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. 2021 Sep 14;2021(9):CD010216. doi: 10.1002/14651858.CD010216.pub6

Yingst 2020.

Study characteristics
Methods Design: Cross‐over study
Recruitment: Participants were recruited from people living with HIV/AIDS (PLWHA) (who smoked) seeking care at the Penn State Health HIV Comprehensive Care Program
Setting: USA
Study start date:Not reported
Participants Total N: 17; 41.2% female; mean age 49.1 (SD 8.8); mean cpd 16.9 (SD 7.9); mean CO 22.4 (13.1)
E‐cigarettes use at baseline: not reported
Motivated to quit: No
Inclusion criteria:
  • adult (age ≥ 18)

  • smokers (≥ 10 cigarettes daily)

  • not planning to quit smoking

  • documented history of a positive HIV status


Exclusion criteria: not reported
Interventions EC: Cig‐a‐like; Refillable
Cig‐a‐like device (Blu), nicotine concentration 24 mg/ml. Propylene glycol/ vegetable glycerin ratio 70/30. Nicotine delivery 4.56 ng/ml after 20 puffs in 10 minutes
Button‐operated device (eGO), nicotine concentration 36 mg/ml. Propylene glycol/ vegetable glycerin ratio 70/30. Nicotine delivery 6.9 ng/ml after 10 puffs in 5 minutes (refillable)
Outcomes Visits: baseline, day 7, day 14, day 21
CO measured (day 0, 7, 14, 21); adverse events (nausea, dizziness)
Also: Number of tobacco cigarettes smoked per day (self‐report); EC puffs per day (self‐report)
Study funding This study was supported by the National Institute on Drug Abuse of the National Institutes of Health under Award Number P50DA036107 and the Center for Tobacco Products of the U.S. Food and Drug Administration. JY is also funded by the Penn State Cancer Institute (PSCI) and TE is also supported by U54DA036105. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health or the Food and Drug Administration
Author declarations JF has done paid consulting for pharmaceutical companies involved in producing smoking cessation medications, including GSK, Pfizer, Novartis, J&J, and Cypress Bioscience. TE is a paid consultant in litigation against the tobacco industry and the electronic cigarette industry and is named on a patent application for a device that measures the puffing behavior of electronic cigarette users
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Used 2 ENDS in a random order – not enough information
Allocation concealment (selection bias) Unclear risk Not reported
Blinding of participants and personnel (performance bias)
All outcomes Low risk Unable to blind, but interventions judged equally intensive
Blinding of outcome assessment (detection bias)
All outcomes Low risk Objective outcome‐ CO monitoring (CO < 10 ppm)
Incomplete outcome data (attrition bias)
All outcomes Low risk No loss to follow‐up
Selective reporting (reporting bias) Unclear risk Unclear what outcomes were prespecified

AE: adverse event; BMI: body mass index; CO: carbon monoxide; COT: cotinine; cpd: cigarettes per day; EC: electronic cigarette; ENDS: electronic nicotine delivery system; FTND: Fagerström Test for Nicotine Dependence; HRQoL: health‐related quality of life; IQR: interquartile range; ITT: intention‐to‐treat; LTFU: lost to follow‐up; MMT: methadone maintenance treatment; NEC: nicotine electronic cigarette; NRT: nicotine replacement therapy; PEC: placebo electronic cigarette; PP(A): point prevalence (abstinence); ppm: parts per million; SAE: serious adverse event; SD: standard deviation; SMI: serious mental illness; TQD: target quit date; UC: usual care