Co-designing a lifestyle, stop-vaping intervention for ex-smoking, adult vapers (CLOVER study)

最近的科学证据表明，电子烟是支持希望戒烟的人的有效手段，目前英国有300多万电子烟使用者(也称为尿布)。然而，媒体的负面关注，相互矛盾的电子烟政策给公众造成混乱，以及对缺乏监管和长期影响的担忧，都在电子烟中引发了焦虑和担忧。这导致他们之间的兴趣与日俱增，找到了停止蒸发的支持。然而，并不存在这样的官方框架或服务。因此，需要开发和实施一种新的干预措施。我们提出了一项旨在开发停止蒸发生活方式干预的联合设计开发研究。这将分为两个工作包(WPS)。南约克郡的合格参与者将至少18岁，独家使用尿布，曾吸烟者，并希望尝试停止使用尿布。我们将排除怀孕和双重使用者(即既吸电子烟又吸烟的人)。在WP1中，我们将确定哪些可以改变，在电话中与大约20个尿布进行讨论，以确定潜在的干预障碍和促进者。在WP2中，我们将共同设计干预。我们将进行一项分析，并组成一个专家小组，以确定干预措施的组成部分，然后成立一个使用尿布的重点小组，以评估可接受性。更具体地说，我们将确定如何解决障碍和鼓励参与的驱动力，这将在WP1中确定(例如，教育、说服)。然后，我们将与专家(例如，戒烟、行为科学、干预设计)和我们的尿布支持小组成员举行研讨会，审查一些行为改变技术的适用性，彻底了解问题和“现实世界”的制约因素，并考虑如何最好地提供干预。然后，我们将进行一个焦点小组，通过浏览干预材料草案，使用尿布来考虑我们建议的干预组件是否可以被他们接受。我们有经验起草这些材料到适合用户评估的足够标准(例如，小册子、视频、网站、短信、APP)。在研究结束时，我们将制定停止蒸发干预措施，然后我们将在英国至少两个地区的尿布中测试其可行性。

Recent scientific evidence suggest that e-cigarettes are an effective means of supporting people who wish to stop smoking, and there are currently over 3 million e-cigarette users (also known as vapers) in the U.K. However, the negative media attention, the contradicting policies on vaping that create confusion to the public, and concerns about the lack of their regulation and longer-term effects have all created anxiety and worry among vapers. This has led to an all-increasing interest between them, to find support to stop-vaping. Nevertheless, no such official framework or service exist. Therefore, a new intervention needs to be developed and implemented.We propose a co-design development study aiming to develop a stop-vaping lifestyle intervention. This will be divided into two Work Packages (WPs). Eligible participants in South Yorkshire will be at least 18 years old, exclusive vapers and former smokers and wishing to attempt to stop-vaping. We will exclude pregnant and dual users (i.e., those both vaping and smoking).In WP1, we will be identifying what can be changed, discussing in telephone inverviews with approximately 20 vapers to identify potential intervention barriers and facilitators.In WP2, we will be co-designing the intervention. We will carry out an analysis and form an expert panel to identify intervention components followed by a focus group with vapers to assess acceptability. More specifically, we will determine how could we address the barriers and encourage the driving forces to participation, which will have been identified in WP1 (e.g., education, persuasion). We will then hold a workshop with experts (e.g., smoking cessation, behavioural science, intervention design) and members of our supporting panel of vapers to review the suitability of a number of the behaviour change techniques and to gain a thorough understanding of the problem and the "real world" context constraints and consider how the intervention is best-delivered. Then we will conduct a focus group, with walkthroughs of draft intervention materials, with vapers to consider if the intervention components that we are proposing are acceptable to them.We have experience of drafting such materials to sufficient standard that they are suitable for user assessment (e.g., booklets, videos, website, text messages, app).At the end of the study, we would have developed a stop-vaping intervention, the feasibility of which we would then test among vapers in at least two areas in the U.K.