This study will investigate the relative appeal (abuse liability) of novel tobacco products, how the appeal is modulated by relative price, user type, and how novel products may substitute for one another.
An important aim of tobacco control is to reduce demand for the most harmful products. Therefore, a priori knowledge of substitutability across novel and widely used tobacco products may forecast the impact of policies on product switching. This study will use a novel method, the Experimental Tobacco Marketplace (ETM), to characterize the relative substitutability and appeal (abuse liability) of tobacco products (e.g., conventional cigarettes, nicotine vaping products \[NVP\], heated tobacco products \[HTP\], and nicotine pouch products \[NPP\]), and how the appeal is modulated by relative price, user type, and regulatory environment. Exclusive cigarette smokers and dual cigarette/NVP users, stratified by age, will complete multiple scenarios in the ETM.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
NONE
Enrollment
440
Nicotine/tobacco products available in the Experimental Tobacco Marketplace at market price. Note that all participants will complete all the specified conditions.
Availability of nicotine vaping products in the Experimental Tobacco Marketplace at 1/2 market price. Other nicotine/tobacco products at market price. Note that all participants will complete all the specified conditions.
Availability of heated tobacco products in the Experimental Tobacco Marketplace at 1/2 market price. Other nicotine/tobacco products at market price. Note that all participants will complete all the specified conditions.
Fralin Biomedical Research Institute
Roanoke, Virginia, United States
Proportion of Budget Spent - CIGARETTES
Participants completed purchasing trials in an Experimental Tobacco Marketplace (ETM) with cigarettes increasing in price. Other product prices in the ETM depend on the experimental condition. The degree to which other nicotine/tobacco products substitute for conventional cigarettes as a function of novel product (nicotine vaping products, heated tobacco products, nicotine pouch products) prices was assessed. Participants completed the ETM task under four within-subject conditions: Control: All products at market price NVP (Nicotine Vaping Products): E-cigarettes at 50% market price NPP (Nicotine Pouches): Nicotine pouches at 50% market price HTP (Heated Tobacco Products): HTPs at 50% market price Within each condition, cigarette prices ascended across 5 trials: Trial Cigarette Price Multiplier 1. 0.5x market price 2. 1.0x market price (reference) 3. 2.0x market price 4. 4.0x market price 5. 8.0x market price Proportion of the budget spent on cigarettes
Time frame: 1 day
Alternative Product Consumption - E-CIGARETTES
Participants completed the ETM task under four within-subject conditions: Control: All products at market price NVP (Nicotine Vaping Products): E-cigarettes at 50% market price NPP (Nicotine Pouches): Nicotine pouches at 50% market price HTP (Heated Tobacco Products): HTPs at 50% market price Within each condition, cigarette prices ascended across 5 trials: Trial Cigarette Price Multiplier 1. 0.5x market price 2. 1.0x market price (reference) 3. 2.0x market price 4. 4.0x market price 5. 8.0x market price Data are reported as the number of puffs purchased at each condition and cigarette trial price.
Time frame: 1 day
Alternative Product Consumption - HTP
Participants completed the ETM task under four within-subject conditions: Control: All products at market price NVP (Nicotine Vaping Products): E-cigarettes at 50% market price NPP (Nicotine Pouches): Nicotine pouches at 50% market price HTP (Heated Tobacco Products): HTPs at 50% market price Within each condition, cigarette prices ascended across 5 trials: Trial Cigarette Price Multiplier 1. 0.5x market price 2. 1.0x market price (reference) 3. 2.0x market price 4. 4.0x market price 5. 8.0x market price Data is reported as the quantity purchased of HTP sticks at each condition and cigarette trial price.
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Availability of heated tobacco products in the Experimental Tobacco Marketplace at 1/2 market price. Other nicotine/tobacco products at market price. Note that all participants will complete all the specified conditions.
Time frame: 1 day
Alternative Product Consumption - Nicotine Pouches
Participants completed the ETM task under four within-subject conditions: Control: All products at market price NVP (Nicotine Vaping Products): E-cigarettes at 50% market price NPP (Nicotine Pouches): Nicotine pouches at 50% market price HTP (Heated Tobacco Products): HTPs at 50% market price Within each condition, cigarette prices ascended across 5 trials: Trial Cigarette Price Multiplier 1. 0.5x market price 2. 1.0x market price (reference) 3. 2.0x market price 4. 4.0x market price 5. 8.0x market price Data are reported as the quantity of nicotine pouches purchased for each condition and cigarette trial price.
Time frame: 1 day
Alternative Product Consumption - Nicotine Replacement Therapy
Participants completed the ETM task under four within-subject conditions: Control: All products at market price NVP (Nicotine Vaping Products): E-cigarettes at 50% market price NPP (Nicotine Pouches): Nicotine pouches at 50% market price HTP (Heated Tobacco Products): HTPs at 50% market price Within each condition, cigarette prices ascended across 5 trials: Trial Cigarette Price Multiplier 1. 0.5x market price 2. 1.0x market price (reference) 3. 2.0x market price 4. 4.0x market price 5. 8.0x market price Data are reported as the quantity of NRT gums/lozenges purchased at each condition and cigarette trial price.
Time frame: 1 day
Alternative Product Consumption - Oral Tobacco Products
Participants completed the ETM task under four within-subject conditions: Control: All products at market price NVP (Nicotine Vaping Products): E-cigarettes at 50% market price NPP (Nicotine Pouches): Nicotine pouches at 50% market price HTP (Heated Tobacco Products): HTPs at 50% market price Within each condition, cigarette prices ascended across 5 trials: Trial Cigarette Price Multiplier 1. 0.5x market price 2. 1.0x market price (reference) 3. 2.0x market price 4. 4.0x market price 5. 8.0x market price Data are reported as the quantity of SNUS/DIP (oral tobacco products) purchased for each condition and cigarette trial price.
Time frame: 1 day