The US Food and Drug Administration (FDA) is beginning to regulate tobacco products in ways that promote the use of less harmful products, such as electronic cigarettes, among established adult smokers. In this study, we will evaluate whether using cigarette inserts that contain messages about lower harms form vaping vs smoking will be effective in getting smokers to switch from cigarettes to vaping. All participants will be given a JUUL starter kit and randomized to receive a 2 week supply of their preferred cigarette brand either without (control group) or with inserts that contain harm reduction messages (experimental group). We will evaluate whether the harm reduction messages influence attitudes and beliefs that are likely to promote smoking cessation and switching to e-cigarettes.
Tobacco smoking is the leading cause of preventable death worldwide, and the need for new and improved treatment approaches is further highlighted by the fact that only 5% of smokers who make a quit attempt can maintain abstinence for at least one year. In an effort to reduce relapse risk the proposed study will develop a personalized intervention that will deliver evidence-based treatment in real-time through mobile phones to meet the dynamic needs of patients engaged in a quit attempt. Given the high rates of mobile phone ownership, this intervention has great promise for increasing access to smoking cessation/relapse prevention services, thereby benefiting public health.