{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T17:24:02Z","timestamp":1771608242568,"version":"3.50.1"},"reference-count":23,"publisher":"BMJ","funder":[{"name":"NCI"},{"DOI":"10.13039\/100010628","name":"FDA Center for Tobacco Products","doi-asserted-by":"crossref","award":["U54CA287392"],"award-info":[{"award-number":["U54CA287392"]}],"id":[{"id":"10.13039\/100010628","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Tob Control"],"accepted":{"date-parts":[[2026,2,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Some e-cigarette brands have begun offering \u201cboost\u201d modes (aka \u201cpulse\u201d or \u201cturbo\u201d). Our objectives were to (1) Determine the prevalence of boost mode utilisation among adolescents and young adults (AYAs) and (2) Identify the personal and tobacco-use characteristics of AYAs who use boost mode.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional survey from January to July 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects<\/jats:title>\n                    <jats:p>n=267 AYAs (M age=21.4, SD=2.3, range 14\u201325) who lived in the US and had used an e-cigarette at least once within the last 30 days. All participants completed a video conference call with study staff before being sent the online survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>AYAs were asked: \u201cDoes the e-cigarette or vaping device that you use most often have a \u201cboost\u201d or \u201cpulse\u201d function?\u201d. Those who responded \u201cyes\u201d were asked, \u201cHow often do you use the \u201cboost\u201d or \u201cpulse\u201d function?\u201d.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>55.1% of participants had a device with boost mode. Of these, 54.4% used it \u201cjust now and then\u201d or \u201csometimes\u201d, and 27.9% used it \u201cvery often\u201d or \u201calways\u201d. Participants whose device had (vs did not have) a boost mode were younger, had lower socioeconomic status, used their e-cigarette more frequently (every day or almost every day) and had higher scores on the E-cigarette Dependence Scale. There were no differences by Hooked on Nicotine Checklist score, gender, race and ethnicity or use of other tobacco products.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>If, as brands claim, boost modes alter e-cigarette aerosol production, they likely have implications for AYA nicotine addiction and health effects. Longitudinal and laboratory investigations on boost modes are urgently needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/tc-2025-059827","type":"journal-article","created":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T16:50:25Z","timestamp":1771606225000},"page":"tc-2025-059827","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Adolescents\u2019 and Young Adults\u2019 use of \u201cBoost\u201d mode in their E-cigarettes"],"prefix":"10.1136","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4743-2145","authenticated-orcid":false,"given":"Megan E","family":"Roberts","sequence":"first","affiliation":[{"name":"College of Public Health, The Ohio State University, Columbus, Ohio, USA"},{"name":"Center for Tobacco Research, The Ohio State University Comprehensive Cancer Centre, Columbus, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Smita","family":"Parajuli","sequence":"additional","affiliation":[{"name":"College of Public Health, The Ohio State University, Columbus, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1047-0597","authenticated-orcid":false,"given":"Ahmad","family":"El-Hellani","sequence":"additional","affiliation":[{"name":"College of Public Health, The Ohio State University, Columbus, Ohio, USA"},{"name":"Center for Tobacco Research, The Ohio State University Comprehensive Cancer Centre, Columbus, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4315-649X","authenticated-orcid":false,"given":"Marielle C","family":"Brinkman","sequence":"additional","affiliation":[{"name":"College of Public Health, The Ohio State University, Columbus, Ohio, USA"},{"name":"Center for Tobacco Research, The Ohio State University Comprehensive Cancer Centre, Columbus, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy K","family":"Ferketich","sequence":"additional","affiliation":[{"name":"College of Public Health, The Ohio State University, Columbus, Ohio, USA"},{"name":"Center for Tobacco Research, The Ohio State University Comprehensive Cancer Centre, Columbus, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,2,20]]},"reference":[{"key":"2026022008501661000_tc-2025-059827v1.1","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1093\/ntr\/ntab164","article-title":"Electronic Cigarette Terminology: Where Does One Generation End and the Next Begin?","volume":"24","author":"Ozga","year":"2022","journal-title":"Nicotine Tob Res"},{"key":"2026022008501661000_tc-2025-059827v1.2","doi-asserted-by":"publisher","DOI":"10.1136\/tobaccocontrol-2021-056544"},{"key":"2026022008501661000_tc-2025-059827v1.3","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntac236"},{"key":"2026022008501661000_tc-2025-059827v1.4","doi-asserted-by":"publisher","DOI":"10.1136\/tobaccocontrol-2021-057073"},{"key":"2026022008501661000_tc-2025-059827v1.5","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntz232"},{"key":"2026022008501661000_tc-2025-059827v1.6","doi-asserted-by":"publisher","DOI":"10.1136\/tobaccocontrol-2021-056626"},{"key":"2026022008501661000_tc-2025-059827v1.7","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1001\/jama.2024.25258","article-title":"Vaping\u2014Reply","volume":"333","author":"Winickoff","year":"2025","journal-title":"JAMA"},{"key":"2026022008501661000_tc-2025-059827v1.8","doi-asserted-by":"publisher","DOI":"10.1136\/tobaccocontrol-2020-056367"},{"key":"2026022008501661000_tc-2025-059827v1.9","doi-asserted-by":"publisher","DOI":"10.1136\/tobaccocontrol-2018-054796"},{"key":"2026022008501661000_tc-2025-059827v1.10","doi-asserted-by":"publisher","DOI":"10.1136\/tc.2010.037630"},{"key":"2026022008501661000_tc-2025-059827v1.11","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1080\/07448481.2020.1726355","article-title":"Juul and the upsurge of e-cigarette use among college undergraduates","volume":"70","author":"Roberts","year":"2022","journal-title":"J Am Coll Health"},{"key":"2026022008501661000_tc-2025-059827v1.12","doi-asserted-by":"publisher","DOI":"10.1136\/tc-2024-058794"},{"key":"2026022008501661000_tc-2025-059827v1.13","unstructured":"What is pulse mode, turbo mode or boost mode on a vape? Vape juice. Available: https:\/\/vapejuice.com\/blogs\/vape-juice-news\/what-is-pulse-mode-vape [Accessed 9 Aug 2025]."},{"key":"2026022008501661000_tc-2025-059827v1.14","unstructured":"Pulse - GEEK bar. Available: https:\/\/www.geekbar.com\/product\/pulse.html [Accessed 9 Aug 2025]."},{"key":"2026022008501661000_tc-2025-059827v1.15","unstructured":"LOST MARY MT15000 turbo: 15000 puffs, dual system, smooth & turbo modes. Available: https:\/\/www.lostmary.com\/product\/MT15000-TURBO.html [Accessed 9 Aug 2025]."},{"key":"2026022008501661000_tc-2025-059827v1.16","unstructured":"The generation Z health study. 2026. Available: https:\/\/u.osu.edu\/generationz\/"},{"key":"2026022008501661000_tc-2025-059827v1.17","unstructured":"Imposters, Bots, and Other Threats to Data Integrity in Online Research: A Scoping Review of the Literature and Recommendations for Best Practices. JMIR 2025. 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Available: https:\/\/nces.ed.gov\/nhes\/dataproducts.asp [Accessed 5 Jan 2026]."}],"container-title":["Tobacco Control"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/tc-2025-059827","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T16:50:27Z","timestamp":1771606227000},"score":1,"resource":{"primary":{"URL":"https:\/\/tobaccocontrol.bmj.com\/lookup\/doi\/10.1136\/tc-2025-059827"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,20]]},"references-count":23,"alternative-id":["10.1136\/tc-2025-059827"],"URL":"https:\/\/doi.org\/10.1136\/tc-2025-059827","relation":{},"ISSN":["0964-4563","1468-3318"],"issn-type":[{"value":"0964-4563","type":"print"},{"value":"1468-3318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,20]]}}}