Pictorial cigarette warning labels (PWLs) are thought to increase risk knowledge, but experimental research has not examined PWLs' longer term effects on memory for health risks. In this study, adult smokers are repeatedly exposed to text-only vs. low arousal graphic vs. high arousal graphic warning labels paired with numeric risk information. This study will allow the investigators to assess the extent to which reactions to warnings remain consistent over time and influence smoking risk perceptions and quit intentions. The investigators will also assess the impact of graphic images on memory for smoking risk information presented in absolute (a smoker's lifetime risk of getting a smoking related disease) versus relative (a smoker's risk of getting a smoking related disease, compared to the risk of non-smokers) formats.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
3,213
control condition (no image)
pictorial warning
pictorial warning
Percentage risk information for smoking-related diseases for smokers
Percentage risk information for smoking-related diseases for smokers and non-smokers
The Ohio State University
Columbus, Ohio, United States
numeric risk recognition
Participants answered one multiple choice question about the numeric risk for smokers for each label (e.g., \_\_\_\_% of smokers die before age 85). For each question, there were four decoy responses.
Time frame: measured immediately following last exposure
numeric risk recognition
Participants answered one multiple choice question about the numeric risk for smokers for each label (e.g., \_\_\_\_% of smokers die before age 85). For each question, there were four decoy responses.
Time frame: measured after 6-week delay
relative risk recognition
Participants answered one multiple choice question about the numeric risk for smokers vs. nonsmokers for each health risk (e.g., a smoker is \_\_\_\_ as likely to die from heart disease as a nonsmoker). For each question, there were three decoy responses (e.g., for heart disease, response options were: "about as likely," "1.75 times," "4.1 times," "10.4 times").
Time frame: measured immediately following last exposure
relative risk recognition
Participants answered one multiple choice question about the numeric risk for smokers vs. nonsmokers for each health risk (e.g., a smoker is \_\_\_\_ as likely to die from heart disease as a nonsmoker). For each question, there were three decoy responses (e.g., for heart disease, response options were: "about as likely," "1.75 times," "4.1 times," "10.4 times").
Time frame: measured after 6-week delay
smoking risk perceptions
Participants completed several scale items about how much risk they perceived smoking posed to them (e.g., "If a person smokes at your age, how likely are they to get a life-threatening illness from smoking someday ?" \[1=very unlikely; 5=extremely likely\])
Time frame: measured immediately following last exposure
smoking risk perceptions
Participants completed several scale items about how much risk they perceived smoking posed to them (e.g., "If a person smokes at your age, how likely are they to get a life-threatening illness from smoking someday ?" \[1=very unlikely; 5=extremely likely\])
Time frame: measured after 6-week delay
quit intentions (for next 30 days)
Participants intentions to quit smoking; self-reported likelihood of smoking "within the next 30 days" (-3 = very unlikely, 3 = very likely)
Time frame: measured immediately following last exposure
quit intentions (for next 30 days)
Participants intentions to quit smoking; self-reported likelihood of smoking "within the next 30 days" (-3 = very unlikely, 3 = very likely)
Time frame: measured after 6-week delay
quit intentions (for next year)
Participants intentions to quit smoking; self-reported likelihood of smoking "within next year" (-3 = very unlikely, 3 = very likely)
Time frame: measured immediately following last exposure
quit intentions (for next year)
Participants intentions to quit smoking; self-reported likelihood of smoking "within next year" (-3 = very unlikely, 3 = very likely)
Time frame: measured after 6-week delay
risk recognition
Participants were given a list of 9 warnings and asked to select which ones they'd been previously exposed to
Time frame: measured immediately following last exposure
risk recognition
Participants were given a list of 9 warnings and asked to select which ones they'd been previously exposed to
Time frame: measured after 6-week delay
feelings about smoking
Participants completed several scale items about their feelings towards smoking (e.g., "How good or bad do you feel about smoking?" -2=very bad; +2=very good; "How much do you feel confused about the harms vs. benefits of smoking?" 0=not at all confused; 4=very confused)
Time frame: measured immediately following last exposure
feelings about smoking
Participants completed several scale items about their feelings towards smoking (e.g., "How good or bad do you feel about smoking?" -2=very bad; +2=very good; "How much do you feel confused about the harms vs. benefits of smoking?" 0=not at all confused; 4=very confused)
Time frame: measured after 6-week delay
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