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This study explores how mood dynamics affect cigarette and e-cigarette use patterns among dual users to inform cessation strategies.

June 20, 2026Open Access

Predicting Longitudinal Patterns in Dual Cigarette & E-Cigarette Use using Ecological Momentary Assessment Data

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Randomized trial examines mood influences on future cigarette and e-cigarette use in dual users, suggesting targeted interventions.

This study explores how mood dynamics affect cigarette and e-cigarette use patterns among dual users to inform cessation strategies.
Analyzed ecological momentary assessment data from dual users over a week
Collected real-time mood assessments (urge, PAC, NAC) alongside smoking behaviors
Utilized a two-stage mixed-effects location scale model to assess mood as predictors of smoking trends.
Higher mean levels of urge and PAC during cigarette events predict lower e-cigarette adoption (p<0.05)
Higher mean levels of NAC and variability during EMA are linked to higher e-cigarette adoption (p<0.05)
Dual users with unstable NAC report greater reductions in cigarette use subsequently.

Ujjwal Sehrawat (2023) studied this question.

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