Abstract Completely switching from cigarette smoking to electronic nicotine delivery systems (ENDS) reduces exposure toxic substances. Yet, many smokers believe that ENDS are at least as harmful smoking, making them less likely switch cigarettes ENDS. Effectively communicating reduced-exposure information is critical, but such messages must be properly understood. This online study evaluated comprehension of a factual message, indicating who completely away JUUL-brand can reduce their...

Informing adults who smoke (AWS) that completely switching to electronic nicotine delivery systems (ENDS) reduces their exposure harmful chemicals could prompt them switch. However, it would be problematic if such reduced-exposure messages prompted ENDS use by not currently using tobacco (Former Users and Never of tobacco). This study assessed the effect a message for JUUL ENDS, presented in video ad, on behavioral intentions among 3485 AWS, 1756 Dual (of cigarettes ENDS), 1857 Former 5459...

Adults who smoke (AWS) switch completely to e-cigarettes reduce their exposures many harmful chemicals in cigarette smoke. Those believe are less than cigarettes more likely use away from smoking, yet most at least as cigarettes. This study assessed the effect on risk perceptions of communicating that switching can exposure In a randomized experiment, AWS (n = 3485), dual users (DU) and 1756), nonusers 7316) viewed an ad for JUUL with or without reduced-exposure message, completed...

Objectives: Actual use of nicotine pouch products is not well studied. The objectives this study were to characterize on ® (Test Products (TP)) behavior, including association with cigarette and smokeless tobacco (ST) product use. Methods: Adults who smoke cigarettes (AS) and/or adults ST (ASTU) (N=1147) that planning quit had expressed interest in trying using TP after a 5-day trial offered ad libitum TPs (7 flavors at 5 levels) for 6 weeks. Results: Participants used median ~5-6...

Background and Issues: A neurovascular intensive care unit (ICU) had a large volume of employee turnover associated with burnout moral distress. Literature suggested nurses caring for stroke patients experienced significant distress secondary traumatic stress injuries. ICU leadership implemented combined approach Schwartz Center Rounds (SCR) Stress First Aid (SFA) American Association Critical-Care Nurses (AACN) 4-As methodology to support improve staff resiliency. Purpose: Would employees...

The Current Opioid Misuse Measure (COMM) is a commonly used self-report instrument to identify and monitor aberrant opioid-related behavior in chronic pain patients on opioid therapy. However, the length of COMM may limit its clinical utility. Additionally, this paper-and-pencil screener requires hand scoring, which increases paperwork staff burden. Therefore, current study presents development "COMM-9," brief electronically administered form COMM.Patients (N = 517) with noncancer therapy...

Smokers often experience respiratory symptoms (eg, morning cough), and those who stop smoking, including do so by switching completely to electronic nicotine delivery systems (ENDS), may reductions in symptoms. Existing symptom questionnaires not be suitable for studying these changes, as they are intended patient populations, such with chronic obstructive pulmonary disease (COPD).This study aimed develop a questionnaire appropriate current smokers assessing changes when smoking.The...

Estimation of composite reliability within a hierarchical modeling framework has recently become particular interest given the growing recognition that underlying assumptions coefficient alpha are often untenable. Unfortunately, remains prominent estimate when estimating total scores from scale with structure, in part because there few published articles provide step-by-step demonstration how to context structural equation modeling. Using AMOS 22 analyze simulated and Wechsler Adult...

Although the Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R) has become a widely used screener aberrant opioid-related behavior in adults, length of instrument may limit its utility. The purpose current study was to develop short form SOAPP-R by retaining as few items possible while maximizing predictive accuracy.Participants (N = 555), recruited from pain clinics, completed 24-item participated five-month follow-up visit evaluate drug-related behaviors....

Although the quality of life (QoL) plays an important role in treatment decision making and clinical management mycosis fungoides (MF) or Sézary syndrome (SS) subtypes cutaneous T-cell lymphomas (MF/SS-CTCLs), MF- SS-specific measure QoL does not exist.The objective this research was to develop validate first instrument for MF/SS-CTCL using a patient-centered approach.A conceptual framework developed through literature review interviews with key opinion leaders. Concept elicitation patients...

Abstract Adults who smoke (AWS) switch completely to e-cigarettes reduce their exposures many harmful chemicals, suggesting that switching could risk. AWS believe are less than cigarettes more likely use away from smoking. Yet most at least as cigarettes. This study assessed the effect on risk perceptions of communicating can exposure chemicals. In a randomized experiment, (n=3485), dual users and (DU; n=1756), nonusers tobacco (n=7316) viewed an ad for JUUL with or without reduced-exposure...

Abstract Background The harm caused by tobacco use is primarily attributable to cigarette smoking. Switching completely non-combustible products may reduce disease risks in adult smokers who are unable or unwilling quit. Before a new product can enter the market be marketed as modified risk product, manufacturer must determine impact that will have on likelihood of changes behavior among both users and nonusers. One way estimate change assess users’ nonusers’ behavioral intentions toward its...

There is an increasing focus on measuring performance indicators of health care providers, but there a lack patient input into what defines 'good care.' The primary objective was to develop conceptual model care' from the patient's perspective. Exploratory analyses were also conducted investigate (1) differences in priorities based demographic and clinical factors, (2) between patients stakeholders (e.g., clinicians, researchers) with respect priorities. These objectives accomplished using...

Abstract Background: Oral tobacco-derived nicotine (OTDN) products are a rapidly emerging, innovative category of noncombustible tobacco products. These tobacco-leaf free and do not contain or generate many the harmful potentially constituents (HPHCs) found in combustible cigarettes smokeless (ST) OTDN may therefore offer adult consumers reduced harm alternative. However, little is known about product use patterns their ability to substitute for more products.Methods: We conducted an...

The purpose of this study was to develop and validate a computer adaptive testing (CAT) version the Addiction Severity Index-Multimedia Version (ASI-MV), CAT. This goal accomplished in 4 steps. First, new candidate items for CAT domains were evaluated after brainstorming sessions with experts substance abuse treatment. Next, item bank psychometrically on large nonclinical (n = 4,419) treatment 845) sample. Based these results, final selected calibrated creation algorithms. Once algorithms...

Switching from cigarette smoking to electronic nicotine delivery systems (ENDS) reduces exposure toxic substances. Yet, many smokers believe ENDS are at least as harmful smoking, making them less likely switch cigarettes ENDS. Effectively communicating reduced-exposure information is critical, but such messages must be properly understood. This online study evaluated comprehension of a factual message indicating that who completely away JUUL-brand can reduce their chemicals in smoke....

Patient-reported outcome (PRO) measures describe natural history, manage disease, and measure the effects of interventions in trials. Patients themselves increasingly use Web-based PRO tools to track their progress, share data, even self-experiment. However, existing PROs have limitations such as being: designed for paper (not screens), long burdensome, negatively framed, under onerous licensing restrictions, either too generic or specific.This study aimed develop validate core items a...

The purpose of this retrospective, observational pilot study was to explore change in route administration (RoA) and motivation for changing RoA during the course opioid abuse.This retrospective involved collecting analyzing semistructured interview data.Interviews were conducted with patients undergoing outpatient substance abuse treatment at a buprenorphine clinic.Twenty adult (50 percent male) participated interviews.Interview data qualitatively quantitatively analyzed evaluate trends...

Abstract Informing adults who smoke (AWS) that completely switching to e-cigarettes reduces their exposures harmful chemicals could prompt them switch e-cigarettes. But it would be problematic if such messages prompted e-cigarette use by not using tobacco (Nonusers). This study assessed the effect of a reduced-exposure message on behavioral intentions among both these groups. In randomized experiment, 3,485 AWS, 7,316 Nonusers (former- and never-users), 1,756 cigarettes viewed an ad for JUUL...

Abstract Background: Smokers who switch completely to electronic nicotine delivery systems (ENDS) may experience reductions in respiratory symptoms (e.g., cough, wheezing). Assessing such among smokers without disease using existing symptom questionnaires is challenging, as these are intended for patient populations, those with chronic obstructive pulmonary (COPD). The current study aimed develop a questionnaire appropriate and former including COPD. Methods: This research included 3 phases....