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Home > Online-first > Mohd Subri

A Qualitative Exploration of Parental Interventions in E-Cigarette Cessation among Adolescents

Nurul ‘Aisyah Syahirah Mohd Subri, Shubashini Gnanasan, Nor Elyzatul Akma Hamdan, Aina Amanina Abdul Jalil, Syarifah Syamimi Putri Adiba Syed Putera, Nur Sabiha Binti Md Hussin

Abstract

Objective: The rising prevalence of e-cigarette use among Malaysian adolescents could expose them to long-term health risks. In addressing the rising issues of adolescent e-cigarette consumption, it is crucial to explore the current parental interventions for smoking cessation. This qualitative study examines parental interventions for adolescents using e-cigarettes and identifies the challenges in implementing these interventions.
Material and Methods: The study employed semi-structured interviews to gather data from a sample of 14 parents residing in Kuala Selangor, Malaysia. The individual interviews were conducted through online meetings on the Google Meet platform between April 2023 and June 2023. All data were subjected to thematic analysis using NVivo, whereby emerging themes were identified.
Results: The findings revealed 3 primary themes concerning parental approaches: verbal counseling, direct interventions, and the adoption of a third-person approach. Furthermore, it underlined the challenges that impede parental prevention efforts, such as the child’s individuality and sense of self, the ease of accessing e-cigarettes, and the impact of the surrounding environment.
Conclusion: The study emphasizes the importance of parental involvement in preventing adolescent e-cigarette use and highlights the need for effective prevention initiatives through education, policy interventions, and community participation. By addressing the barriers, stakeholders, including policymakers, public health practitioners, and parents, can create targeted interventions to protect future generations’ health and well-being. This research emphasizes the need for parental education and a support framework that serves as guidance for effective parental interventions in adolescent e-cigarette smoking cessation efforts.

 Keywords

adolescent health; e-cigarette; parental interventions; smoking cessation

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References

Gotts JE, Jordt SE, McConnell R, Tarran R. What are the respiratory effects of e-cigarettes? BMJ 2019;366. doi:10.1136/ bmj.l5275.

Institute for Public Health (IPH). Technical Report National Health and Morbidity Survey (NHMS) 2022: adolescent health survey, Malaysia. Shah Alam: Institute for Public Health; 2022.

Lin C, Gaiha SM, Halpern-Felsher B. Nicotine dependence from different e-cigarette devices and combustible cigarettes among US adolescent and young adult users. Int J Environ Res Public Health 2022;19. doi:10.3390/ijerph19105846.

Irusa KF VBDT. Potential oral health effects of e-cigarettes and vaping: a review and case reports. J Esthet Restor Dent 2020;32:260–4.

Chadi N, Schroeder R, Jensen JW, Levy S. Association between electronic cigarette use and marijuana use among adolescents and young adults: a systematic review and meta-analysis. JAMA Pediatr 2019;173:e192574.

U.S. Department of Health and Human Services. E-cigarette use among youth and young adults: a report ofthe surgeon general. Atlanta: Centre for Disease Control and Prevention; 2016.

Tobacco reporter. Nicotine e-liquid taken off poisons list. Raleigh: Tobacco Reporter: 2023.

Lourdes TGR, Hamid HAA, Yusoff MFM, Hasani WSR, Rifin HM, Saminathan TA, et al. Factors associated with e-cigarette usage and the reasons for initiation among malaysian adolescents. Asia Pac J Public Health 2019;31(7 Suppl):44S-52S.

Universiti Sains Malaysia. Npc identifies e-cigarette poisoning trends: urgent call for regulatory action. Pulau Pinang: University Sains Malaysia; 2024.

Ling MYJ, Ahmad N, Yusoff MFM, Lim KH. Current e-cigarette use among in-school adolescents in West Malaysia: Examining the interactions between sociodemographic characteristics and lifestyle risk behaviours. PLoS One 2022;17. doi:10.1371/journal. pone.0263355.

Adams ZW, Kwon E, Aalsma MC, Zapolski TCB, Dir A, Hulvershorn LA. Treatment of adolescent e-cigarette use: limitations of existing nicotine use disorder treatment and future directions for e-cigarette use cessation. J Am Acad Child Adolesc Psychiatry 2021;60:14–6.

Ministry of Health. Clinical practice guideline: treatment of tobacco use disorder. Putrajaya: Tobacco Control Unit & FCTC Secretariat; 2016.

Nam JK, Zatloff JP, Wong S-W, Lin H-C, Su W-C, Buu A. An Exploratory study on strategies adopted by parents who use e-cigarettes to negotiate risk perceptions of their children’s secondhand exposure and parental role modeling. Int J Ment Health Addict 2023. doi:10.1007/s11469-023-01075-1.

Trucco EM, Cristello JV, Sutherland MT. Do parents still matter? The impact of parents and peers on adolescent electronic cigarette use. J Adolesc Health 2021;68:780–86.

Graham AL, Amato MS, Cha S, Jacobs MA, Bottcher MM, Papandonatos GD. Effectiveness of a vaping cessation text message program among young adult e-cigarette users: a randomized clinical trial. JAMA Intern Med 2021;181:923–30.

Kong G, Krishnan-Sarin S. A call to end the epidemic of adolescent e-cigarette use. Drug Alcohol Depend 2017;174: 215-21

García-Gómez L, Hernández-Pérez A, Noé-Díaz V, Riesco- Miranda JA, Jiménez-Ruiz C. Smoking cessation treatments: current psychological and pharmacological options. Rev Invest Clin 2019;71:7–16.

Nam JK, Zatloff JP, Wong S-W, Lin H-C, Su W-C, Buu A. An exploratory study on strategies adopted by parents who use e-cigarettes to negotiate risk perceptions of their children’s secondhand exposure and parental role modeling. Int J Ment Health Addict 2023;1–12.

Goldenson NI, Leventhal AM, Stone MD, McConnell RS, Barrington-Trimis JL. Associations of electronic cigarette nicotine concentration with subsequent cigarette smoking and vaping levels in adolescents. JAMA Pediatr 2017;171:1192–9.

Luan Z, Bleidorn W. Self–other personality agreement and internalizing problems in adolescence. J Pers 2020;88:568–83.

Bi X, Wang S. Parent-adolescent communication quality and life satisfaction: the mediating roles of autonomy and future orientation. Psychol Res Behav Manag 2021;14:1091–9.

Tran TPT, Park J, Park E, Shin SH, Paek Y-J, Kim YH et al. Effect of additional motivational interviewing on smoking abstinence for 1-year among Korean adolescents: results from a comparative retrospective study in quitline. Int J Environ Res Public Health 2020;17:8025.

Darabseh MZ, Selfe J, Morse CI, Aburub A, Degens H. Does aerobic exercise facilitate vaping and smoking cessation: a systematic review of randomized controlled trials with metaanalysis. Int J Environ Res Public Health 2022;19:14034.

Aveyard P, Raw M. Improving smoking cessation approaches at the individual level. Tob Control 2012;21:252–7.

Soneji S, Barrington-Trimis JL, Wills TA, Leventhal AM, Unger JB, Gibson LA et al. Association between initial use of e-cigarettes and subsequent cigarette smoking among adolescents and young adults: a systematic review and metaanalysis. JAMA Pediatr 2017;171:788–97.

Simons-Morton BG, Farhat T. Recent findings on peer group influences on adolescent smoking. J Prim Prev 2010;31:191– 208.

Shi NP, Ismail SN. Social media influences on purchase intention among youth in Malaysia. RMTB 2021;2:259-72.

Hayes G, Dowd KP, MacDonncha C, Donnelly AE. Tracking of physical activity and sedentary behavior from adolescence to young adulthood: a systematic literature review. J Adolesc Health 2019;65:446–54.

Pokhrel P, Phillips KT, Kawamoto CT, Taketa R, Tabangcura KJ, Yoshioka-Maxwell A et al. Exposure to e-cigarette content on social media and e-cigarette use: an ecological momentary assessment study. Addict Behav Rep 2021;14:100368.

Allem J-P, Escobedo P, Chu K-H, Soto DW, Cruz TB, Unger JB. Campaigns and counter campaigns: reactions on Twitter to e-cigarette education. Tob Control 2017;26:226–9.

CTPR. Control of tobacco product regulations 2004. In food Act 1983 (Act 281) & regulations [monograph on the Internet]. Kuala Lumpur: CTPR; 2015 [cited 23 Oct 2024]. Available from: https://www.moh.gov.my/moh/attachments/1187.pdf

Control of Smoking Products for Public Health Act 2024. In the laws of Malaysia (Act 852). Kuala Lumpur: Percetakan Nasional Malaysia Berhad; 2024.

Balfour DJK, Benowitz NL, Colby SM, Hatsukami DK, Lando HA, Leischow SJ, et al. Balancing consideration of the risks and benefits of e-cigarettes. Am J Public Health 2021;111:1661–72.

Aly AS, Mamikutty R, Marhazlinda J. Association between harmful and addictive perceptions of e-cigarettes and e-cigarette use among adolescents and youth—a systematic review and meta-analysis. Children 2022;9:1678.

Rigotti NA. Randomized trials of e-cigarettes for smoking cessation. JAMA 2020;324:1835–7.

Chan GCK, Stjepanović D, Lim C, Sun T, Anandan AS, Connor JP, et al. A systematic review of randomized controlled trials and network meta-analysis of e-cigarettes for smoking cessation. Addict Behav 2021;119:106912.

Kotz D, Jackson S, Brown J, Kastaun S. The effectiveness of e-cigarettes for smoking cessation: a comparison with nicotine replacement therapy and no use of evidence-based cessation aids in the german population. Dtsch Arztebl Int 2022;119:297.

Polosa R, O’Leary R, Tashkin D, Emma R, Caruso M. The effect of e-cigarette aerosol emissions on respiratory health: a narrative review. Expert Rev Respir Med 2019;13:899–915.

Malaysian Health Technology Assessment Section (MaHTAS). e-CPG Management of EVALI [monograph on the Internet]. Putrajaya: Malaysian Health Technology Assessment Section; 2021 [cited 30 Jun 202]. Available from: https://www.moh. gov.my/moh/resources/Penerbitan/CPG/Respiratory/e- CPG_Management_of_EVALI_for_Online_Publication.pdf

New Straits Time. Education Ministry rolls out anti-cigarette/vape programme [hompage on the Internet]. Kuala Lumpur: New Straits Times 2023 [cited 30 Jun 2024]. Available from: https://www. nst.com.my/news/nation/2023/04/903521/education-ministryrolls- out-anti-cigarettevape-programme#:~:text=KUALA%20 LUMPUR%3A%20The%20Education%20Ministry,Minit%20 Antirokok%2FVape)’

DOI: http://dx.doi.org/10.31584/jhsmr.20251161

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About The Authors

Nurul ‘Aisyah Syahirah Mohd Subri
Department of Pharmacy Practice & Clinical Pharmacy, Faculty of Pharmacy, Universiti Teknologi MARA (UiTM) Selangor Branch, 42300 Bandar Puncak Alam, Selangor,
Malaysia

Shubashini Gnanasan
Department of Pharmacy Practice & Clinical Pharmacy, Faculty of Pharmacy, Universiti Teknologi MARA (UiTM) Selangor Branch, 42300 Bandar Puncak Alam, Selangor,
Malaysia

Nor Elyzatul Akma Hamdan
Department of Pharmacy Practice & Clinical Pharmacy, Faculty of Pharmacy, Universiti Teknologi MARA (UiTM) Selangor Branch, 42300 Bandar Puncak Alam, Selangor,
Malaysia

Aina Amanina Abdul Jalil
Faculty of Pharmacy and Health Sciences, Universiti Kuala Lumpur Royal College of Medicine Perak, 30450 Ipoh, Perak,
Malaysia

Syarifah Syamimi Putri Adiba Syed Putera
Faculty of Pharmacy and Health Sciences, Universiti Kuala Lumpur Royal College of Medicine Perak, 30450 Ipoh, Perak,
Malaysia

Nur Sabiha Binti Md Hussin
Department of Pharmacy Practice & Clinical Pharmacy, Faculty of Pharmacy, Universiti Teknologi MARA (UiTM) Selangor Branch, 42300 Bandar Puncak Alam, Selangor,
Malaysia

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