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

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초록

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.

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.

참고문헌 (10)

  1. Bandara NA, "A multi-faceted approach to communicate the risks associated with E-cigarette use to youth", Youth, 3(1), pp.437~446 (2023)
  2. "National Diabetes Statistics Report 2020: estimates of diabetes and its burden in the United States"[URL]
  3. Zhang Z, "The association between E-cigarette use and prediabetes: results from the behavioral risk factor surveillance system, 2016-2018", Am J Prev Med, 62(6), pp.872~877 (2022)
  4. Atuegwu NC, "E-cigarette use is associated with a self-reported diagnosis of prediabetes in never cigarette smokers : results from the behavioral risk factor surveillance system survey", Drug Alcohol Depend, 205, pp.107692~ (2019)
  5. Aeschbacher S, "Association of smoking and nicotine dependence with pre-diabetes in young and healthy adults", Swiss Med Wkly, 144, pp.w14019~ (2014)
  6. Palladino R, "Association between pre-diabetes and microvascular and macrovascular disease in newly diagnosed type 2 diabetes", BMJ Open Diabetes Res Care, 8(1), pp.e001061~ (2020)
  7. Bandara NA, "Overlapping public health crises during the coronavirus disease pandemic", World J Emerg Med, 12(2), pp.151~153 (2021)
  8. American Diabetes Association, "Introduction : standards of medical care in diabetes-2022", Diabetes Care, 45(Suppl 1), pp.S1~S2 (2022)
  9. Glechner A, "Effects of lifestyle changes on adults with prediabetes : a systematic review and meta-analysis", Prim Care Diabetes, 12(5), pp.393~408 (2018)
  10. Zimmerman GL, "A ‘stages of change’ approach to helping patients change behavior", Am Fam Physician, 61(5), pp.1409~1416 (2000)

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