Impact of Nicotine Messaging on Nicotine Beliefs and Tobacco Use Behavior

尼古丁信息对尼古丁信念和烟草使用行为的影响

• 批准号: 10571252
• 负责人: Andrew A Strasser
• 金额: $ 46.69万
• 依托单位: RBHS-SCHOOL OF PUBLIC HEALTH
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-06-01 至 2024-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10571252
• 关键词: Adult; Affect; Attention; Attenuated; Behavior; Behavioral; Belief; Cigarette; Communication; Data; Dose; Electronic cigarette; Exposure to; Fill-It; Future; General Population; Goals; Health; Health Benefit; Intention; Intervention; Malignant Neoplasms; Media Campaign; Nicotine; Outcome; Outcome Measure; Participant; Perception; Pilot Projects; Planning Theory; Policies; Population; Population Study; Public Health; Regulation; Reporting; Research; Research Priority; Risk; Sampling; Smoker; Smoking; Stimulus; Testing; Tobacco; Tobacco use; Work; base; behavior test; cigarette smoking; combustible cigarette; communication behavior; design; evidence base; experimental study; follow-up; insight; low nicotine content cigarette; nicotine exposure; nicotine replacement; non-smoker; primary outcome; public education; secondary outcome; smoking cessation; tobacco control; tobacco products; tobacco user; visual tracking; warning label

PROJECT ABSTRACT FDA’s comprehensive plan on tobacco and nicotine regulation focuses on two key actions: 1) reducing nicotine levels in combustible cigarettes to make them minimally or non-addictive and 2) allowing for new forms of nicotine delivery to provide adult smokers with nicotine with lower resulting health harms than cigarettes. The public health impact of FDA’s proposed nicotine reduction policy hinge on the extent to which tobacco users and non-users understand the harms of nicotine in relation to specific products (e.g., e-cigarettes, nicotine replacement therapy (NRT), reduced nicotine content (RNC) cigarettes) and how this influences decisions made by non-users to try a product and by users regarding cessation, product switching, or continued use. Population data, including recent work by our group, highlight widespread public misperceptions of the health risks of nicotine that could undermine the public health benefits of FDA’s comprehensive plan. As a result, the introduction of FDA policies that reduce nicotine in some tobacco products while leaving it unregulated in others may require more nuanced public education about nicotine. Findings from our pilot work support that a brief nicotine corrective messaging intervention—similar to the messages likely to be seen on warning labels or in public education media campaigns—can correct misperceptions of nicotine, NRT, e-cigarettes, and RNC cigarettes in an online convenience sample of U.S. adults. The proposed study extends our pilot work to examine the effect of multiple exposures to nicotine corrective messaging (NCM) intervention (compared to a delayed intervention control) on nicotine beliefs and intention/use of tobacco and nicotine products in two parallel and complementary samples. A population-based study will estimate the potential public health impact of NCM on nicotine beliefs and tobacco- related behavioral intentions in 715 adult tobacco users and non-users, including potential unintended effects. A lab-based study will estimate the independent effects of NCM and RNC cigarettes, as well as their interaction, on nicotine beliefs and observed tobacco use behavior in 160 adult smokers who are explicitly told whether they have a normal nicotine content or RNC cigarette (i.e., unblinded). This study aims to provide insight into the real world impact of NCM communication efforts on tobacco use behavior in the general population and in adult smokers affected by a reduced nicotine content standard in combustible cigarettes. This study will test a set of evidence-based messages on nicotine, providing information on content and themes that could be used in future public education on nicotine to maximize the public health benefit of FDA’s comprehensive plan.

项目摘要 FDA关于烟草和尼古丁监管的全面计划侧重于两个关键行动：1）减少 可燃香烟中的尼古丁含量，使其最低限度或不上瘾，2）允许新的形式 尼古丁输送的新技术，为成年吸烟者提供尼古丁，其对健康的危害低于香烟。的 FDA提出的尼古丁减少政策对公共健康的影响取决于烟草使用者和 非使用者了解尼古丁相对于特定产品的危害（例如，电子烟，尼古丁 替代疗法（NRT），降低尼古丁含量（RNC）香烟）以及这如何影响决策 非使用者尝试产品，使用者停止使用、更换产品或继续使用。人口 数据，包括我们小组最近的工作，突出了公众对尼古丁健康风险的普遍误解 这可能会破坏FDA全面计划的公共健康利益。因此，FDA的引入 减少某些烟草产品中尼古丁含量而不对其他烟草产品进行管制的政策可能需要更多的 关于尼古丁的细致入微的公共教育。从我们的试点工作的结果支持，一个简短的尼古丁纠正 信息干预-类似于可能在警告标签或公共教育媒体上看到的信息 尼古丁-可以纠正对尼古丁，NRT，电子烟和RNC香烟的误解， 美国成年人的便利样本。拟议的研究扩展了我们的试点工作，以检查多个 尼古丁纠正信息（NCM）干预暴露（与延迟干预对照相比） 在两个平行和互补的样本中进行尼古丁信念和烟草和尼古丁产品的意向/使用。 一项基于人群的研究将估计NCM对尼古丁信念和烟草的潜在公共健康影响， 715名成人烟草使用者和非使用者的相关行为意图，包括潜在的非预期影响。一 基于实验室的研究将估计NCM和RNC香烟的独立影响，以及它们的相互作用， 尼古丁信念和观察到的160名成年吸烟者的烟草使用行为，这些吸烟者被明确告知， 具有正常的尼古丁含量或RNC香烟（即，揭盲）。这项研究旨在提供对真实的 NCM宣传工作对普通人群和成人烟草使用行为的全球影响 吸烟者受到可燃香烟中尼古丁含量标准降低的影响。这项研究将测试一组 关于尼古丁的循证信息，提供关于未来可使用的内容和主题的信息 开展尼古丁的公众教育，以最大限度地提高FDA综合计划的公共健康效益。

项目成果

Effects of cigarette package colors and warning labels on marlboro smokers' risk beliefs, product appraisals, and smoking behavior: a randomized trial.

• DOI: 10.1186/s12889-023-17024-5
• 发表时间: 2023-10-27
• 期刊: BMC public health
• 影响因子: 4.5

Effect of brief nicotine corrective messaging on nicotine beliefs in persons who use opioids.

• DOI: 10.1037/pha0000497
• 发表时间: 2022-12
• 期刊: Experimental and clinical psychopharmacology
• 影响因子: 2.3
• 作者: Parker MA;Byers JE;Villanti AC
• 通讯作者: Villanti AC

US Food and Drug Administration Action on Menthol Cigarettes and Flavored Cigars-A Pivotal Moment for Health Equity.

• DOI: 10.1001/jamanetworkopen.2022.17150
• 发表时间: 2022-06-01
• 期刊: JAMA NETWORK OPEN
• 影响因子: 13.8
• 作者: Villanti, Andrea C.;Sterling, Kymberle;Rose, Shyanika W.
• 通讯作者: Rose, Shyanika W.

Effect of nicotine corrective messaging on nicotine-related beliefs in US adults: a randomised controlled trial.

尼古丁纠正信息对美国成年人尼古丁相关信念的影响：一项随机对照试验。

• DOI: 10.1136/tc-2023-058252
• 发表时间: 2023
• 期刊: Tobacco control
• 影响因子: 5.2
• 作者: Villanti,AndreaC;Peasley-Miklus,Catherine;Mercincavage,Melissa;Mays,Darren;Donny,EricC;Cappella,JosephN;Strasser,AndrewA
• 通讯作者: Strasser,AndrewA