ArticleJournal of medical Internet research2020
Modifications to Electronic Nicotine Delivery Systems: Content Analysis of YouTube Videos.
Article in Journal of medical Internet research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- #TurntTrending: a systematic review of substance use portrayals on social media platforms.Addiction (Abingdon, England) · 2023Pooled it
- Prevalence and reasons for electronic nicotine delivery systems modifications among U.S. youth, young adult, and adult users.Scientific reports · 2025Article
- Use of ENDS devices and modifications to vape cannabis among adolescents and young adults who also vape nicotine.Addictive behaviors · 2024Article
- Modification of Electronic Nicotine Delivery Systems Among Adolescents and Young Adults.Pediatrics · 2024Article
- Characteristics of Adolescents' and Young Adults' Exposure to and Engagement with Nicotine and Tobacco Product Content on Social Media.Journal of health communication · 2024Article
- Electronic Nicotine Delivery Systems and E-Liquid Modifications to Vape Cannabis Depicted in Online Videos.JAMA network open · 2023Article
- "I Get the Flavors and It Makes Me Love Vaping More": How and Why Youth Users Modify Electronic Nicotine Delivery Systems.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023Article
- Social media use and cannabis vaping initiation among US youth.Drug and alcohol dependence · 2023Article
- Electronic Nicotine Delivery Systems (ENDS) use Among Members of a Community Engagement Program.Journal of community health · 2023Article
- Longitudinal trajectories of marijuana use in tobacco products among young adult Texas college students from 2015 to 2019.Addiction (Abingdon, England) · 2023Article
- Influence of User Profile Attributes on e-Cigarette-Related Searches on YouTube: Machine Learning Clustering and Classification.JMIR infodemiology · 2023Article
- Electronic Nicotine Delivery System (ENDS) Device Types and Flavors Used by Youth in the PATH Study, 2016-2019.International journal of environmental research and public health · 2022Article
- Device features and user behaviors as predictors of dependence among never-smoking electronic cigarette users: PATH Wave 4.Addictive behaviors · 2022Article
- An Exploration of e-Cigarette-Related Search Items on YouTube: Network Analysis.Journal of medical Internet research · 2022Article
- "It's Cool, Modifying and All, but I Don't Want Anything Blowing Up on Me:" A Focus Group Study of Motivations to Modify Electronic Nicotine Delivery Systems (ENDS).International journal of environmental research and public health · 2021Article
- Dripping Technology Use Among Young Adult E-Cigarette Users.Tobacco use insights · 2021Article
- Users' Modifications to Electronic Nicotine Delivery Systems: Content Analysis of YouTube Video Comments.JMIR infodemiologyArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundAs user modification can alter the addictiveness and toxicity of electronic nicotine delivery systems (ENDS), more research is needed to understand the types, motivations, risks, and information sources that lead to these product alterations. YouTube has been identified as a major platform where ENDS users obtain and share information about ENDS products and modifications. However, a comprehensive study of ENDS modification videos on YouTube is lacking.
objectiveThis study aimed to analyze the content of YouTube videos depicting modifications of ENDS.
methodsYouTube was searched in March 2019 to identify videos depicting ENDS modifications. Search terms were derived from interviews with ENDS users and current literature. We used 28 search phrases that combined the words vape and vaping with modification-related key terms (eg, custom build, modification, and dripping). The final sample included 168 videos.
resultsVideos were 1 to 108 min long (median 9.55). Presenters were largely male (117/168, 69.6%), white (94/168, 56.0%), and older than 25 years (94/168, 56.0%). Most videos gave how to instructions (148/168, 88.1%), but few offered warnings (30/168, 17.9%) or mentioned commercial alternatives to modifications they presented (16/168, 9.5%). The ENDS devices most often featured were drippers (63/168, 37.5%) and refillable tanks (37/168, 22.0%). The most often modified ENDS components were coils (82/168, 48.8%) and e-liquids (34/168, 20.2%), which included adding other substances, such as cannabis, to the e-liquids (6/168, 3.6%). Most videos portrayed ENDS modifications positively (106/168, 63.1% positive; 60/168, 35.7% neutral; and 2/168, 1.2% negative) and were either neutral or positive in their overall portrayal of ENDS devices (78/168, 46.4% positive; 89/168, 53.0% neutral; and 1/168, 0.6% negative).
conclusionsThis study identified several concerning trends in popular YouTube videos on ENDS modifications, including lack of warnings, the addition of marijuana derivatives to e-liquids, and the positive portrayal of ENDS devices and modifications. By identifying the types of modifications (coil and e-liquid being the most prevalent), this study sets an agenda for research on the effects of modifications.
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Registered trials
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