Evidence map›Paper›PMID 40590411›Full record

ArticleAddiction (Abingdon, England)2025

Offering e-cigarettes for smoking cessation and reduction in people with mental illness (ESCAPE): Protocol for a randomized controlled trial.

Dimitra Kale, Emma Beard, Yan Ding, Jodi Pervin, Qi Wu, Catherine Arundel, Steve Parrott, Paul Galdas, Michelle Horspool, Simon Hough and 4 more

Erratum issuedAbstract readClinical Trial Protocol
In one paragraph

Article in Addiction (Abingdon, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Dimitra KaleDepartment of Behavioural Science and Health, University College London, London, UK.ORCID https://orcid.org/0000-0002-8845-7114
Emma BeardDepartment of Behavioural Science and Health, University College London, London, UK.ORCID https://orcid.org/0000-0001-8586-1261
Yan DingDepartment of Health Sciences, University of York, York, UK.
Jodi PervinDepartment of Health Sciences, University of York, York, UK.
Qi WuDepartment of Health Sciences, University of York, York, UK.ORCID https://orcid.org/0000-0002-8281-7799
Catherine ArundelDepartment of Health Sciences, University of York, York, UK.
Steve ParrottDepartment of Health Sciences, University of York, York, UK.
Paul GaldasDepartment of Health Sciences, University of York, York, UK.
Michelle HorspoolSheffield Health and Social Care NHS Foundation Trust, Sheffield, UK.
Simon HoughRepresentative of Patient and Public Involvement Group.
Gregor RussellBradford District Care NHS Foundation Trust, Bradford, UK.
Suzy KerTees, Esk and Wear Valleys NHS Foundation Trust, Darlington, UK.ORCID https://orcid.org/0000-0003-4766-3971
Elena RatschenDepartment of Health Sciences, University of York, York, UK.
Lion ShahabDepartment of Behavioural Science and Health, University College London, London, UK.ORCID https://orcid.org/0000-0003-4033-442X

Funding

Cancer Research UKYorkshire Cancer Research Y433
6 · The paper itself

Abstract

BACKGROUND AND

aimsDespite a steady decline in smoking rates across the United Kingdom (UK) over the past decades, substantial tobacco-related inequalities persist, particularly among individuals with mental illness. Smoking prevalence in this group has remained largely unchanged, highlighting a major public health concern. This protocol outlines a trial aimed at addressing this issue by evaluating the effectiveness of offering an electronic cigarette (e-cigarette) starter kit for smoking cessation and harm reduction as an adjunct to usual care to adults who smoke with mental illness treated in the community.

designTwo-arm parallel randomized controlled superiority trial.

settingA minimum of eleven UK National Health Service mental health Trusts or general practices.

participantsAdults who smoke with a diagnosis of mental illness treated in the community. INTERVENTION AND COMPARATOR: Participants will be randomly allocated (1 : 1) to receive: (i) an e-cigarette starter kit, a brief demonstration and both verbal and written information on e-cigarette use as an adjunct to usual care; or (ii) usual care alone. MEASUREMENTS: The primary outcome is 7-day point prevalence carbon monoxide-validated abstinence, assessed six months after study enrolment or target quit date. Secondary outcomes include: 6-month continuous abstinence defined by Russell Standard, self-reported smoking abstinence at 1 month, ≥50% smoking reduction (cigarettes/day) at 1 and 6 months, mental health symptoms and general mood and physical symptoms at 1 and 6 months, cost-effectiveness of the intervention and adherence to and satisfaction with the intervention. COMMENTS: This will be the first large-scale study in the UK to assess the effectiveness and cost-effectiveness of providing an e-cigarette starter kit for smoking cessation and harm reduction in people with mental illness. Results will inform policy and practice related to supporting smoking cessation for this population.

Indexed as

Electronic Nicotine Delivery SystemsMental DisordersSmoking CessationAdultEquivalence Trials as TopicFemaleHarm ReductionHumansRandomized Controlled Trials as TopicUnited KingdomE‐cigaretteharm reductionmental illnessprotocolrandomized controlled trialsmoking cessationvaping

Identifiers

PMID40590411
PMCPMC12529246

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.