Informing ENDS policies: Studying the impact of e-cigarette warnings on behavior

告知 ENDS 政策：研究电子烟警告对行为的影响

基本信息

批准号：
10378097
负责人：
Noel Todd Brewer
金额：
$ 47.21万
依托单位：
UNIV OF NORTH CAROLINA CHAPEL HILL
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-07-01 至 2026-04-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10378097
关键词：
Address Adolescent Adult Advertising Affect Age Attention Authorization documentation Behavior Cancer Etiology Cigarette Communication Data Development Devices Disease Electronic cigarette Evaluation Frequencies Goals Hazard Identification Image Label Lesbian Gay Bisexual Low income Modeling Motivation Nicotine Dependence Outcome Participant Persons Policies Predisposition Probability Samples Protocols documentation Randomized Research Smoke Smoker Smoking Smoking Behavior Social Interaction Subgroup Surveys Text Thinking Time Tobacco Tobacco use Vulnerable Populations Work arm authority cancer prevention combustible cigarette e-cigarette cessation electronic cigarette use electronic cigarette user evidence base experimental study follow-up hazard innovation negative affect pilot test response risk perception smoking cessation smoking initiation tobacco products vaping young adult

项目摘要

ABSTRACT The US now requires e-cigarette packaging and advertising to have a single warning about nicotine addiction. FDA has the authority to require additional e-cigarette warnings and has stated that a single e-cigarette warning could “grow stale over time.” No data are available on whether the current or other e-cigarette warnings affect vaping or undermine the motivation to quit smoking combustible cigarettes. Furthermore, little data are available on how and for whom e-cigarette warnings work, including among vulnerable populations. Ideally, e-cigarette warnings would discourage vaping initiation among non-users, reduce vaping among e- cigarette-only users, and support dual-users eventually quitting use of tobacco products. We propose to study the impact of the current e-cigarette warning and inform development of appropriate new warnings. In Aim 1, we will develop new e-cigarette warnings using data from 3 large surveys. We aim to create warnings that e-cigarette users endorse as being effective and that do not cause unintended consequences among adolescents, young adults, and adults, especially dual users. This evaluation will include the current US e-cigarette warning statement about nicotine addiction. The main product of Aim 1 will be the selection of warnings for use in the Aim 2 RCT. In Aim 2, we will evaluate the impact of e-cigarette warnings on vaping in an RCT. Young adult and adult e-cigarette users will receive 4 new warnings affixed to their e-cigarette devices and refills during the 4-week study, allocated in a random order. We will assess whether the e-cigarette warnings increase e-cigarette quit attempts and examine whether the warnings impact varies for dual users, vulnerable populations (young adult; low-income; and gay, lesbian, and bisexual [GLB] e- cigarette users). We will also examine whether the warnings increase Tobacco Warnings Model (TWM) antecedents to quitting in the context of e-cigarettes. The main product of Aim 2 will be an estimate of the impact of e-cigarette warnings on vaping, and an understanding of which TWM antecedents to behavior explain the impact. Finally, in Aim 3, we will examine whether e-cigarette warnings push e-cigarette users toward smoking. We will examine the impact of e-cigarette warnings on motivation to not smoke (defined as cigarette quit intentions among dual users, and susceptibility to smoke among e-cigarette only users), smoking behavior and inaccurate risk perceptions. We will examine if warnings' impact varies for vulnerable groups and warning size. The final product of Aim 3 will be an estimate of the impact of warnings on unintended consequences, including pushing people toward smoking. Across the three aims, we will develop generalizable principles on how to maximize the impact of e-cigarette warnings without pushing dual users toward smoking. Our findings will create an evidence base that can inform development of effective e-cigarette warnings, warnings and advertising policy in the US and globally, and other nicotine addiction and cancer prevention communication and countermarketing campaigns.

抽象的现在，美国需要电子烟包装和广告才能对尼古丁成瘾发出任何警告。 FDA有权需要其他电子烟警告，并表示单个电子烟警告可能会“随着时间的流逝变得陈旧。”没有有关当前还是其他电子烟的数据警告会影响烟雾或破坏戒烟混合香烟的动机。此外，很少有关电子烟警告的工作方式和谁的数据，包括弱势群体。理想情况下，电子烟警告会阻止非用户中的烟雾倡议，从而减少电子烟的烟雾只有香烟的用户，并支持双用户最终使使用烟草产品的使用。我们建议研究当前的电子烟警告的影响并告知开发适当的新警告。在AIM 1中，我们将使用来自3个大调查的数据开发新的电子烟警告。我们的目标创建电子烟用户认可的警告是有效的，并且不会引起意外青少年，年轻人和成年人，尤其是双重用户的后果。此评估将包括有关尼古丁成瘾的当前美国电子烟警告声明。 AIM 1的主要产品将是选择在AIM 2 RCT中使用的警告。在AIM 2中，我们将评估电子烟的影响关于在RCT中烟的警告。年轻的成人和成人电子烟使用者将收到4个新警告。在为期4周的研究中，他们的电子烟设备和补充，以随机分配。我们将评估电子烟警告是否会增加电子烟的戒烟尝试并检查警告是否影响双重用户，脆弱人群（年轻成人；低收入；男女同性恋，女同性恋和双性恋[GLB] E- 香烟用户）。我们还将检查警告是否增加了烟草警告模型（TWM）在电子烟的背景下安静的先例。 AIM 2的主要产品将是对电子烟警告对烟的影响，以及对行为的TWM前因的理解解释影响。最后，在AIM 3中，我们将检查电子烟警告是否推动电子烟用户吸烟。我们将研究电子烟警告对不吸烟动机的影响（定义为双重用户中的香烟戒烟意图，仅在电子烟中吸烟的敏感性用户），吸烟行为和不准确的风险感知。我们将检查警告是否有影响脆弱的组和警告大小。 AIM 3的最终产品将是警告对的影响意想不到的后果，包括推动人们吸烟。在这三个目标中，我们将发展关于如何最大化电子烟警告的影响而无需推动双重用户的概括原则吸烟。我们的发现将创建一个证据基础，可以告知有效的电子烟的开发美国和全球的警告，警告和广告政策以及其他尼古丁成瘾和癌症预防沟通和反市场活动。