FDA Cigarette Warning Labels: Eye Tracking Study

NCT ID: NCT04936724

Last Updated: 2024-07-22

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-12-22

Study Completion Date

2021-11-19

Brief Summary

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The purpose of this study is to examine the effect of cigarette pictorial warning label content (lesser-known vs well-known risks) on visual engagement, recall, and knowledge of tobacco use harms.

Detailed Description

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This laboratory-based study will aim to enroll 120 current cigarette users to complete a 1-day randomized, parallel design protocol.

The participants will be randomized to one of two conditions, pictorial warning labels (PWLs) with well-known or lesser-known tobacco harms. After completing a baseline questionnaire, the participants will view 4 warning labels from the assigned group and complete a follow-up questionnaire. Eye-tracking will provide data on visual processing of the warning labels and the effect of these labels on knowledge, attitudes, and beliefs about smoking will be supplemented by self-report.

Conditions

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Smoking, Cigarette

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

It is a randomized, parallel design experimental study using objective measures and self-report survey. We will recruit 120 daily smokers (60 young adults and 60 adults) to participate in a single-session laboratory-based study. The participants will be assigned to either the lesser-known or well-known PWL group. After completing a baseline questionnaire, the participants will view 4 warning labels in a randomized order from their assigned group followed by a follow-up questionnaire. Primary outcomes will be eye-tracking measures, label recall and recognition, and knowledge of tobacco harms.
Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Participants
Participants will be informed that they will be viewing cigarette warning labels during the eye-tracking task, but will be unaware of their randomization condition (lesser-known vs well-known harms)

Study Groups

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Condition A (Lesser-known harms)

Participants randomized to this condition will view cigarette warning labels highlighting lesser-known harms of tobacco use.

Group Type EXPERIMENTAL

Pictorial Warning Labels

Intervention Type OTHER

Participants will be randomized to one of two conditions and will view 4 pictorial warning labels from the assigned group for an eye-tracking task.

Condition B (Well-known harms)

Participants randomized to this condition will view cigarette warning labels highlighting the well-known harms of tobacco use.

Group Type EXPERIMENTAL

Pictorial Warning Labels

Intervention Type OTHER

Participants will be randomized to one of two conditions and will view 4 pictorial warning labels from the assigned group for an eye-tracking task.

Interventions

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Pictorial Warning Labels

Participants will be randomized to one of two conditions and will view 4 pictorial warning labels from the assigned group for an eye-tracking task.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Current cigarette smokers using only filtered commercially manufactured cigarettes; smoking at least 5 cigarettes daily and smoking for at least last 1 year.
* Participants must physically present a pack of their preferred brand of cigarettes at the lab session to confirm their status as a cigarette smoker.
* Not currently undergoing smoking cessation treatment or planning to quit smoking currently or in the next month.
* Plan to live in the area for the duration of the study.
* Capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the combined Informed Consent and HIPAA form.
* Able to communicate fluently in English (i.e., speaking, writing, and reading) as determined by the research assistant.

Exclusion Criteria

* Use of any nicotine-containing products other than cigarettes. Participants reporting isolated use of other nicotine-containing products less than 5 times per month are eligible to participate.
* Not actively trying to quit smoking currently and had not made a quit attempt in the past month.
* Self-report current alcohol consumption that exceeds 25 standard drinks/week.
* Self-report current pregnancy or breastfeeding.
* Any self-reported impairment - visual (colorblindness or impairments such as glass eye), physical, and/or neurological impairments preventing the proper completion of the study procedures.
* Serious or unstable medical condition.
* Lifetime history of schizophrenia, psychosis, and/or bipolar disorder.
* Current use or discontinuation of anti-psychotic medications within the last 6 months.
* Current diagnosis of active major depression. Participants who maintain a diagnosis of major depression who have not experienced any major depressive episodes in the past 6 months and are stable on antidepressant medication(s) are eligible to participate.
* Inability to provide informed consent or complete any of the study tasks as determined by the principal investigator.
Minimum Eligible Age

21 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

National Institutes of Health (NIH)

NIH

Sponsor Role collaborator

Abramson Cancer Center at Penn Medicine

OTHER

Sponsor Role lead

Responsible Party

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Andrew Strasser

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Andrew Strasser, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

University of Pennsylvania

Locations

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Center for Interdisciplinary Research on Nicotine Addiction, University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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U54CA229973

Identifier Type: NIH

Identifier Source: secondary_id

View Link

843703

Identifier Type: OTHER

Identifier Source: secondary_id

UPCC 04021

Identifier Type: -

Identifier Source: org_study_id

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