Adolescents (N = 664) participated in the online survey-based experiment. They were randomly shown 10 videos, featuring influencers promoting e-cigarettes alongside healthy lifestyle activities (experimental group), or e-cigarette promotion alone (control). After watching each video, participants rated perceptions of influencer credibility (i.e., honesty, trustworthiness, knowledge) on the scale of 0 (e.g., dishonest) to 100 (honest). Among all participants, harm perceptions and appeal of e-cigarettes was assessed. Susceptibility to use e-cigarettes was assessed among never users of e-cigarettes. These outcomes were then compared among participants who perceived influencers as credible and those who perceived influencers as non-credible.
Adolescents (13-17 years of age) living in California were recruited by Qualtrics marketing research panel to participate in a survey on tobacco-related attitudes and behaviors. Qualtrics, a research panel agency, has been used in prior research to survey adolescents about their tobacco-related attitudes and behaviors. Participants were provided with a survey URL link. After completing informed consent, participants completed the survey online. The study was approved by the University of Southern California Institutional Review Board (UP-21-00352). Respondents were randomly assigned to watch 10 10-second long TikTok videos in either experimental (influencers promoting e-cigarettes alongside healthy lifestyle activities) or control group (influencers promoting e-cigarettes alone).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
664
Participants watched online survey-imbedded promotional videos featuring influencers
Online survey, Qualtrics
Seattle, Washington, United States
Harm perceptions of e-cigarettes
Responses to two questions adapted from PATH, "Based on the videos you just watched, do you think using e-cigarettes for vaping nicotine is harmful to your health?" "Based on the videos you just watched, do you think people harm themselves when they use e-cigarettes for vaping nicotine?" Outcome was assessed on the 0 (Not harmful at all) - 100 (Very harmful) scale. Since the items were closely related (α=0.87), they were combined (by summing all the non-missing values of the items) into one variable.
Time frame: one-time assessment after the experimental exposure (immediately post-treatment)
Perceived appeal of e-cigarettes
Responses to the following questions: using e-cigarette is: * not cool/cool, * unattractive/attractive, * boring/fun were assessed on the 7-point semantic differential scale with the word pairs anchored at each end. The scale was adapted from prior research. The items were combined (by summing all the non-missing values of the items) into one variable (α=0.93).
Time frame: one-time assessment after the experimental exposure (immediately post-treatment)
Susceptibility to use e-cigarettes
Susceptibility to use e-cigarettes was measured (among never-users of e-cigarettes), using the validated three-item scale adapted from PATH, and combined into one variable (α=0.93). Consistent with prior research, the measure was dichotomized with responses "definitely not" to all items being coded as "not susceptible" and responses "probably not," "probably yes", or "definitely yes" being coded as "susceptible."
Time frame: one-time assessment after the experimental exposure (immediately post-treatment)
Perceptions of influencer credibility
Perceptions of influencer credibility (i.e., honesty, trustworthiness, knowledge) were assessed using a 0 (e.g., dishonest) -100 (e.g., honest) scale that has been validated in prior research.
Time frame: assessed 10 times immediately after each video
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