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Items (5) to (10) were multiple-response items, derived from the current literature on nicotine and tobacco use in young people and consolidated within 2 focus groups with 8 and 7 adolescents and young adults, who regularly smoked or vaped nicotine products. Beyond consolidating the response items, the focus groups aimed at optimizing the program flow, the logo, and the integrated images and illustrations.
JMIR Mhealth Uhealth 2025;13:e65301
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Adolescents and young adults have easy access to nicotine electronic cigarettes (e-cigarettes), often making purchases online through e-cigarette retailer websites. These websites may be selling single- or multibrand e-cigarettes and may be owned and operated by e-cigarette companies, dealers, or retail stores.
J Med Internet Res 2025;27:e75128
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Similar studies using nationally representative and longitudinal cohort data also highlight increased prevalence and odds of tobacco and nicotine use among LGBTQ+ adolescents relative to their heterosexual and cisgender peers [17,18]. While the overall prevalence of combustible cigarettes and e-cigarette use is decreasing among LGBTQ+ adolescents, addressing nicotine and tobacco dependence and addiction is still an important health priority [19].
JMIR Res Protoc 2025;14:e71927
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Motivation to quit vaping (1-10 scale; 1=not at all to 10=very much) and intentions to quit vaping (eg, intention to stop in the next 30 days, 6 months, more than 6 months, and no intentions of stopping) are also assessed [24], as well as motivation to use evidence-based vaping cessation resources (“How much do you want to use at least one recommended treatment for stopping vaping [such as nicotine patches, nicotine gum, nicotine lozenges or counseling?”]) [19,25].
JMIR Res Protoc 2025;14:e71961
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User Perceptions of E-Cigarette Cessation Apps: Content Analysis of App Reviews
One reference described how the user would experience “a dopamine spike better than what nicotine can offer” upon seeing how many days they had been vape free and how much money they had saved since quitting. An additional 2 (13.3%) references compared the experience of using trackers on the app to playing a game, explaining how “it almost gives you the feeling of a game’s high score that you’re trying to beat yourself.”
J Med Internet Res 2025;27:e59997
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The latest e-cigarettes also contain some of the highest nicotine levels ever seen in tobacco products [4-7]. The use of e-cigarettes has also been associated with worsened lung health and mental well-being [8-12].
In addition to e-cigarettes, other novel nicotine products are growing in popularity. Cornacchione Ross et al [13] found that approximately 17.1% of youth reported using flavored novel oral nicotine products (ONPs) in the past month. Common products included gum, gummies, and lozenges.
J Med Internet Res 2025;27:e72002
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Globally, the pandemic influenced multiple addictive behaviors, including alcohol consumption [11,12], gambling [13], cannabis use [14,15], and tobacco and nicotine use [12,16-20].
J Med Internet Res 2025;27:e66010
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Individuals who smoked and were treatment-seeking received the JITAI and brief counseling, which were implemented in the first 2 weeks, along with 6 weeks of nicotine replacement therapy (NRT). Mindfulness-based content delivered via the JITAI was the primary treatment element. Data for the proximal effects of the MRT was acquired via ecological momentary assessment (EMA).
JMIR Mhealth Uhealth 2025;13:e55379
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Heated tobacco products (HTPs) are emerging tobacco products that heat processed tobacco leaves, enabling users to breathe nicotine into their lungs [1]. As these products gain global market share at a rapid pace, their potential impacts on tobacco prevention and cessation initiatives are becoming an important topic of public debate [2].
J Med Internet Res 2025;27:e63631
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This achievement can be attributed in part to the British Columbia government’s initiatives, such as the British Columbia Smoking Cessation Program, including Quit Now, which supports residents in covering the costs of Nicotine Replacement Therapy (NRT) and smoking cessation prescription drugs and provides those attempting to quit a variety of nicotine products with access to community and expert coaches.
J Med Internet Res 2025;27:e55592
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