{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T23:52:49Z","timestamp":1789602769834,"version":"build-2803163510"},"reference-count":29,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T00:00:00Z","timestamp":1775174400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000289","name":"Cancer Research UK","doi-asserted-by":"publisher","award":["PICCTR-2024\/100001"],"award-info":[{"award-number":["PICCTR-2024\/100001"]}],"id":[{"id":"10.13039\/501100000289","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000269","name":"Economic and Social Research Council","doi-asserted-by":"publisher","award":["ES\/Y001044\/1"],"award-info":[{"award-number":["ES\/Y001044\/1"]}],"id":[{"id":"10.13039\/501100000269","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,24]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>While cigarette smoking remains the dominant form of tobacco use in England, a range of other tobacco products are also used. Evidence on demand for non-cigarette tobacco cessation support\u2014and on providers\u2019 preparedness and barriers to offering such support\u2014remains limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a cross-sectional online survey of professionals involved in smoking cessation support in England (n\u2009=\u200996). For each specific non-cigarette tobacco product (cigars, cigarillos, shisha, pipes, bidis, chewing tobacco, dry snuff, moist snuff\/dip, and heated tobacco), the survey assessed awareness, perceived harms, demand for cessation support, interventions offered, training and confidence, and perceived barriers to providing support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Awareness was universal for cigars, pipes, and shisha; high for chewing tobacco (87.5%), heated tobacco (77.1%), and cigarillos (71.9%); and lower for dry snuff (56.3%), bidis (33.3%), and moist snuff\/dip (26.0%). Client demand for cessation support was low: 20.8% of participants reported requests at least monthly for cigars and \u226413.5% for other products. Support was mainly behavioral and nicotine replacement therapy-based, with few (&amp;lt;25%) offering other pharmacotherapies. Most participants who offered support used the same approach as for cigarettes (&amp;gt;90% across products), with few having received product-specific training (2.1%\u201319.8% of all participants). The main barriers included perceived lack of demand (46.9%), training (44.8%), and knowledge (43.8%); open-ended responses also emphasized that commissioning constraints excluded non-cigarette products.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Healthcare professionals in England report limited demand for cessation support for non-cigarette tobacco products, which may partly reflect service reach and commissioning constraints rather than lack of need. Few report receiving product-specific training; most apply standard cigarette cessation approaches or are not commissioned to provide support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications<\/jats:title>\n                    <jats:p>Healthcare professionals involved in smoking cessation support in England often lack the training, knowledge, and funding to support people to quit non-cigarette tobacco. Including these products in service plans and commissioning would enable them to give proper support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ntr\/ntag071","type":"journal-article","created":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T12:41:52Z","timestamp":1774615312000},"page":"1529-1538","source":"Crossref","is-referenced-by-count":1,"title":["Non-cigarette tobacco cessation support in England: current provision, confidence, and barriers identified in a cross-sectional survey of healthcare professionals involved in smoking cessation support"],"prefix":"10.1093","volume":"28","author":[{"given":"Yo Seop","family":"Byun","sequence":"first","affiliation":[{"name":"Department of Behavioural Science and Health, University College London , London WC1E 6BT ,","place":["United 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