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<jats:sec><jats:title>Objectives</jats:title><jats:p>To explore UK clinicians’ beliefs and behaviours around recommending e-cigarettes as a smoking cessation aid for patients with cancer.</jats:p></jats:sec><jats:sec><jats:title>Design</jats:title><jats:p>Cross-sectional online survey.</jats:p></jats:sec><jats:sec><jats:title>Setting</jats:title><jats:p>England, Wales, Scotland and Northern Ireland.</jats:p></jats:sec><jats:sec><jats:title>Participants</jats:title><jats:p>Clinicians involved in the care of patients with cancer.</jats:p></jats:sec><jats:sec><jats:title>Primary and secondary outcomes</jats:title><jats:p>Behavioural Change Wheel capability, opportunity and motivation to perform a behaviour, knowledge, beliefs, current practice around e-cigarettes and other smoking cessation practices.</jats:p></jats:sec><jats:sec><jats:title>Method</jats:title><jats:p>Clinicians (n=506) completed an online survey to assess beliefs and behaviours around e-cigarettes and other smoking cessation practices for patients with cancer. Behavioural factors associated with recommending e-cigarettes in practice were assessed.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>29% of clinicians would not recommend e-cigarettes to patients with cancer who continue to smoke. Factors associated with recommendation include smoking cessation knowledge (OR 1.56, 95% CI 1.01 to 2.44) and e-cigarette knowledge (OR 1.64, 95% CI 1.06 to 2.55), engagement with patients regarding smoking cessation (OR 2.12, 95% CI 1.12 to 4.03), belief in the effectiveness of e-cigarettes (OR 2.36 95% CI 1.61 to 3.47) and belief in sufficient evidence on e-cigarettes (OR 2.08 95% CI 1.10 to 4.00) and how comfortable they felt discussing e-cigarettes with patients (OR 1.57 95% CI 1.04 to 2.36).</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Many clinicians providing cancer care to patients who smoke do not recommend e-cigarettes as a smoking cessation aid and were unaware of national guidance supporting recommendation of e-cigarettes as a smoking cessation aid.</jats:p></jats:sec>

Original publication




Journal article


BMJ Open



Publication Date





e037637 - e037637