Trial reportNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco2026
Switching from Cigarettes to E-Cigarettes and Oral Nicotine Pouches in Adults with Low-Income Who Smoke: Qualitative Findings from a Pilot Randomized Controlled Trial.
Trial report in Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- Electronic cigarettes for smoking cessation.The Cochrane database of systematic reviews · 2026Pooled it
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
introductionAdults with low-income (LI) are more likely to smoke. Alternative Nicotine Delivery Systems (ANDS) like electronic cigarettes (EC) and oral nicotine pouches (ONP) are less harmful options that may help reduce the use, and ultimately risk, of combustible cigarettes (CC). This study examined facilitators and barriers to switching from CC to either EC or ONP among LI adults who smoked daily, enrolled in a randomized controlled trial.
methodsThematic analysis of semi-structured one-on-one interviews with experimental group participants (n = 26) was implemented to identify themes related to the facilitators and barriers to switching from CC to EC or ONP.
resultsFacilitators of switching to EC and ONP were the convenience of using these products in public and private spaces, their effectiveness at satisfying cravings for nicotine, and the perceived belief that ANDS are less harmful than CC. Barriers to switching to ANDS included delayed nicotine delivery, preferring the sensory experience of smoking to ANDS, and limited knowledge and misconceptions about ONP compared to EC.
conclusionParticipants indicated that both EC and ONP helped them cut down on CC use due to their convenience and ability to satisfy nicotine cravings. However, while participants believed that ANDS are less harmful than CC, more information is needed, specifically on the safety of ONP. IMPLICATIONS: This study presents compelling evidence that ANDS products are acceptable among LI populations who smoke, suggesting they could be used for reducing health disparities and mortality. However, public health education and messaging regarding ONP may be needed to facilitate switching.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.