To test the feasibility of future trial work, seven objectives were set. Table 1 presents the study objectives and associated outcome measures and whether the objective is specific to the cluster level or across levels.
| Objective | Outcome measure | Measured at |
|---|---|---|
| 1. Assess willingness of smokers to participate in the feasibility study to estimate recruitment rates and inform a future trial | In both arms, we will record the number of smokers asked to take part and the number of smokers who consent | Across arms |
| 2. Assess participant retention in the intervention and control arms | Record (1) how many participants complete assessment measures in each arm at each time point, and (2) how many participants still have, and are still using, ECs in the intervention arms | Across arms |
| 3. Examine the perceived value of the intervention, facilitators of and barriers to engagement, and influence of local context | Qualitative interviews with 4-week completers and non-completers, quitters and smokers (n = 24, approximately six per site) between weeks 4 and 8 across both arms | Across arms |
| 4. Assess service providers’ capacity to support the study and the type of information and training required | Qualitative interviews with keyworkers and front-line staff (n = 12, approximately three per site) across both arms | Across arms |
| 5. Assess the potential efficacy of supplying free EC starter kits | Measure breath CO levels, self-reported quit rates/cigarette consumption at each follow-up time point | Across arms |
| 6. Explore the feasibility of collecting data on contacts with health-care services among this population as an input to an economic evaluation in a full cRCT | Record participant utilisation of primary and secondary health-care services using a self-report service-use questionnaire at each time point and HRQoL using the EQ-5D-3L | Across arms |
| 7. Estimate the cost of providing the intervention and UC | Record all resources used in the delivery, including staff costs, ECs and other costs incurred. Staff will complete a pro forma to record contact time, non-contact time and other resources used in delivery | Across arms |