A Pilot Randomised Trial Investigating the Effects of Including Efficacy Messaging on Tobacco Warning Labels.
A Pilot Randomised Trial Investigating the Effects of Including Efficacy Messaging on Tobacco Warning Labels.
复制标题
DOI：
10.1093/ntr/ntac229
复制
发表时间：
2023-03-22
影响因子：
4.7
通讯作者：
Schuez, Natalie
中科院分区：
文献类型：
--
作者：
Brinken, Lillian;Ferguson, Stuart G.;Buscot, Marie-Jeanne;Schuez, Benjamin;Maynard, Olivia;Schuez, Natalie
吸烟者可能会对健康风险信息做出防御性反应，例如包装上的警告标签，这可能会降低其有效性。理论表明，风险知觉与自我效能一起降低防御反应并预测目标行为。目前，全球烟草警示标签主要针对风险，而没有明确考虑功效。本研究探讨了澳大利亚烟草警告标签与功效内容相结合，以提高戒烟意愿的有效性。在83名吸烟者中进行了为期3周的RCT。在为期7天的基线阶段（从普通烟草包装中吸烟）后，参与者被随机分配到两个粘合标签组中的一个，其余14天：具有增强功效信息的标准健康警告标签（HWL）（实验组）或未修改的标准HWL（对照组）。参与者将这些标签贴在烟草包装上，并使用智能手机每天记录一次他们的认知和吸烟行为。多层次结构方程模型被用来测试理论化的影响，自我效能，风险认知和意图退出的标签。暴露于效能信息对自我效能、风险认知或戒烟意图都没有影响。然而，自我效能感和风险认知与戒烟意图在人内水平呈正相关。自我效能感，风险认知和戒烟意图之间的预测关系得到了支持，然而，补充标准的警告标签与功效信息对这些认知没有影响。这是否是由于HWLS的条件性避免、消息的特性或格式所施加的限制尚不清楚。自我效能感和风险感知预测戒烟意图。在烟草健康警示中增加功效内容可能有可能加强这些认知，但需要更多的研究来确定这将有效的背景以及谁可能受益。暴露于效能内容可能会影响戒烟自我效能和下游戒烟意图的时间过程也需要调查。
Smokers can respond defensively to health risk communication such as on-pack warning labels, potentially reducing their effectiveness. Theory suggests that risk perception together with self-efficacy reduces defensive responses and predicts target behaviors. Currently, tobacco warning labels globally predominantly target risk and do not explicitly consider efficacy. This study explores the effectiveness of combining Australian tobacco warning labels with efficacy content to increase quitting intentions. RCT in 83 smokers over 3 weeks. After a seven-day baseline phase (smoking from usual tobacco packaging), participants were randomized to one of two adhesive labels groups for the remaining 14 days: Standard health warning labels (HWLs) featuring enhanced efficacy messages (experimental group) or unmodified standard HWLs (control group). Participants attached these labels to their tobacco packaging and recorded their cognitions and smoking behavior once daily using Smartphones. Multilevel structural equation modeling was used to test theorized effects of the labels on self-efficacy, risk perception, and intentions to quit. There was no effect of exposure to efficacy messages on either self-efficacy, risk perceptions, or intentions to quit. However, self-efficacy and risk perceptions were positively associated with quitting intentions at the within-person level. The predictive relationships between self-efficacy, risk perception, and intention to quit were supported, however, supplementing standard warning labels with efficacy messages had no effect on these cognitions. Whether this is due to conditioned avoidance of HWLS, characteristics of the messages, or limitations imposed by format are unclear. Self-efficacy and risk perception predict intentions to quit smoking. Adding efficacy content to tobacco health warnings may have the potential to bolster these cognitions but more research is required to determine the contexts in which this would be effective and who would be likely to benefit. The time course by which exposure to efficacy content might influence cessation self-efficacy and downstream quitting intentions also needs to be investigated.
登录
查看更多内容
影响因子：
4.2
作者：
Sheeran, Paschal;Maki, Alexander;Rothman, Alexander J.
通讯作者：
Rothman, Alexander J.
影响因子：
5.2
作者：
Hiilamo H;Crosbie E;Glantz SA
通讯作者：
Glantz SA
影响因子：
3.4
作者：
Ferguson, Stuart G.;Shiffman, Saul
通讯作者：
Shiffman, Saul
影响因子：
2.5
作者：
Schneider, TR;Salovey, P;Steward, WT
通讯作者：
Steward, WT
影响因子：
4.2
作者：
Maynard, Olivia M.;Attwood, Angela;Munafo, Marcus R.
通讯作者：
Munafo, Marcus R.