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NCT Number: NCT07701304

Testing Warning Labels for Retail Cannabis Products Using a Discrete Choice Experiment

This discrete choice experiment (DCE) study aims to address gaps in cannabis packaging regulatory research by testing how variations in cannabis packaging and health warning design impact reactions to packaging and intentions about cannabis use. The goal of this work is to identify the most effective combination of health warning features to improve consumer awareness of cannabis health risks. Establishing criteria for cannabis products in the US is critical because inconsistent state guidelines have resulted in contradictory policies in legal retail states, arguably leading to increased hazardous use and failure to meet public health standards. The contributions of this study's outcomes are expected to be significant because they will benefit public health as cannabis becomes available in legal retail markets and regulatory and governmental agencies seek effective ways to communicate cannabis risks to the public.

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Key information

Age range

21 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of OKlahoma

Oklahoma City, Oklahoma, 73104, United States

Location status: Recruiting

Location contact

Zachary Massey, PhD

CONTACT

[email protected]

405-271-6872

About this study

The DCE will be conducted via a self-administered online questionnaire, with inclusion criteria assessed before assignment to choice set conditions. Participants will be residents of legal-retail cannabis use states, able to legally purchase cannabis (21 or older), who have used cannabis in the past 30 days (i.e., current use). Frequency of cannabis use (i.e., monthly, weekly, daily), mode (e.g., flower, vape, etc.), and dose (i.e., THC level) will be measured through self-report. Inclusion criteria are reported using cannabis (any mode) in the past 30 days. Consented participants will be presented with descriptions of cannabis packaging attributes and an example choice set to become familiar with DCE tasks. Participants will be asked to imagine the cannabis products in the DCE as the only choices they have available to them "in the near future" and to evaluate images within this scenario. Participants will be randomly assigned to view 16 choice sets. To optimize the evaluation of preferences and reduce respondent burden, we will assign contrasting labels to "choice sets," each of which will include 4 images of products in such a way that each attribute level appears an equal number of times in combination with all other attribute levels. Presentation order of the 16 choice sets will be randomized within and across choice sets to minimize ordering effects. Participants will view each choice set for as long as they wish. After evaluating choice sets, participants will complete a recall task to assess retention of health warning information and will be provided a debrief page with information about substance use and resources for seeking help with substance use.

Who can participate

Healthy volunteers accepted: No

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

Eligibility for participation includes: 1) being 21 years of age or older, 2) being able to speak and understand English, 3) self-reported having consumed cannabis in the last 30 days (any mode, e.g., flower, vape, edible, etc.), and 4) residing in a U.S. state or jurisdiction where retail (i.e., non-medical) cannabis use is legal.

Treatment and study plan

Discrete choice experiment (DCE) survey-experiment

Behavioral

A discrete choice experiment (DCE) consisting of 16 distinct choice sets. Each choice set presents combinations of the following attributes: 1) Cannabis package style: 1) "Standardized" plain package, 2) plain package with brand logo and fonts, 3) brand color background with brand logo and fonts, and 4) fully branded with brand imagery, brand logo, and brand descriptors and fonts. Branding type: 1) Adventure brand vs. 2) Earthy brand. Health warning size: 1) Small (20% of packaging surface) - health warnings use currently mandated warning language from multiple jurisdictions vs. 2) Large (40% of packaging surface) - health warnings use currently mandated warning language from multiple jurisdictions. Product THC content: 1) Low THC vs. 2) High THC. Product type: 1) Joints, 2) Vape, 3) Edibles, and 4) Drinks. Participants will rate all combinations of product attributes.

Primary outcomes

  1. Risk perceptions about cannabis products

    Time frame: At the time of survey completion (approximately 15 minutes)

    Binary measure using best-worst scaling. For each question, participants will also have the option of indicating none of the above/opt-out as a response. For each choice set, the statement selected as the best option will be coded using a value of 1, and the worst will be coded as -1. The remaining statements in that set will be coded as 0. If the participant selects none of the above, all statements in that choice set will be assigned a value of 0.

  2. Cannabis product use intentions

    Time frame: At the time of survey completion (approximately 15 minutes)

    Binary measure using best-worst scaling. For each question, participants will also have the option of indicating none of the above/opt-out as a response. For each choice set, the statement selected as the best option will be coded using a value of 1, and the worst will be coded as -1. The remaining statements in that set will be coded as 0. If the participant selects none of the above, all statements in that choice set will be assigned a value of 0.

Study contacts

Contact information is provided by the study sponsor or research team.

Zachary Massey, PhD

CONTACT

[email protected]

405-271-6872

Sponsors and collaborators

Lead sponsor

University of Oklahoma

Other

Collaborators

  • National Institute on Drug Abuse (NIDA)

Registry information

Official study title

Developing and Testing Warning Labels for Retail Cannabis Products

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
Jul 14, 2026
Registry last updated
Jul 27, 2026

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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