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Completed

NCT Number: NCT03499340

Pictorial Warning Labels & Memory for Relative & Absolute Cigarette Health-risk Information Over Time in Adult Smokers

Pictorial cigarette warning labels (PWLs) are thought to increase risk knowledge, but experimental research has not examined PWLs' longer term effects on memory for health risks. In this study, adult smokers are repeatedly exposed to text-only vs. low arousal graphic vs. high arousal graphic warning labels paired with numeric risk information. This study will allow the investigators to assess the extent to which reactions to warnings remain consistent over time and influence smoking risk perceptions and quit intentions. The investigators will also assess the impact of graphic images on memory for smoking risk information presented in absolute (a smoker's lifetime risk of getting a smoking related disease) versus relative (a smoker's risk of getting a smoking related disease, compared to the risk of non-smokers) formats.

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Key information

Age range

19 year–64 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

The Ohio State University

Columbus, Ohio, 43210, United States

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • have smoked 100+ lifetime cigarettes
  • currently smoke "every day" or "some days."

Exclusion criteria

  • have not ever smoked a cigarette

Treatment and study plan

text-only PWL

Behavioral

control condition (no image)

low arousal graphic PWL

Behavioral

pictorial warning

high arousal graphic PWL

Behavioral

pictorial warning

absolute risk

Behavioral

Percentage risk information for smoking-related diseases for smokers

relative risk

Behavioral

Percentage risk information for smoking-related diseases for smokers and non-smokers

Primary outcomes

  1. numeric risk recognition

    Time frame: measured immediately following last exposure

    Participants answered one multiple choice question about the numeric risk for smokers for each label (e.g., ____% of smokers die before age 85). For each question, there were four decoy responses.

Secondary outcomes

  1. numeric risk recognition

    Time frame: measured after 6-week delay

    Participants answered one multiple choice question about the numeric risk for smokers for each label (e.g., ____% of smokers die before age 85). For each question, there were four decoy responses.

  2. relative risk recognition

    Time frame: measured immediately following last exposure

    Participants answered one multiple choice question about the numeric risk for smokers vs. nonsmokers for each health risk (e.g., a smoker is ____ as likely to die from heart disease as a nonsmoker). For each question, there were three decoy responses (e.g., for heart disease, response options were: "about as likely," "1.75 times," "4.1 times," "10.4 times").

  3. relative risk recognition

    Time frame: measured after 6-week delay

    Participants answered one multiple choice question about the numeric risk for smokers vs. nonsmokers for each health risk (e.g., a smoker is ____ as likely to die from heart disease as a nonsmoker). For each question, there were three decoy responses (e.g., for heart disease, response options were: "about as likely," "1.75 times," "4.1 times," "10.4 times").

  4. smoking risk perceptions

    Time frame: measured immediately following last exposure

    Participants completed several scale items about how much risk they perceived smoking posed to them (e.g., "If a person smokes at your age, how likely are they to get a life-threatening illness from smoking someday ?" [1=very unlikely; 5=extremely likely])

  5. smoking risk perceptions

    Time frame: measured after 6-week delay

    Participants completed several scale items about how much risk they perceived smoking posed to them (e.g., "If a person smokes at your age, how likely are they to get a life-threatening illness from smoking someday ?" [1=very unlikely; 5=extremely likely])

  6. quit intentions (for next 30 days)

    Time frame: measured immediately following last exposure

    Participants intentions to quit smoking; self-reported likelihood of smoking "within the next 30 days" (-3 = very unlikely, 3 = very likely)

  7. quit intentions (for next 30 days)

    Time frame: measured after 6-week delay

    Participants intentions to quit smoking; self-reported likelihood of smoking "within the next 30 days" (-3 = very unlikely, 3 = very likely)

  8. quit intentions (for next year)

    Time frame: measured immediately following last exposure

    Participants intentions to quit smoking; self-reported likelihood of smoking "within next year" (-3 = very unlikely, 3 = very likely)

  9. quit intentions (for next year)

    Time frame: measured after 6-week delay

    Participants intentions to quit smoking; self-reported likelihood of smoking "within next year" (-3 = very unlikely, 3 = very likely)

  10. risk recognition

    Time frame: measured immediately following last exposure

    Participants were given a list of 9 warnings and asked to select which ones they'd been previously exposed to

  11. risk recognition

    Time frame: measured after 6-week delay

    Participants were given a list of 9 warnings and asked to select which ones they'd been previously exposed to

  12. feelings about smoking

    Time frame: measured immediately following last exposure

    Participants completed several scale items about their feelings towards smoking (e.g., "How good or bad do you feel about smoking?" -2=very bad; +2=very good; "How much do you feel confused about the harms vs. benefits of smoking?" 0=not at all confused; 4=very confused)

  13. feelings about smoking

    Time frame: measured after 6-week delay

    Participants completed several scale items about their feelings towards smoking (e.g., "How good or bad do you feel about smoking?" -2=very bad; +2=very good; "How much do you feel confused about the harms vs. benefits of smoking?" 0=not at all confused; 4=very confused)

Sponsors and collaborators

Lead sponsor

Ohio State University

Other

Collaborators

  • University of Pennsylvania

Registry information

Important dates

Study start
2017
Primary completion
2017
Study completion
2017
First posted
Apr 17, 2018
Registry last updated
Apr 17, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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