Federal Grant Award Summary

The National Institute on Drug Abuse (NIDA) awarded Oregon Health & Science University a Project Grant totaling $452,522 under the Drug Use and Addiction Research Programs (CFDA 93.279) to conduct a mixed-methods implementation research study examining electronic nicotine delivery systems (ENDS) assessment and cessation support practices in primary care settings. The award was obligated on May 1, 2026, with a completion date of April 30, 2028. The research will analyze current assessment and electronic health record documentation of ENDS use among patients ages 12 and older across 22 primary care clinics serving more than 154,000 patients, while identifying patient, provider, and clinic-level factors associated with both ENDS use assessment and cessation assistance offers for patients seeking to quit.

The study is guided by the Consolidated Framework for Implementation Research (CFIR) and the Exploration, Preparation, Implementation, and Sustainment (EPIS) Framework to generate evidence-based strategies for improving ENDS assessment and cessation support in primary care. This research addresses a critical gap in implementation science, as prior studies indicate that ENDS use assessment in primary care ranges from only 1-34% despite healthcare authority recommendations and data showing that approximately 60% of young people and adults want to quit ENDS use. The deliverables will inform opportunities and strategies to enhance clinician knowledge and confidence in discussing ENDS use with patients and increasing the provision of cessation assistance.