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Xuan Randy Zhou 1 Article
A Lifestyle Communication Tool: Association of E-cigarette Use and Pre-diabetes
Nilanga Aki Bandara, Tanisha Vallani, Xuan Randy Zhou, Senara Hansini Palihawadane, Rochelle Gamage, Miles Mannas, Jay Herath
J Prev Med Public Health. 2023;56(4):384-387.   Published online July 31, 2023
DOI: https://doi.org/10.3961/jpmph.23.086
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The aim of this study was to present a framework for clinicians to use when discussing electronic cigarette (e-cigarette) use and its association with pre-diabetes. A communication tool was designed using evidence-based strategies from the academic literature. A four-step framework is presented, which includes: step (1) helping patients to understand the association between e-cigarette use and pre-diabetes; step (2) the synergistic health impacts of e-cigarette use and pre-diabetes; step (3) management of diabetes-related lifestyle factors; and step (4) stages of change assessment related to e-cigarette reduction. This communication tool provides support for clinicians to discuss the risk of pre-diabetes associated with e-cigarette use. Moving forward, implementation and evaluation of this model are needed.
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JPMPH : Journal of Preventive Medicine and Public Health
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