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. 2021 Jul 30;18(1):79.
doi: 10.1186/s12954-021-00526-z.

Impact of tobacco and/or nicotine products on health and functioning: a scoping review and findings from the preparatory phase of the development of a new self-report measure

Esther F Afolalu  1 , Erica Spies  2 , Agnes Bacso  2 , Emilie Clerc  2 , Linda Abetz-Webb  3 , Sophie Gallot  2 , Christelle Chrea  2
Affiliations

Impact of tobacco and/or nicotine products on health and functioning: a scoping review and findings from the preparatory phase of the development of a new self-report measure

Esther F Afolalu et al. Harm Reduct J. .

Abstract

Background: Measuring self-reported experience of health and functioning is important for understanding the changes in the health status of individuals switching from cigarettes to less harmful tobacco and/or nicotine products (TNP) or reduced-risk products (RRP) and for supporting tobacco harm reduction strategies.

Methods: This paper presents insights from three research activities from the preparatory phase of the development of a new self-report health and functioning measure. A scoping literature review was conducted to identify the positive and negative impact of TNP use on health and functioning. Focus groups (n = 29) on risk perception and individual interviews (n = 40) on perceived dependence in people who use TNPs were reanalyzed in the context of health and functioning, and expert opinion was gathered from five key opinion leaders and five technical consultants.

Results: Triangulating the findings of the review of 97 articles, qualitative input from people who use TNPs, and expert feedback helped generate a preliminary conceptual framework including health and functioning and conceptually-related domains impacted by TNP use. Domains related to the future health and functioning measurement model include physical health signs and symptoms, general physical appearance, functioning (physical, sexual, cognitive, emotional, and social), and general health perceptions.

Conclusions: This preliminary conceptual framework can inform future research on development and validation of new measures for assessment of overall health and functioning impact of TNPs from the consumers' perspective.

Keywords: Conceptual framework; Health and functioning; Modified risk tobacco products; Qualitative research; Scoping review; Tobacco and/or nicotine products.

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Conflict of interest statement

Esther F. Afolalu, Emilie Clerc, and Christelle Chrea are employees of Philip Morris International. Agnes Bacso, Erica Spies, and Sophie Gallot completed the work during prior employment with Philip Morris International. Linda Abetz-Webb is a consultant for Philip Morris International.

Figures

Fig. 1
Fig. 1
Flow diagram Sciome’s rapid Evidence Mapping (rEM) and manual screening processes of the scoping literature review
Fig. 2
Fig. 2
Health and functioning conceptual framework related to tobacco and/or nicotine product use from the preparatory phase research findings
See this image and copyright information in PMC

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