18.11 Cessation interventions to help people quit vaping

Last updated: May 2024
Suggested citation:
Greenhalgh, EM. 18.11 Cessation interventions to help people quit vaping. In Greenhalgh, EM, Scollo, MM and Winstanley, MH [editors]. Tobacco in Australia: Facts and issues. Melbourne: Cancer Council Victoria; 2024. Available from:  /chapter-18-e-cigarettes/18-11-cessation-interventions-to-help-people-quit-vaping 


With the rapidly increasing use of e-cigarettes, particularly among young people, researchers are increasingly examining e-cigarette cessation behaviours. The addictive potential of nicotine vapes—including popular products that can deliver the equivalent nicotine of a pack of cigarettes1 —has led to urgent calls for evidence-based strategies to help people who vape to quit.2, 3 Prolonged exclusive use of e-cigarettes is becoming an increasingly common pattern of use,4 and e-cigarette users report symptoms of withdrawal when abstaining from vaping.5 Like smokers,6 many people who vape report wanting to quit. Research shows that many established e-cigarette users, including both adolescents and adults, have tried to cut back on vaping, have intentions to quit vaping in the future, or have tried to quit but were unsuccessful.3, 7-16

Some of the motivations for wanting to stop vaping are similar to those reported by smokers wanting to quit, including health, financial, and social reasons,10, 14, 17-23 as well as disliking the taste of the products.21 Young people have reported that issues accessing the products, including cost, restrictions, or inability to purchase, have motivated changes in vaping.14, 24 Several surveys have also found that respondents cite concern about risks of COVID-19 as a reason to stop vaping.17, 25 In the US, calls and texts to quitlines from e-cigarette users,26 as well as internet searches for how to quit,27 reportedly rose in the wake of the EVALI outbreak (a non-infectious respiratory illness linked to vaping—see Section 18.6). Higher levels of harm perceptions are associated with quit attempts among people who vape,8, 14 while interest in and attempts to quit vary across studies by dependence, frequency of use, and device type (e.g., disposable, cartridges/pods, or tank systems)8, 11, 28, 29 The most common method of trying to quit is going ‘cold turkey’, while other methods include cutting down frequency of use or nicotine concentrations, getting advice or support from someone (e.g., a doctor, counsellor, or parent), finding distractions, using the internet or a mobile phone app, and using nicotine replacement therapy (NRT).10, 12-14, 17, 23, 30

18.11.1 Interventions for adults

Despite the identified need for evidence-based interventions, and even though surveys consistently show that many adults vapers want to quit,7, 28 to date there have been limited studies on the effectiveness of cessation aids for stopping vaping. Several recent reviews have highlighted that there is a current paucity of evidence on effective interventions for vaping cessation.31-33 Limited evidence suggests that smoking cessation pharmacotherapies including nicotine replacement therapy (NRT), bupropion and varenicline may increase the likelihood of successfully quitting vaping.34-37 For example, a recent randomised controlled trial (RCT) found that varenicline more than doubled the odds of quitting vaping compared with placebo (both were combined with counselling).38 Another found that varenicline combined with minimal behavioural support increased the likelihood of e-cigarette cessation.39 An RCT that examined cytisinicline (not currently available in Australia) with behavioural support for vaping cessation concluded that it appears to be safe and effective.40

A small study provided support for a mobile-phone based behavioural intervention combined with NRT,41 and another concluded that the addition of counselling to an automated text program shows promise.42 Initial evidence also supports the effectiveness of Quitlines for promoting cessation among exclusive vapers.43 Australian Quitline counsellors have reported increasingly receiving calls from people seeking help to quit e-cigarettes.44, 45

Although some e-cigarette users report gradually reducing use or nicotine concentrations in an attempt to quit,17, 46 the effectiveness and safety of this is unclear; as with tobacco cigarettes (see Section 3.36), vapers may be able to compensate by utilising more liquid,21 which may also increase their exposure to compounds/flavours with largely unknown toxicity.47 Combining a tapering approach with behavioural support may increase the effectiveness of this strategy.48 Workplace-based cessation programs may also be helpful for supporting employees to stop vaping,49 and vape-free policies in the home can help to facilitate e-cigarette cessation.50

In 2022, an expert panel developed a clinical resource to guide healthcare practitioners in helping their clients quit vaping. It recommends that people who vape be offered a combination of behavioural therapy strategies (tapering, CBT, etc.) with or without pharmacotherapy (NRT, varenicline, cytisine or bupropion, if available).51 Provisional guidelines from the Royal Australian College of General Practitioners similarly recommend that health professionals consider strategies shown to be effective for smoking cessation; i.e., behavioural support and pharmacotherapy.52 Brief interventions based on the ‘3As’ (Ask, Advise, Assist/Help) or the ‘5As’ (Ask, Advise, Assess, Assist, and Arrange; see Section 7.10) should be implemented, in line with guidelines for treating tobacco dependence.52, 53 Routinely asking patients about vaping and including this information in medical and dental records may also be helpful for guiding interventions and policies.54, 55 Screening parents in paediatric settings may help prevent children from exposure to vaping behaviours and aerosols.56 Including vaping in the curriculum as part of health professionals’ training would likely increase the provision of cessation advice and support for people who vape.57-59 In Australia, the Quit Centre provides health professionals with the latest clinical information, resources and training on smoking and vaping cessation.

18.11.2 Interventions for young people

Many young people who vape report wanting to stop.3, 8, 9 A particular challenge in the provision of e-cigarette cessation support is that while interventions are urgently needed for young people,2, 3 smoking cessation interventions (which may have some utility for helping people to quit vaping) have largely been developed for adults; there is limited evidence that either behavioural support or pharmacotherapies increase smoking cessation among young people60 (see also Section 7.19.1). A 2023 Cochrane review concluded that there is no evidence available from RCTs to assess the potential impact of interventions targeting children and adolescent e‐cigarette or tobacco use.61 Cessation counsellors may also lack confidence and experience in working with young people.62 Research is needed to inform effective interventions for helping young people to quit vaping; very few cessation programs have been developed or evaluated, though some show potential.63 Further, recruiting adolescents for clinical trials of vaping cessation interventions can be difficult.64 One review notes the importance of considering the complexities of youth vaping (e.g., social influences, limited negative outcome expectancies, quit intentions), and potential co-use with cannabis.65 Knowledge of predictors of uptake and ongoing use among young people (see Section 18.9) may also help inform targeted interventions.66 For example, use among family/peers, perceptions of lesser harm and use of other tobacco products may reduce the likelihood of young people making progress toward quitting vaping.67, 68

Technology-based interventions show promise,33 with findings from a randomised clinical trial in the US showing that a tailored and interactive text message intervention promoted vaping cessation among young adults.69, 70 A review of apps for vaping cessation concluded that they tend to use similar strategies as smoking cessation apps, though noted there are relatively few apps or features designed specifically for people who vape. It recommends that vaping cessation apps employ evidence-based practices and undergo evaluations to maximise their quality, contents and features, and popularity.71 A pilot study supported the feasibility and acceptability of a telehealth cessation intervention for young adults.72 Interventions that address and increase self-efficacy, coping skills and harm/risk perceptions may be particularly helpful among young people.73-76 One small study found encouraging evidence for the use of financial incentives to promote e-cigarette cessation among young people,77 and a case series reported that a combination of counselling and NRT increased e-cigarette cessation among youth and young adults.78 NRT is approved from 12 years of age in Australia (see Section 7.16), and may be considered for adolescents to help with nicotine withdrawal symptoms when quitting vaping.79, 80

Young people report less frequent screening from healthcare providers for vaping compared with smoking;81 training health professionals who have frequent contact with young people or parents in screening and brief interventions may help to increase their knowledge, skills and the provision of cessation support for e-cigarette users.79, 82-87 A small number of school-based cessation programs have been developed, which involve identification of students who vape, the provision of information, and referral to a cessation program or in-school delivery by trained counsellors. Research so far has supported the effectiveness of these programs.88 A review advocating the role of school nurses in supporting students to quit suggests that such interventions should be used in place of punitive measures.88 Resources have also been developed for parents wishing to have conversations with their teenagers about the risks of vaping.89

Broader policies and programs have been developed that aim to minimise e-cigarette use among young people and non-smokers, including restrictions on advertising and promotion, prohibiting use in smokefree areas, banning flavours that could appeal to youth, raising taxes, implementing health warnings, prohibiting sales to minors,  school-based programs and public education campaigns. For example, social media campaigns have been developed to encourage young people to quit vaping.90 An overview of these strategies is provided in Section 18.9.8. Accessible cessation support may be particularly important for young people in Australia in the coming years, as legislative reforms aim to close the loopholes that have allowed the widespread sale of nicotine vapes to adolescents.52, 91, 92

18.11.3 Interventions for dual users of tobacco cigarettes and e-cigarettes

Although many smokers take up e-cigarettes as a means to quit tobacco cigarettes,93-95 experience from both longitudinal studies and clinical trials shows that many will continue to use both.96, 97 Targeted interventions have therefore begun to be developed for dual users, who may require more intensive support to achieve complete cessation of both products.50 One randomised trial found that a self-help intervention designed specifically for dual users98 improved smoking cessation, particularly during the 18 month intervention period and among dual users with higher tobacco dependence. However, there were no differences between intervention or control groups in vaping reduction or cessation.99 A 2023 review concluded that there was no evidence for effective interventions for dual users,32 though one RCT suggests that a text message vaping cessation intervention may increase dual abstinence from e-cigarettes and cigarettes among young adults.100 In the US, almost all of the vapers who contact a quitline are dual users and many want to quit vaping, therefore quitline counsellors have an opportunity to provide cessation support for both tobacco and e-cigarettes. However, providing evidence-based advice can be challenging with the current uncertainty around effective cessation interventions for e-cigarette and dual users.101, 102

For those who have successfully replaced tobacco cigarettes with e-cigarettes, cessation needs to be carefully managed to minimise the risk of relapse to smoking. Evidence-based smoking cessation support including pharmacotherapies and behavioural counselling may assist people who formerly smoked who wish to quit vaping.36 Extended support from cessation services or NRT may be helpful for those making the transition to using neither product.21 Clinical guidelines for vaping cessation developed by an expert panel recommend that healthcare providers advise people who are both smoking and vaping to switch completely from smoking to vaping only. For people who have quit smoking but are currently vaping, healthcare providers can encourage them to quit vaping.51

In general, addressing the reasons why people start vaping will help to inform the most appropriate type of vaping cessation support, as e-cigarette users who have vaped to quit smoking may have different cessation needs to those who started vaping due to peer influences or curiosity.21  

Relevant news and research

For recent news items and research on this topic, click  here. ( Last updated June 2024)


1. Prochaska JJ, Vogel EA, and Benowitz N. Nicotine delivery and cigarette equivalents from vaping a JUULpod. Tobacco Control, 2022; 31(e1):e88-e93. Available from: https://www.ncbi.nlm.nih.gov/pubmed/33762429

2. Adams ZW, Kwon E, Aalsma MC, Zapolski TCB, Dir A, et al. Treatment of Adolescent e-Cigarette Use: Limitations of Existing Nicotine Use Disorder Treatment and Future Directions for e-Cigarette Use Cessation. J Am Acad Child Adolesc Psychiatry, 2021; 60(1):14-6. Available from: https://www.ncbi.nlm.nih.gov/pubmed/33353661

3. Smith TT, Nahhas GJ, Carpenter MJ, Squeglia LM, Diaz VA, et al. Intention to Quit Vaping Among United States Adolescents. JAMA Pediatrics, 2021; 175(1):97-9. Available from: https://www.ncbi.nlm.nih.gov/pubmed/32804194

4. Public Health England. Vaping in England: 2021 evidence update summary 2021. Available from: https://www.gov.uk/government/publications/vaping-in-england-evidence-update-february-2021/vaping-in-england-2021-evidence-update-summary

5. Felicione NJ, Douglas AE, McClernon FJ, and Blank MD. Preliminary Evaluation of Short-Term Abstinence Effects Among Never-Smoking Experienced Users of Modern Electronic Cigarettes. Nicotine & Tobacco Research, 2022; 24(7):1125-9. Available from: https://www.ncbi.nlm.nih.gov/pubmed/34893880

6. U.S. Department of Health and Human Services. Smoking Cessation. A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, 2020. Available from: https://www.hhs.gov/sites/default/files/2020-cessation-sgr-full-report.pdf

7. Palmer AM, Smith TT, Nahhas GJ, Rojewski AM, Sanford BT, et al. Interest in Quitting e-Cigarettes Among Adult e-Cigarette Users With and Without Cigarette Smoking History. JAMA Netw Open, 2021; 4(4):e214146. Available from: https://www.ncbi.nlm.nih.gov/pubmed/33797554

8. Cuccia AF, Patel M, Amato MS, Stephens DK, Yoon SN, et al. Quitting e-cigarettes: Quit attempts and quit intentions among youth and young adults. Preventive Medicine Reports, 2021; 21:101287. Available from: https://www.ncbi.nlm.nih.gov/pubmed/33489721

9. Dai H. Prevalence and Factors Associated With Youth Vaping Cessation Intention and Quit Attempts. Pediatrics, 2021; 148(3). Available from: https://www.ncbi.nlm.nih.gov/pubmed/34408090

10. Lin C, Mathur Gaiha S, and Halpern-Felsher B. E-cigarette and combustible cigarette cessation patterns, reasons, and methods among adolescents, young adults, and adults. Addictive Behaviors, 2024; 150:107918. Available from: https://www.ncbi.nlm.nih.gov/pubmed/38070362

11. Palmer AM, Rojewski AM, Carpenter MJ, Klemperer EM, Baker NL, et al. Interest in quitting e-cigarette use by device type and smoking history in US adults. Tobacco Control, 2023. Available from: https://www.ncbi.nlm.nih.gov/pubmed/36650050

12. Holt LJ and Latimer LJ. Emerging Adults' Experiences with E-Cigarette Cessation. Substance Use and Misuse, 2024; 59(3):405-10. Available from: https://www.ncbi.nlm.nih.gov/pubmed/37932876

13. Dai HD, Hanh P, Guenzel N, Morgan M, Kerns E, et al. Adoption of Vaping Cessation Methods by US Adolescent E-Cigarette Users. Pediatrics, 2023; 152(5). Available from: https://www.ncbi.nlm.nih.gov/pubmed/37781732

14. Palmer AM, Price SN, Foster MG, Sanford BT, Fucito LM, et al. Urgent Need for Novel Investigations of Treatments to Quit E-cigarettes: Findings from a Systematic Review. Cancer Prev Res (Phila), 2022; 15(9):569-80. Available from: https://www.ncbi.nlm.nih.gov/pubmed/35816038

15. Machado NM, Feldman K, Amaral LMD, Ronzani TM, and Richter KP. Vaping, Perceptions of Vaping, and Plans to Quit Among E-cigarette Users in the United States and the United Kingdom. Nicotine & Tobacco Research, 2022; 24(9):1504-8. Available from: https://www.ncbi.nlm.nih.gov/pubmed/35380698

16. Choo J, Noh S, Moon J, Park J, Jeoung Y, et al. Intention to quit electronic cigarette smoking among university students who are e-cigarette users. J Am Coll Health, 2022:1-10. Available from: https://www.ncbi.nlm.nih.gov/pubmed/35882069

17. Klemperer EM and Villanti AC. Why and how do dual users quit vaping? Survey findings from adults who use electronic and combustible cigarettes. Tobacco Induced Diseases, 2021; 19:12. Available from: https://www.ncbi.nlm.nih.gov/pubmed/33603595

18. Sanchez S, Kaufman P, Pelletier H, Baskerville B, Feng P, et al. Is vaping cessation like smoking cessation? A qualitative study exploring the responses of youth and young adults who vape e-cigarettes. Addictive Behaviors, 2021; 113:106687. Available from: https://www.ncbi.nlm.nih.gov/pubmed/33045643

19. Garey L, Scott-Sheldon LAJ, Olofsson H, Nelson KM, and Japuntich SJ. Electronic Cigarette Cessation among Adolescents and Young Adults. Substance Use and Misuse, 2021; 56(12):1900-3. Available from: https://www.ncbi.nlm.nih.gov/pubmed/34348566

20. Amato MS, Bottcher MM, Cha S, Jacobs MA, Pearson JL, et al. "It's really addictive and I'm trapped:" A qualitative analysis of the reasons for quitting vaping among treatment-seeking young people. Addictive Behaviors, 2021; 112:106599. Available from: https://www.ncbi.nlm.nih.gov/pubmed/32950927

21. Dyson J, Bhatnagar M, Skinner J, and Crooks M. Helping the quitters quit: A systematic review and narrative synthesis of the barriers and facilitators to e-cigarette cessation and the support that is needed. Patient Education and Counseling, 2022; 105(6):1402-10. Available from: https://www.ncbi.nlm.nih.gov/pubmed/34579994

22. Unger JB, Rogers C, Barrington-Trimis J, Majmundar A, Sussman S, et al. "I'm using cigarettes to quit JUUL": An analysis of Twitter posts about JUUL cessation. Addictive Behaviors Reports, 2020; 12:100286. Available from: https://www.ncbi.nlm.nih.gov/pubmed/32637562

23. Bluestein MA, Bejarano G, Tackett AP, Duano JC, Rawls SG, et al. E-Cigarette Quit Attempts and Experiences in a Convenience Sample of Adult Users. International Journal of Environmental Research and Public Health, 2023; 20(3). Available from: https://www.ncbi.nlm.nih.gov/pubmed/36767698

24. Jongenelis MI, Gill M, Lawrence N, and Wakefield CE. Quitting intentions and behaviours among young Australian e-cigarette users. Addiction, in press.

25. Truth Initiative. Majority of young vapers worry about COVID-19 risk and want to quit. 2020. Available from: https://truthinitiative.org/research-resources/quitting-smoking-vaping/majority-young-vapers-worry-about-covid-19-risk-and-want

26. Almenrala A. As vaping illnesses rise, so do pleas to quit-smoking help lines. Salon, 2019. Available from: https://www.salon.com/2019/10/13/as-vaping-illnesses-rise-so-do-pleas-to-quit-smoking-help-lines_partner/

27. Kalkhoran S, Chang Y, and Rigotti NA. Online Searches for Quitting Vaping During the 2019 Outbreak of E-cigarette or Vaping Product Use-Associated Lung Injury. Journal of General Internal Medicine, 2021; 36(2):559-60. Available from: https://www.ncbi.nlm.nih.gov/pubmed/32052253

28. Rosen RL and Steinberg ML. Factors associated with past-year attempts to quit e-cigarettes among current users: Findings from the Population Assessment of Tobacco and Health Wave 4 (2017-2018). Drug and Alcohol Dependence, 2021; 227:108973. Available from: https://www.ncbi.nlm.nih.gov/pubmed/34482034

29. Sobieski E, Yingst J, and Foulds J. Quitting electronic cigarettes: Factors associated with quitting and quit attempts in long-term users. Addictive Behaviors, 2022; 127:107220. Available from: https://www.ncbi.nlm.nih.gov/pubmed/34979427

30. El Asmar ML, Laverty AA, Vardavas CI, and Filippidis FT. How do Europeans quit using tobacco, e-cigarettes and heated tobacco products? A cross-sectional analysis in 28 European countries. BMJ Open, 2022; 12(4):e059068. Available from: https://www.ncbi.nlm.nih.gov/pubmed/35487758

31. Khangura SD and McGill SC. Pharmacological Interventions for Vaping Cessation, in Pharmacological Interventions for Vaping Cessation. Ottawa (ON): 2021. Available from: https://www.ncbi.nlm.nih.gov/pubmed/34279870.

32. Kundu A, Kouzoukas E, Zawertailo L, Fougere C, Dragonetti R, et al. Scoping review of guidance on cessation interventions for electronic cigarettes and dual electronic and combustible cigarettes use. CMAJ Open, 2023; 11(2):E336-E44. Available from: https://www.ncbi.nlm.nih.gov/pubmed/37072138

33. Amin S, Pokhrel P, Elwir T, Mettias H, and Kawamoto CT. A systematic review of experimental and longitudinal studies on e-cigarette use cessation. Addictive Behaviors, 2023; 146:107787. Available from: https://www.ncbi.nlm.nih.gov/pubmed/37393697

34. Barkat SS, Tellier SM, and Eloma AS. Varenicline for cessation from nicotine-containing electronic cigarettes. American Journal of Health System Pharmacy, 2019; 76(23):1894-5. Available from: https://www.ncbi.nlm.nih.gov/pubmed/31586415

35. Bejarano G, Bluestein MA, Tackett AP, Duano JC, Rawls SG, et al. Factors Associated With Successful E-Cigarette Cessation Among a Convenience Sample of Adult Users. Substance Use and Misuse, 2024; 59(7):1126-32. Available from: https://www.ncbi.nlm.nih.gov/pubmed/38503709

36. Huerne K and Eisenberg MJ. Vaping-Cessation Interventions in Former Smokers. Can J Cardiol, 2023; 39(9):1263-7. Available from: https://www.ncbi.nlm.nih.gov/pubmed/37119945

37. Palmer AM, Carpenter MJ, Rojewski AM, Haire K, Baker NL, et al. Nicotine replacement therapy for vaping cessation among mono and dual users: A mixed methods preliminary study. Addictive Behaviors, 2023; 139:107579. Available from: https://www.ncbi.nlm.nih.gov/pubmed/36549102

38. Caponnetto P, Campagna D, Ahluwalia JS, Russell C, Maglia M, et al. Varenicline and counseling for vaping cessation: a double-blind, randomized, parallel-group, placebo-controlled trial. BMC Medicine, 2023; 21(1):220. Available from: https://www.ncbi.nlm.nih.gov/pubmed/37403047

39. Fucito LM, Baldassarri SR, Baker NL, Palmer AM, O'Malley SS, et al. Varenicline for E-Cigarette Cessation in Adults: A Preliminary Placebo-Controlled Randomized Trial. American Journal of Preventive Medicine, 2024. Available from: https://www.ncbi.nlm.nih.gov/pubmed/38752949

40. Rigotti NA, Benowitz NL, Prochaska JJ, Cain DF, Ball J, et al. Cytisinicline for Vaping Cessation in Adults Using Nicotine E-Cigarettes: The ORCA-V1 Randomized Clinical Trial. JAMA Internal Medicine, 2024. Available from: https://www.ncbi.nlm.nih.gov/pubmed/38709500

41. Webb J, Lin YT, Ang A, Michero D, Majeed A, et al. Feasibility and Preliminary Outcomes of a Mobile Intervention Combining Cognitive Behavioral Therapy, Virtual Coaching, and Nicotine Replacement Therapy for Nicotine Vaping Cessation. Telemed Rep, 2023; 4(1):48-52. Available from: https://www.ncbi.nlm.nih.gov/pubmed/37102136

42. Krishnan N, Berg CJ, Le D, Ahluwalia J, Graham AL, et al. A pilot randomized controlled trial of automated and counselor-delivered text messages for e-cigarette cessation. Tob Prev Cessat, 2023; 9:04. Available from: https://www.ncbi.nlm.nih.gov/pubmed/36816140

43. Short E, Carpenter KM, Mullis K, Nash C, and Vickerman KA. Tobacco Quitlines May Help Exclusive Vapers Quit: An Analysis of Data From an Employer-Sponsored Quitline. Preventing Chronic Disease, 2023; 20:E46. Available from: https://www.ncbi.nlm.nih.gov/pubmed/37290008

44. Davey M. ‘Unprecedented’: teens as young as 13 calling Quitline for help with their vaping addiction. The Guardian, 2022. Available from: https://www.theguardian.com/australia-news/2022/oct/27/unprecedented-teens-as-young-as-13-calling-quitline-for-help-with-their-vaping-addiction

45. Davey M. Number attempting to quit vaping doubles, Quitline data shows. The Guardian, 2024. Available from: https://www.theguardian.com/society/2024/apr/21/quitline-data-australians-quitting-vaping-doubles

46. Struik L and Yang Y. e-Cigarette Cessation: Content Analysis of a Quit Vaping Community on Reddit. Journal of Medical Internet Research, 2021; 23(10):e28303. Available from: https://www.ncbi.nlm.nih.gov/pubmed/34694229

47. Larcombe A, Allard S, Pringle P, Mead-Hunter R, Anderson N, et al. Chemical analysis of fresh and aged Australian e-cigarette liquids. Medical Journal of Australia, 2022; 216(1):27-32. Available from: https://www.ncbi.nlm.nih.gov/pubmed/34528266

48. Sahr M, Kelsh SE, and Blower N. Pharmacist assisted vape taper and behavioral support for cessation of electronic nicotine delivery system use. Clin Case Rep, 2020; 8(1):100-3. Available from: https://www.ncbi.nlm.nih.gov/pubmed/31998496

49. Graham AL, Amato MS, Jacobs MA, Romberg AR, Diaz MC, et al. Vaping in the Workplace: Implications for Employer-Sponsored Tobacco Cessation Programs. J Occup Environ Med, 2020; 62(12):986-92. Available from: https://www.ncbi.nlm.nih.gov/pubmed/32881778

50. Krishnan N, Abroms LC, and Berg CJ. Electronic Nicotine Product Cessation and Cigarette Smoking: Analysis of Waves 3 and 4 From the PATH Study. Nicotine & Tobacco Research, 2022; 24(3):324-32. Available from: https://www.ncbi.nlm.nih.gov/pubmed/34313780

51. Zawertailo L, Kouzoukas E, Fougere C, Dragonetti R, Veldhuizen S, et al. Clinical guidance for e-cigarette (vaping) cessation: Results from a modified Delphi panel approach. Preventive Medicine Reports, 2023; 35:102372. Available from: https://www.ncbi.nlm.nih.gov/pubmed/37654515

52. Royal Australian College of General Practitioners, Supporting smoking cessation: A guide for health professionals Guidance updates on smoking and vaping cessation support related to changes to Australia’s vaping regulation. Melbourne: RACGP; 2023. Available from: https://www.racgp.org.au/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/supporting-smoking-cessation.

53. Penzes M, Solimini R, Dominguez FMR, Joo T, Vardavas CI, et al. Recommendations for treating electronic cigarette and heated tobacco product dependence. Tob Prev Cessat, 2021; 7:67. Available from: https://www.ncbi.nlm.nih.gov/pubmed/34805624

54. Santos-Silva AR, Martins B, Lopes MA, and Migliorati CA. Integrating e-cigarette (vaping) questions into medical and dental charts: a critical need. Oral Surg Oral Med Oral Pathol Oral Radiol, 2024; 137(2):93-4. Available from: https://www.ncbi.nlm.nih.gov/pubmed/38114404

55. Sanford BT, Rojewski AM, Palmer AM, Baker NL, Carpenter MJ, et al. E-Cigarette Screening in Primary Care. American Journal of Preventive Medicine, 2023; 65(3):517-20. Available from: https://www.ncbi.nlm.nih.gov/pubmed/36878414

56. Heinly A, Baird J, and Riese A. Screening and Counseling Practices for Parental Combustible Versus Electronic Cigarette Use in Pediatric Primary Care: A Pilot Study. Clin Pediatr (Phila), 2023; 62(10):1169-75. Available from: https://www.ncbi.nlm.nih.gov/pubmed/36797988

57. Ferrillo H, Watson S, and Saglimbeni J. Vaping education in baccalaureate nursing curriculum and effects on practice: A cross-sectional exploratory study. Nurse Educ Today, 2022; 112:105339. Available from: https://www.ncbi.nlm.nih.gov/pubmed/35367863

58. Alhajj MN, Al-Maweri SA, Folayan MO, Halboub E, Khader Y, et al. Knowledge, beliefs, attitude, and practices of E-cigarette use among dental students: A multinational survey. PLoS One, 2022; 17(10):e0276191. Available from: https://www.ncbi.nlm.nih.gov/pubmed/36301839

59. Alfayoumi I, Aqel O, and Axon DR. An Assessment of Student Pharmacists' Knowledge of Electronic Cigarettes or Vapes-A Cross Sectional Study at One College of Pharmacy. Pharmacy (Basel), 2022; 10(5). Available from: https://www.ncbi.nlm.nih.gov/pubmed/36287452

60. Fanshawe TR, Halliwell W, Lindson N, Aveyard P, Livingstone-Banks J, et al. Tobacco cessation interventions for young people. Cochrane Database of Systematic Reviews, 2017; 11(11):CD003289. Available from: https://www.ncbi.nlm.nih.gov/pubmed/29148565

61. Barnes C, Turon H, McCrabb S, Hodder RK, Yoong SL, et al. Interventions to prevent or cease electronic cigarette use in children and adolescents. Cochrane Database of Systematic Reviews, 2023; 11(11):CD015511. Available from: https://www.ncbi.nlm.nih.gov/pubmed/37965949

62. Rasmussen SKB and Pisinger C. Nationwide experiences with youth-targeted smoking and nicotine product cessation. Tob Prev Cessat, 2023; 9:27. Available from: https://www.ncbi.nlm.nih.gov/pubmed/37545489

63. Liu J, Gaiha SM, and Halpern-Felsher B. A Breath of Knowledge: Overview of Current Adolescent E-cigarette Prevention and Cessation Programs. Curr Addict Rep, 2020; 7(4):520-32. Available from: https://www.ncbi.nlm.nih.gov/pubmed/33204602

64. Jenssen BP, Hannan C, Kelly MK, Ylioja T, Schnoll RA, et al. Inability to Recruit Adolescents for a Vaping Cessation Clinical Trial Within a Large Pediatric Health System. Nicotine & Tobacco Research, 2021; 23(9):1633-4. Available from: https://www.ncbi.nlm.nih.gov/pubmed/33631005

65. Berg CJ, Krishnan N, Graham AL, and Abroms LC. A synthesis of the literature to inform vaping cessation interventions for young adults. Addictive Behaviors, 2021; 119:106898. Available from: https://www.ncbi.nlm.nih.gov/pubmed/33894483

66. Choi J, Jung HT, Ferrell A, Woo S, and Haddad L. Machine Learning-Based Nicotine Addiction Prediction Models for Youth E-Cigarette and Waterpipe (Hookah) Users. J Clin Med, 2021; 10(5). Available from: https://www.ncbi.nlm.nih.gov/pubmed/33801175

67. Ahuja N, Kedia S, Ward KD, Jiang Y, and Dillon PJ. Predictors of Adolescents' Transition Through the Stages of Change for Quitting E-Cigarettes: Findings From the Population Assessment of Tobacco and Health Study. American Journal of Health Promotion, 2024:8901171231222077. Available from: https://www.ncbi.nlm.nih.gov/pubmed/38258817

68. Ahuja N, Kedia SK, Jiang Y, Xie L, Ward KD, et al. Factors Associated With E-Cigarette Quitting Behavior Among Adolescents in the United States: A Prospective Observational Study. The Journal of Adolescent Health, 2022; 71(6):729-36. Available from: https://www.ncbi.nlm.nih.gov/pubmed/36088234

69. Graham AL, Amato MS, Cha S, Jacobs MA, Bottcher MM, et al. Effectiveness of a Vaping Cessation Text Message Program Among Young Adult e-Cigarette Users: A Randomized Clinical Trial. JAMA Internal Medicine, 2021; 181(7):923-30. Available from: https://www.ncbi.nlm.nih.gov/pubmed/33999133

70. Graham AL, Jacobs MA, and Amato MS. Engagement and 3-Month Outcomes From a Digital E-Cigarette Cessation Program in a Cohort of 27 000 Teens and Young Adults. Nicotine & Tobacco Research, 2020; 22(5):859-60. Available from: https://www.ncbi.nlm.nih.gov/pubmed/31197320

71. Sanchez S, Kundu A, Limanto E, Selby P, Baskerville NB, et al. Smartphone Apps for Vaping Cessation: Quality Assessment and Content Analysis. JMIR Mhealth Uhealth, 2022; 10(3):e31309. Available from: https://www.ncbi.nlm.nih.gov/pubmed/35343904

72. Palmer AM, Tomko RL, Squeglia LM, Gray KM, Carpenter MJ, et al. A pilot feasibility study of a behavioral intervention for nicotine vaping cessation among young adults delivered via telehealth. Drug and Alcohol Dependence, 2022; 232:109311. Available from: https://www.ncbi.nlm.nih.gov/pubmed/35123362

73. Le D, Ciceron AC, Romm KF, Clausen ME, Abroms LC, et al. E-cigarette cessation interest and quit attempts among young adults reporting exclusive e-cigarette use or dual use with other tobacco products: How can we reach them? Tob Prev Cessat, 2023; 9:33. Available from: https://www.ncbi.nlm.nih.gov/pubmed/38026820

74. Krishnan N, Berg CJ, Elmi A, Klemperer EM, Sherman SE, et al. Predictors of electronic nicotine product quit attempts and cessation: Analysis of waves 3 and 4 of the PATH study. Addictive Behaviors, 2022; 134:107419. Available from: https://www.ncbi.nlm.nih.gov/pubmed/35810644

75. Bold K, Kong G, Cavallo D, Davis D, Jackson A, et al. School-based E-cigarette cessation programs: What do youth want? Addictive Behaviors, 2022; 125:107167. Available from: https://www.ncbi.nlm.nih.gov/pubmed/34753093

76. Ahuja NA, Kedia SK, Jiang Y, Ward KD, Pichon LC, et al. Factors Associated with E-Cigarette Quit Intention Among Adolescents in the United States. Substance Use and Misuse, 2022; 57(14):2074-84. Available from: https://www.ncbi.nlm.nih.gov/pubmed/36205511

77. Raiff BR, Newman ST, Upton CR, and Burrows CA. The feasibility, acceptability, and initial efficacy of a remotely delivered, financial-incentive intervention to initiate vaping abstinence in young adults. Experimental and Clinical Psychopharmacology, 2022; 30(5):632-41. Available from: https://www.ncbi.nlm.nih.gov/pubmed/34251841

78. Sikka G, Oluyinka M, Schreiber R, and Galiatsatos P. Electronic Cigarette Cessation in Youth and Young Adults: A Case Series. Tob Use Insights, 2021; 14:1179173X211026676. Available from: https://www.ncbi.nlm.nih.gov/pubmed/34211303

79. Kaliamurthy S and Camenga DR. Clinical approach to the treatment of e-cigarette use among adolescents. Curr Probl Pediatr Adolesc Health Care, 2022; 52(6):101203. Available from: https://www.ncbi.nlm.nih.gov/pubmed/35534404

80. Chadi N, Vyver E, and Belanger RE. Protecting children and adolescents against the risks of vaping. Paediatr Child Health, 2021; 26(6):358-74. Available from: https://www.ncbi.nlm.nih.gov/pubmed/34552676

81. Boakye E, Osuji N, Erhabor J, Obisesan O, Osei AD, et al. Healthcare Provider Screening for Tobacco Product and Electronic Cigarette Use Among Youth in the United States. The Journal of Adolescent Health, 2023; 72(5):819-22. Available from: https://www.ncbi.nlm.nih.gov/pubmed/36621392

82. Holden J and Simerson D. Screening, brief intervention and referral to treatment (SBIRT) by nurses to college students who use electronic cigarettes. J Am Coll Health, 2023; 71(5):1361-6. Available from: https://www.ncbi.nlm.nih.gov/pubmed/34133913

83. Mungia R, Case K, Valerio MA, Mendoza M, Taverna M, et al. Development of an E-Cigarettes Education and Cessation Program: A South Texas Oral Health Network Study. Health Promotion Practice, 2021; 22(1):18-20. Available from: https://www.ncbi.nlm.nih.gov/pubmed/32281882

84. Nabi-Burza E, Drehmer JE, Walters BH, Willemsen MC, Zeegers MPA, et al. Smoking Cessation Treatment for Parents Who Dual Use E-Cigarettes and Traditional Cigarettes. J Smok Cessat, 2021; 2021:6639731. Available from: https://www.ncbi.nlm.nih.gov/pubmed/34306227

85. Bandara AN, Negussie T, Herath J, and Wijesinghe N. Adolescent e-cigarette use screening: enabling health-care providers. Lancet Child Adolesc Health, 2023; 7(7):e16. Available from: https://www.ncbi.nlm.nih.gov/pubmed/37349022

86. Oliver AP, Bell LA, Agley J, Bixler K, Hulvershorn LA, et al. Examining the Efficacy of Project ECHO to Improve Clinicians' Knowledge and Preparedness to Treat Adolescent Vaping. Clin Pediatr (Phila), 2022; 61(12):869-78. Available from: https://www.ncbi.nlm.nih.gov/pubmed/35774009

87. Mungia R, Mexquitic M, Case K, Atique M, Jones B, et al. Implementation of a youth and young adult e-cigarette cessation program within a dental clinic setting : A SToHN feasibility study. Tex Dent J, 2022; 139(9):542-54. Available from: https://www.ncbi.nlm.nih.gov/pubmed/36644550

88. Russell AJ, Shishani K, and Hurst S. The Role of the School Nurse in E-Cigarette Prevention and Cessation: A Scoping Review. J Sch Nurs, 2024:10598405231225976. Available from: https://www.ncbi.nlm.nih.gov/pubmed/38233367

89. American Heart Association. Talk Vaping With Your Teen resources help parents have conversations about ending teen e-cigarette use. 2020. Available from: https://newsroom.heart.org/news/talk-vaping-with-your-teen-resources-help-parents-have-conversations-about-ending-teen-e-cigarette-use

90. No authors listed. New TikTok challenge kicks off national truth® campaign underscoring young people’s desire to ditch JUUL and quit vaping. Truth Initiative, 2020. Available from: https://truthinitiative.org/press/press-release/new-tiktok-challenge-kicks-national-truthr-campaign-underscoring-young-peoples?utm_source=Truth+Initiative+Mailing+List&utm_campaign=80cfc39931-Newsletter_181_2020_01_09&utm_medium=email&utm_term=0_c91fd8a5c5-80cfc39931-86471991

91. Proust K. Youth workers say support needed for withdrawal, mental health issues after national vape ban. ABC News, 2023. Available from: https://www.abc.net.au/news/2023-12-21/vaping-mental-health-issues-withdrawals-national-ban-government/103240808

92. Dessaix A, Jardine E, Freeman B, and Kameron C. Undermining Australian controls on electronic nicotine delivery systems: illicit imports and illegal sales. Tobacco Control, 2022; 31(6):689-90. Available from: https://www.ncbi.nlm.nih.gov/pubmed/36265869

93. Rahman MA, Hann N, Wilson A, and Worrall-Carter L. Electronic cigarettes: patterns of use, health effects, use in smoking cessation and regulatory issues. Tobacco Induced Diseases, 2014; 12(1):21. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25745382

94. Simonavicius E, McNeill A, Arnott D, and Brose LS. What factors are associated with current smokers using or stopping e-cigarette use? Drug and Alcohol Dependence, 2017; 173:139-43. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28246049

95. Australian Institute of Health and Welfare. Data tables: National Drug Strategy Household Survey 2019 - 2. Tobacco smoking chapter, Supplementary data tables. Canberra: AIHW, 2020. Available from: https://www.aihw.gov.au/reports/illicit-use-of-drugs/national-drug-strategy-household-survey-2019/data

96. Owusu D, Huang J, Weaver SR, Pechacek TF, Ashley DL, et al. Patterns and trends of dual use of e-cigarettes and cigarettes among U.S. adults, 2015-2018. Preventive Medicine Reports, 2019; 16:101009. Available from: https://www.ncbi.nlm.nih.gov/pubmed/31763161

97. Osibogun O, Bursac Z, McKee M, Li T, and Maziak W. Cessation outcomes in adult dual users of e-cigarettes and cigarettes: the Population Assessment of Tobacco and Health cohort study, USA, 2013-2016. International Journal of Public Health, 2020; 65(6):923-36. Available from: https://www.ncbi.nlm.nih.gov/pubmed/32710136

98. Meltzer LR, Simmons VN, Sutton SK, Drobes DJ, Quinn GP, et al. A randomized controlled trial of a smoking cessation self-help intervention for dual users of tobacco cigarettes and E-cigarettes: Intervention development and research design. Contemporary Clinical Trials, 2017; 60:56-62. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28648969

99. Martinez U, Simmons VN, Sutton SK, Drobes DJ, Meltzer LR, et al. Targeted smoking cessation for dual users of combustible and electronic cigarettes: a randomised controlled trial. Lancet Public Health, 2021; 6(7):e500-e9. Available from: https://www.ncbi.nlm.nih.gov/pubmed/34175001

100. Graham AL, Cha S, Papandonatos GD, Amato MS, Jacobs MA, et al. E-cigarette and combusted tobacco abstinence among young adults: Secondary analyses from a U.S.-based randomized controlled trial of vaping cessation. Preventive Medicine, 2022; 165(Pt B):107119. Available from: https://www.ncbi.nlm.nih.gov/pubmed/35777699

101. Vickerman KA, Carpenter KM, Raskob MK, Nash CM, Vargas-Belcher RA, et al. Vaping and E-Cigarettes Within the Evolving Tobacco Quitline Landscape. American Journal of Preventive Medicine, 2021; 60(3 Suppl 2):S142-S53. Available from: https://www.ncbi.nlm.nih.gov/pubmed/33663702

102. Williams BS, Piper M, Piasecki TM, Kaye J, and Fiore M. Trends in E-cigarette Use in Callers to the Wisconsin Tobacco Quit Line. WMJ, 2023; 122(1):10-4. Available from: https://www.ncbi.nlm.nih.gov/pubmed/36940115