye require more understanding of e-cigarettes if they are to answer patient questions about using e-cigarettes to support smoking cessation. They perceived to be lack of evidence and research on the harms of vaping and as such were not currently willing to recommend them to patients. FPs desired more information and resources from trusted sources to support them to learn about e-cigarettes in order to discuss them with patients. Providing evidence-based information and upskilling FPs on e-cigarettes may increase their knowledge and confidence to have discussions about e-cigarettes for smoking cessation.https://doi.org/10.1186/s13722-024-00532-zE-cigaretteSmoking cessationHarm reductionFamily physicianGeneral practicePrimary care
spellingShingle Melis Selamoglu
Ayse Emel Onal
Bircan Erbas
Selma Karabey
Meryem Merve Oren
Mahmut Talha Ucar
Chris Barton
Perceptions of family physicians in Istanbul about e-cigarettes as smoking cessation aids: a qualitative study
Addiction Science & Clinical Practice
E-cigarette
Smoking cessation
Harm reduction
Family physician
General practice
Primary care
title Perceptions of family physicians in Istanbul about e-cigarettes as smoking cessation aids: a qualitative study
title_full Perceptions of family physicians in Istanbul about e-cigarettes as smoking cessation aids: a qualitative study
title_fullStr Perceptions of family physicians in Istanbul about e-cigarettes as smoking cessation aids: a qualitative study
title_full_unstemmed Perceptions of family physicians in Istanbul about e-cigarettes as smoking cessation aids: a qualitative study
title_short Perceptions of family physicians in Istanbul about e-cigarettes as smoking cessation aids: a qualitative study
title_sort perceptions of family physicians in istanbul about e cigarettes as smoking cessation aids a qualitative study
topic E-cigarette
Smoking cessation
Harm reduction
Family physician
General practice
Primary care
url https://doi.org/10.1186/s13722-024-00532-z
work_keys_str_mv AT melisselamoglu perceptionsoffamilyphysiciansinistanbulaboutecigarettesassmokingcessationaidsaqualitativestudy
AT ayseemelonal perceptionsoffamilyphysiciansinistanbulaboutecigarettesassmokingcessationaidsaqualitativestudy
AT bircanerbas perceptionsoffamilyphysiciansinistanbulaboutecigarettesassmokingcessationaidsaqualitativestudy
AT selmakarabey perceptionsoffamilyphysiciansinistanbulaboutecigarettesassmokingcessationaidsaqualitativestudy
AT meryemmerveoren perceptionsoffamilyphysiciansinistanbulaboutecigarettesassmokingcessationaidsaqualitativestudy
AT mahmuttalhaucar perceptionsoffamilyphysiciansinistanbulaboutecigarettesassmokingcessationaidsaqualitativestudy
AT chrisbarton perceptionsoffamilyphysiciansinistanbulaboutecigarettesassmokingcessationaidsaqualitativestudy