Challenges in communication about vaping and smoking cessation

In the absence of clear guidance from most major societies, what is the role of a clinician in counseling someone who smokes cigarettes about switching to e-cigarettes? What about in counseling someone to stop using e-cigarettes? How do you even begin to have the discussion with someone when the majority of both the public and clinicians believe that e-cigarettes are as least as harmful as combustible cigarettes? While there is compelling evidence that e-cigarettes are more effective than nicotine replacement at helping people quit smoking, there is very little guidance about how to actually have the conversation. This presentation will focus on the key challenges in communication with people about vaping and smoking cessation. It will discuss what literature there is, as well as provide suggestions for what to do in lieu of clear scientific and policy recommendations.