• Samuel Ofei-Dodoo, Rick Kellerman, Kari Nilsen, Ruth Nutting, and Douglas Lewis.
• From the Department of Family and Community Medicine, University of Kansas School of Medicine-Wichita (SO-D, RK, KN); and the Family Medicine Residency at Via Christi Hospitals, University of Kansas School of Medicine-Wichita (RN, DL). sofeidodoo@kumc.edu.
• J Am Board Fam Med. 2017 Jul 1; 30 (4): 448-459.

BackgroundRecent support has been shown for physicians to recommend e-cigarettes to patients who are trying to quit smoking. Supporters of this recommendation argue that e-cigarettes are not combustible products and are less harmful and more effective cessation products than regular cigarettes, with less inherent risk. Those who oppose this idea argue that little reliable evidence suggests that e-cigarettes are better cigarette cessation devices than currently available nicotine replacement therapies, and that they pose as much risk as cigarettes. This study was conducted to explore family physicians' perceptions of recommending e-cigarettes as smoking cessation aids to patients who smoke cigarettes.MethodsThe study used a mixed-methods approach whereby a 12-item survey was sent to 154 family physicians throughout the state of Kansas. Data were collected from 117, a 76% response rate. A multidisciplinary team used an immersion-crystallization approach to analyze the content of respondents' qualitative data; contingency table analysis was used to evaluate the quantitative data.ResultsThe results showed that family physicians have negative perceptions of e-cigarettes and do not recommend them for smoking cessation. Family physicians are concerned about the effectiveness of e-cigarettes and the uncertainty regarding safety.ConclusionsThe results suggest that most family physicians do not recommend e-cigarettes for smoking cessation, citing lack of evidence on effectiveness and uncertainty regarding short- and long-term safety.© Copyright 2017 by the American Board of Family Medicine.

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