Trial on the Effect of E-cigarette Advertising on Cigarette Perceptions in Adolescents
Study Details
Study Description
Brief Summary
This research aims to investigate how exposure to advertising for Electronic Nicotine Delivery Systems (commonly called e-cigarettes) may lead to combustible smoking initiation in adolescents.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
[3/14/2020]: Study recruitment temporarily halted due to the COVID-19 pandemic
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Active Comparator: E-cigarette ad exposure Participants in the e-cigarette ad exposure condition will view e-cigarette ads on the computer screen while having their eye movements tracked |
Behavioral: E-cigarette ad exposure
Participants view a series of e-cigarette TV commercials
|
Sham Comparator: non e-cigarette ad exposure Participants in the non e-cigarette ad exposure condition will view non e-cigarette ads on the computer screen while having their eye movements tracked |
Other: non e-cigarette TV commercials
Participants view a series of non e-cigarette TV commercials
|
Outcome Measures
Primary Outcome Measures
- change in baseline in implicit positive smoking expectancies, measured by the implicit association test [baseline, within 5 minutes post intervention]
Scores are measured by recording the amount of time (reaction time) it takes to categorize smoking-related words with positive (e.g., cool) and negative (e.g., cancer) words. Faster reaction times when categorizing smoking-related words with positive words is evidence of higher positive smoking expectancies.
- Amount of time spent looking at static smoking cues in e-cigarette advertisements [approximately 30 minutes post intervention]
Eye-tracking will be used to measure the amount of time spent looking at static smoking cues in screen shots taken from e-cigarette advertisements. The amount time spent looking at a smoking cue is a measure how much attention was given to the smoking cue. The longer the looking time, the greater amount of attention.
- 7-item explicit positive smoking expectancies scale [approximately 30 minutes post intervention]
Scores are measured on a 7-item scale. Positive smoking expectancies will be assessed using the following questions that follow the lead-in, "Please tell me how you feel about the following statements." "I think I would enjoy smoking"; "I think smoking would give me something to do when I'm bored"; "I think smoking would help me deal with problems or stress"; "I think smoking would help me stay thin"; "I think smoking would help me to feel more comfortable at parties"; "I think smoking would be relaxing"; and "I think smoking would make me look older." Responses are yes/no. Responses are coded as "1" for yes and "0" for no. Responses are then summed for a maximum positive smoking expectancy score out of 7. Higher scores mean higher positive smoking expectancies.
- 11-item scale that measures social normative beliefs about smoking [approximately 30 minutes post intervention]
This 11-item scale assess social normative beliefs about smoking related to 1) perceived disapproval from family/friends, 2) perceived popularity among successful/elite, and 3) perceived prevalence. Disapproval scale questions are answered using a 4-point Likert scale (1 = Strongly disagree; 4 = Strongly agree). A total disapproval score (ranging from 1 to 4) is calculated by averaging responses to each question. Higher values indicate a higher disapproval score. Popularity scale questions are answered using a 4-point Likert scale (1 = Strongly disagree; 4 = Strongly agree). A total popularity score (ranging from 1 to 4) is calculated by averaging responses to each question. Higher values indicate a higher popularity score. Prevalence scale questions are answered using a percent scale from 0 - 100% in 10% increments. A total prevalence scale (from 0 to 100) is calculated by averaging the responses to each question. Higher values indicate a higher prevalence score.
- A 3-item scale that measures adolescent smoking susceptibility [approximately 30 minutes post intervention]
This 3-item instrument is used to predict which never smokers are likely to start smoking by measuring their curiosity to use tobacco products. Item responses are on a 4-point Likert scale (definitely yes, probably yes, probably not, definitely not). To classify a respondent as not susceptible to smoking, the respondent must indicate "definitely not" to all four items. Any other response to any item classifies a respondent as "susceptible."
Secondary Outcome Measures
- Amount of time looking at dynamic smoking cues in e-cigarette advertisements [During the intervention, approximately 15 minutes post baseline]
Eye-tracking will be used to measure the total amount of time spent looking in realtime at smoking cues in TV commercials for e-cigarettes. The amount of time looking at smoking cues will be a measure of the amount of attention given to smoking cues. The longer the amount of time spent looking at smoking cues indicates that a greater amount of attention was given to the smoking cues.
- 18-item scale that measures character attributes of actors that appeared in the commercials [approximately 30 minutes post intervention]
Character Attributes will be collected using a scale that measures participants beliefs about character attributes using the lead in: "I think [Character Name] is: " using a 5-point Likert (1 = strongly disagree; 5 = strongly agree). There is a total of 6 attributes assessed: 1) smart (smart, intelligent, stupid), 2) successful (successful, achieves goals, gets what he/she wants), 3) attractive (physically attractive, ugly, good-looking), 4) funny (funny, humorous, makes me laugh), 5) respected (respected by others, receives approval, criticized by others), and 6) popular (has lots of friends, well liked, gets support from others). A total score (form 1 to 5) for each scale is calculated by averaging responses for each question within that scale. For each scale, a higher total score indicates higher beliefs about that attribute.
- 5-item scale that measure how much participants wish to be like the actors appearing in the commercials. [approximately 30 minutes post intervention]
This 5-item is scale is used to quantify how much a participant would like to be like an actor appearing in a commercial. Questions are rated on a 5-point Likert scale (1 = Strongly Disagree; 5 = Strongly agree). A total identification score (from 1 to 25) is calculated by summing the responses to each question. A higher total score indicates a higher level of wishful identification.
- 13-item scale to measure risk perception about cigarette use [approximately 30 minutes post intervention]
This 13-item scale measures risk perceptions associated with cigarette use. Questions are answered using a sliding percent scale from 0 - 100% in 10% increments. A risk perception scale is calculated (from 0 to 100) by averaging the responses to each question. Higher values indicate a higher risk perception.
- 13-item scale to Measure risk perception about e-cigarette use [approximately 30 minutes post intervention]
This 13-item scale measures risk perceptions associated with e-cigarette use. Questions are answered using a sliding percent scale from 0 - 100% in 10% increments. A risk perception scale is calculated (from 0 to 100) by averaging the responses to each question. Higher values indicate a higher risk perception.
Eligibility Criteria
Criteria
Inclusion Criteria:
Exclusion Criteria:
- Exclusion criteria will include inadequate English proficiency, and diagnosis of a learning or vision disorder.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Dartmouth-Hithchock Medical Center | Lebanon | New Hampshire | United States | 03756 |
Sponsors and Collaborators
- Dartmouth-Hitchcock Medical Center
- National Cancer Institute (NCI)
- Dartmouth College
Investigators
- Principal Investigator: James Sargent, MD, Geisel School of Medicine at Dartmouth College
- Principal Investigator: Diane Gilbert-Diamond, ScD, Geisel School of Medicine at Dartmouth College
Study Documents (Full-Text)
None provided.More Information
Publications
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