J Prev Med Public Health.  2023 Jul;56(4):384-387. 10.3961/jpmph.23.086.

A Lifestyle Communication Tool: Association of E-cigarette Use and Pre-diabetes

Affiliations
  • 1University of British Columbia Faculty of Medicine, Vancouver, BC, Canada
  • 2Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA
  • 3University of Galway Faculty of Medicine, Galway, Ireland
  • 4King’s College London, London, UK
  • 5Department of Urologic Sciences, University of British Columbia Faculty of Medicine, Vancouver, BC, Canada
  • 6Vancouver Prostate Centre, Vancouver, BC, Canada
  • 7Loyola University New Orleans, New Orleans, LA, USA

Abstract

The aim of this study was to present a framework for clinicians to use when discussing electronic cigarette (e-cigarette) use and its association with pre-diabetes. A communication tool was designed using evidence-based strategies from the academic literature. A four-step framework is presented, which includes: step (1) helping patients to understand the association between e-cigarette use and pre-diabetes; step (2) the synergistic health impacts of e-cigarette use and pre-diabetes; step (3) management of diabetes-related lifestyle factors; and step (4) stages of change assessment related to e-cigarette reduction. This communication tool provides support for clinicians to discuss the risk of pre-diabetes associated with e-cigarette use. Moving forward, implementation and evaluation of this model are needed.

Keyword

Electronic cigarettes; Public health; Pre-diabetes; Communication tool; Clinical tool; Risk communication
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