Outcomes of a Comprehensive Mobile Vaping Cessation Program in Adults Who Vape Daily: Cohort Study

Area of Science:

• Public Health
• Digital Health Interventions
• Tobacco Cessation

Background:

• E-cigarettes (vapes) are the second most common tobacco product in the US.
• Few cessation programs exist for vaping, with limited supporting data.
• This study evaluates the Pivot vaping cessation program.

Purpose of the Study:

• Assess enrollment, engagement, and retention in the Pivot program.
• Evaluate changes in attitudes and behaviors related to vaping cessation.
• Gather participant feedback to inform program improvements and future research.

Main Methods:

• Exploratory, prospective, single-arm, remote cohort study.
• Recruited US adults aged 21+ who vaped daily and planned to quit.
• Data collected via self-reported app- and web-based questionnaires over 26 weeks.

Main Results:

• High questionnaire completion rates (>90%) and engagement (average 13.8 weeks).
• Significant improvements in quitting success (4.9 to 7.0) and reduced difficulty staying quit (4.0 to 6.2).
• At 26 weeks, 48% achieved 7-day point-prevalence abstinence; 30% achieved continuous abstinence.

Conclusions:

• The Pivot program demonstrated high engagement and increased participant motivation to quit vaping.
• Early cessation outcomes suggest Pivot's potential role in vaping cessation.
• Findings will guide future program enhancements and study designs for digital tobacco cessation tools.