764 Participants Needed

Warning Labels on Cigarillo Packages for Smoking

JR
Overseen ByJennifer Ross, PhD
Age: 18 - 65
Sex: Any
Trial Phase: Academic
Sponsor: Boston University
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the treatment involving warning labels on cigarillo packages?

Research shows that pictorial warnings are more effective than text-only warnings in discouraging smoking and informing smokers about health risks. Studies have found that pictorial warnings on cigarette packages are more impactful in motivating people to quit smoking and change their smoking habits compared to text-only warnings.12345

Is it safe for humans to participate in clinical trials about warning labels on cigarillo packages?

The research does not provide specific safety data for humans participating in trials about warning labels on cigarillo packages, as it focuses on the effectiveness of different types of warnings rather than safety concerns.12346

How do warning labels on cigarillo packages differ from other treatments for smoking?

This treatment uses pictorial warnings on cigarillo packages, which are more effective at discouraging use compared to text-only warnings. Unlike traditional smoking cessation methods, this approach focuses on visual impact to influence behavior.23678

What is the purpose of this trial?

The goal of this study is to examine the impact of repeated exposure to cigarillo warnings on cigarillo users' intentions and behaviors for cigarillo smoking. Eligible participants will be randomized to one of three experimental conditions that will vary based on cigarillo warning format.For 4 weeks, participants will participate in an image-sorting task where they will be asked to sort a set of \~18 cigarillo packages into flavor categories determined a priori by the research team (e.g., Mint, Fruit, Dessert).At the end of the study, participants will be notified of the purpose of the study and provided links to resources with information about the harms of cigarillo smoking and cessation.The study will be conducted in an online survey, working with Qualtrics research company, who will program the survey, recruit and screen participants, and administer the survey.

Research Team

JR

Jennifer Ross, PhD

Principal Investigator

School of Public Health - Health Law Policy & Management Dept

Eligibility Criteria

This study is for current cigarillo smokers who have used cigarillos at least once a week in the past month. Participants will be recruited through Qualtrics Research Services.

Inclusion Criteria

Current cigarillo user-used cigarillos at least one time per week in the past month
Recruited through Qualtrics Research Services

Exclusion Criteria

Not recruited through Qualtrics Research Services

Timeline

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Treatment

Participants participate in an image-sorting task for 4 weeks, sorting cigarillo packages into flavor categories

4 weeks

Follow-up

Participants are monitored for changes in intentions and behaviors related to cigarillo smoking

4 weeks

Treatment Details

Interventions

  • Package image sorting with FDA text-only warnings
  • Package image sorting with pictorial warnings
  • Package image sorting with Surgeon General text-only warnings
Trial Overview The study tests how different warning formats on cigarillo packages affect users' intentions and behaviors. Over 6 weeks, participants sort ~20 packages by flavor while exposed to pictorial or text-only warnings, followed by a survey after 4 more weeks.
Participant Groups
3Treatment groups
Experimental Treatment
Active Control
Group I: Pictorial warningsExperimental Treatment1 Intervention
Participants randomized to this group will view pictorial cigarillo warnings.
Group II: FDA text-only warningsActive Control1 Intervention
Participants randomized to this group will view FDA text-only warnings.
Group III: Surgeon General text-only warningsActive Control1 Intervention
Participants randomized to this group will view Surgeon General text-only warnings.

Find a Clinic Near You

Who Is Running the Clinical Trial?

Boston University

Lead Sponsor

Trials
494
Recruited
9,998,000+

Wake Forest University Health Sciences

Collaborator

Trials
1,432
Recruited
2,506,000+

Brown University

Collaborator

Trials
480
Recruited
724,000+

National Cancer Institute (NCI)

Collaborator

Trials
14,080
Recruited
41,180,000+

Findings from Research

A study involving 3,371 adult smokers found that pictorial warning labels on tobacco packaging elicited significantly stronger reactions compared to text-only warnings, enhancing salience, perceived impact, and credibility, as well as increasing intentions to quit smoking.
The effectiveness of pictorial warnings was consistent across various racial/ethnic and socioeconomic groups, suggesting that these labels could help reduce communication inequalities and may be an effective tobacco control policy, especially for vulnerable communities.
Impact of tobacco-related health warning labels across socioeconomic, race and ethnic groups: results from a randomized web-based experiment.Cantrell, J., Vallone, DM., Thrasher, JF., et al.[2023]
A study involving 30 young adult cigarillo users found that graphic and 'gross' images are more effective at capturing attention and discouraging cigarillo use when paired with text warnings.
Participants preferred images that directly illustrated the warning text and included relatable figures, such as young adults making eye contact, which enhanced emotional engagement and perceived effectiveness.
Developing Pictorial Cigarillo Warnings: Insights From Focus Groups.Cornacchione Ross, J., King, JL., Lazard, AJ., et al.[2021]
Pictorial warnings on cigarillos were found to generate stronger negative emotional reactions and higher perceived message effectiveness compared to text-only warnings, particularly among recent users.
The study, which included 661 participants aged 18-29, indicates that pictorial warnings are more effective in promoting awareness of risks associated with cigarillo use, extending previous findings from cigarette warning research.
Responses to pictorial versus text-only cigarillo warnings among a nationally representative sample of US young adults.Cornacchione Ross, J., Lazard, AJ., King, JL., et al.[2023]

References

Impact of tobacco-related health warning labels across socioeconomic, race and ethnic groups: results from a randomized web-based experiment. [2023]
Developing Pictorial Cigarillo Warnings: Insights From Focus Groups. [2021]
Responses to pictorial versus text-only cigarillo warnings among a nationally representative sample of US young adults. [2023]
Cigar Warning Noticing and Demographic and Usage Correlates: Analysis from the United States Population Assessment of Tobacco and Health Study, Wave 5. [2023]
[How would plain packaging and pictorial warning impact on smoking reduction, cessation and initiation?]. [2017]
Public health benefits from pictorial health warnings on US cigarette packs: a SimSmoke simulation. [2018]
Testing competing explanations for graphic warning label effects among adult smokers and non-smoking youth. [2019]
Nonsmokers' responses to new warning labels on smokeless tobacco and electronic cigarettes: an experimental study. [2023]
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