View in EDS

A Mixed-Method Study of Perceptions of Cigarette Pack Inserts among Adult Smokers from New York and South Carolina Exposed as Part of a Randomized Controlled Trial

Saved in:
Bibliographic Details
Title: A Mixed-Method Study of Perceptions of Cigarette Pack Inserts among Adult Smokers from New York and South Carolina Exposed as Part of a Randomized Controlled Trial
Language: English
Authors: Emily E. Hackworth (ORCID 0000-0002-5078-5710), Julia R. Budiongan, Victoria C. Lambert, Minji Kim (ORCID 0000-0002-7715-6826), Stuart G. Ferguson (ORCID 0000-0001-7378-3497), Jeff Niederdeppe, James Hardin, James F. Thrasher
Source: Health Education Research. 2023 38(6):548-562.
Availability: Oxford University Press. Great Clarendon Street, Oxford OX2 6DP, UK. Tel: +44-1865-353907; Fax: +44-1865-353485; e-mail: jnls.cust.serv@oxfordjournals.org; Web site: http://her.oxfordjournals.org/
Peer Reviewed: Y
Page Count: 15
Publication Date: 2023
Document Type: Journal Articles
Reports - Research
Descriptors: Attitudes, Adults, Smoking, Health Materials, Communication (Thought Transfer), Self Efficacy
Geographic Terms: New York, South Carolina
DOI: 10.1093/her/cyad030
ISSN: 0268-1153
1465-3648
Abstract: While many countries require prominent pictorial health warning labels (PHWLs) on the outside of cigarette packs to communicate the harms of smoking, there is evidence that cigarette pack inserts that contain efficacy messages may enhance the effectiveness of PHWLs. The US Food and Drug Administration (FDA) has regulatory authority to communicate with smokers through inserts. While current labeling regulations do not require inclusion of inserts, the FDA could implement them in the future. This study assesses US smokers' perceptions of cigarette package inserts at the conclusion of a two-week randomized trial on cigarette labeling where half of participants were exposed to insert messages (two response-efficacy messages and two self-efficacy messages) in their packs. Participants (n = 359) completed a 30- to 60-min interview with both quantitative and qualitative assessments, including measures of recall and perceived message effectiveness (PME) for specific inserts. Correlates of recall and PME were estimated using mixed-effects regression models. Qualitative responses to PME items were analyzed using thematic analysis. Response-efficacy messages had higher PME and recall than self-efficacy messages. People had diverse responses to the inserts, including that they were positive, thought-provoking, and helpful. Reactions to and perceptions of the inserts indicate potential benefits of integrating efficacy messages into labeling policies.
Abstractor: As Provided
Entry Date: 2023
Accession Number: EJ1404790
Database: ERIC
FullText Text:
  Availability: 0
Header DbId: eric
DbLabel: ERIC
An: EJ1404790
AccessLevel: 3
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: A Mixed-Method Study of Perceptions of Cigarette Pack Inserts among Adult Smokers from New York and South Carolina Exposed as Part of a Randomized Controlled Trial
– Name: Language
  Label: Language
  Group: Lang
  Data: English
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Emily+E%2E+Hackworth%22">Emily E. Hackworth</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-5078-5710">0000-0002-5078-5710</externalLink>)<br /><searchLink fieldCode="AR" term="%22Julia+R%2E+Budiongan%22">Julia R. Budiongan</searchLink><br /><searchLink fieldCode="AR" term="%22Victoria+C%2E+Lambert%22">Victoria C. Lambert</searchLink><br /><searchLink fieldCode="AR" term="%22Minji+Kim%22">Minji Kim</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-7715-6826">0000-0002-7715-6826</externalLink>)<br /><searchLink fieldCode="AR" term="%22Stuart+G%2E+Ferguson%22">Stuart G. Ferguson</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0001-7378-3497">0000-0001-7378-3497</externalLink>)<br /><searchLink fieldCode="AR" term="%22Jeff+Niederdeppe%22">Jeff Niederdeppe</searchLink><br /><searchLink fieldCode="AR" term="%22James+Hardin%22">James Hardin</searchLink><br /><searchLink fieldCode="AR" term="%22James+F%2E+Thrasher%22">James F. Thrasher</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="SO" term="%22Health+Education+Research%22"><i>Health Education Research</i></searchLink>. 2023 38(6):548-562.
– Name: Avail
  Label: Availability
  Group: Avail
  Data: Oxford University Press. Great Clarendon Street, Oxford OX2 6DP, UK. Tel: +44-1865-353907; Fax: +44-1865-353485; e-mail: jnls.cust.serv@oxfordjournals.org; Web site: http://her.oxfordjournals.org/
– Name: PeerReviewed
  Label: Peer Reviewed
  Group: SrcInfo
  Data: Y
– Name: Pages
  Label: Page Count
  Group: Src
  Data: 15
– Name: DatePubCY
  Label: Publication Date
  Group: Date
  Data: 2023
– Name: TypeDocument
  Label: Document Type
  Group: TypDoc
  Data: Journal Articles<br />Reports - Research
– Name: Subject
  Label: Descriptors
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Attitudes%22">Attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Adults%22">Adults</searchLink><br /><searchLink fieldCode="DE" term="%22Smoking%22">Smoking</searchLink><br /><searchLink fieldCode="DE" term="%22Health+Materials%22">Health Materials</searchLink><br /><searchLink fieldCode="DE" term="%22Communication+%28Thought+Transfer%29%22">Communication (Thought Transfer)</searchLink><br /><searchLink fieldCode="DE" term="%22Self+Efficacy%22">Self Efficacy</searchLink>
– Name: Subject
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22New+York%22">New York</searchLink><br /><searchLink fieldCode="DE" term="%22South+Carolina%22">South Carolina</searchLink>
– Name: DOI
  Label: DOI
  Group: ID
  Data: 10.1093/her/cyad030
– Name: ISSN
  Label: ISSN
  Group: ISSN
  Data: 0268-1153<br />1465-3648
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: While many countries require prominent pictorial health warning labels (PHWLs) on the outside of cigarette packs to communicate the harms of smoking, there is evidence that cigarette pack inserts that contain efficacy messages may enhance the effectiveness of PHWLs. The US Food and Drug Administration (FDA) has regulatory authority to communicate with smokers through inserts. While current labeling regulations do not require inclusion of inserts, the FDA could implement them in the future. This study assesses US smokers' perceptions of cigarette package inserts at the conclusion of a two-week randomized trial on cigarette labeling where half of participants were exposed to insert messages (two response-efficacy messages and two self-efficacy messages) in their packs. Participants (n = 359) completed a 30- to 60-min interview with both quantitative and qualitative assessments, including measures of recall and perceived message effectiveness (PME) for specific inserts. Correlates of recall and PME were estimated using mixed-effects regression models. Qualitative responses to PME items were analyzed using thematic analysis. Response-efficacy messages had higher PME and recall than self-efficacy messages. People had diverse responses to the inserts, including that they were positive, thought-provoking, and helpful. Reactions to and perceptions of the inserts indicate potential benefits of integrating efficacy messages into labeling policies.
– Name: AbstractInfo
  Label: Abstractor
  Group: Ab
  Data: As Provided
– Name: DateEntry
  Label: Entry Date
  Group: Date
  Data: 2023
– Name: AN
  Label: Accession Number
  Group: ID
  Data: EJ1404790
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=eric&AN=EJ1404790
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1093/her/cyad030
    Languages:
      – Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 15
        StartPage: 548
    Subjects:
      – SubjectFull: Attitudes
        Type: general
      – SubjectFull: Adults
        Type: general
      – SubjectFull: Smoking
        Type: general
      – SubjectFull: Health Materials
        Type: general
      – SubjectFull: Communication (Thought Transfer)
        Type: general
      – SubjectFull: Self Efficacy
        Type: general
      – SubjectFull: New York
        Type: general
      – SubjectFull: South Carolina
        Type: general
    Titles:
      – TitleFull: A Mixed-Method Study of Perceptions of Cigarette Pack Inserts among Adult Smokers from New York and South Carolina Exposed as Part of a Randomized Controlled Trial
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Emily E. Hackworth
      – PersonEntity:
          Name:
            NameFull: Julia R. Budiongan
      – PersonEntity:
          Name:
            NameFull: Victoria C. Lambert
      – PersonEntity:
          Name:
            NameFull: Minji Kim
      – PersonEntity:
          Name:
            NameFull: Stuart G. Ferguson
      – PersonEntity:
          Name:
            NameFull: Jeff Niederdeppe
      – PersonEntity:
          Name:
            NameFull: James Hardin
      – PersonEntity:
          Name:
            NameFull: James F. Thrasher
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 01
              Type: published
              Y: 2023
          Identifiers:
            – Type: issn-print
              Value: 0268-1153
            – Type: issn-electronic
              Value: 1465-3648
          Numbering:
            – Type: volume
              Value: 38
            – Type: issue
              Value: 6
          Titles:
            – TitleFull: Health Education Research
              Type: main
ResultId 1