Trial Outcomes & Findings for The Impact of Cigarillo Warnings on Purchasing (NCT NCT05434013)

NCT ID: NCT05434013

Last Updated: 2023-08-02

Results Overview

Participants in each arm will participate in six mock shopping trips with a specified budget. They will purchase (mock) single cigarillos. The primary outcome is the average number of cigarillos purchased during each of the six mock shopping trips.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

1578 participants

Primary outcome timeframe

Within the 20-minute survey

Results posted on

2023-08-02

Participant Flow

Participant milestones

Participant milestones
Measure
Cigarillo Warnings-Surgeon General Text-Only
Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the Surgeon General Text-Only format. Cigarillo warnings-Surgeon General Text-Only: Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the Surgeon General Text-Only format.
Cigarillo Warnings-FDA Proposed Text-only
Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the FDA Proposed Text-Only format. Cigarillo warnings-FDA proposed text-only: Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the FDA Proposed Text-Only format.
Cigarillo Warnings-Pictorial
Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the Pictorial format. Cigarillo warnings-Pictorial: Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the Pictorial format.
Overall Study
STARTED
526
526
526
Overall Study
COMPLETED
526
526
526
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The Impact of Cigarillo Warnings on Purchasing

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cigarillo Warnings-Surgeon General Text-Only
n=526 Participants
Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the Surgeon General Text-Only format. Cigarillo warnings-Surgeon General Text-Only: Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the Surgeon General Text-Only format.
Cigarillo Warnings-FDA Proposed Text-only
n=526 Participants
Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the FDA Proposed Text-Only format. Cigarillo warnings-FDA proposed text-only: Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the FDA Proposed Text-Only format.
Cigarillo Warnings-Pictorial
n=526 Participants
Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the Pictorial format. Cigarillo warnings-Pictorial: Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the Pictorial format.
Total
n=1578 Participants
Total of all reporting groups
Age, Continuous
28.9 Years
STANDARD_DEVIATION 4.1 • n=5 Participants
28.8 Years
STANDARD_DEVIATION 4.3 • n=7 Participants
28.9 Years
STANDARD_DEVIATION 4.3 • n=5 Participants
28.9 Years
STANDARD_DEVIATION 4.2 • n=4 Participants
Sex/Gender, Customized
Female
283 Participants
n=5 Participants
294 Participants
n=7 Participants
301 Participants
n=5 Participants
878 Participants
n=4 Participants
Sex/Gender, Customized
Male
235 Participants
n=5 Participants
226 Participants
n=7 Participants
219 Participants
n=5 Participants
680 Participants
n=4 Participants
Sex/Gender, Customized
Unknown/Not Reported
8 Participants
n=5 Participants
6 Participants
n=7 Participants
6 Participants
n=5 Participants
20 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
54 Participants
n=5 Participants
49 Participants
n=7 Participants
52 Participants
n=5 Participants
155 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
469 Participants
n=5 Participants
475 Participants
n=7 Participants
471 Participants
n=5 Participants
1415 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
3 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
8 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
3 Participants
n=5 Participants
4 Participants
n=7 Participants
2 Participants
n=5 Participants
9 Participants
n=4 Participants
Race (NIH/OMB)
Asian
4 Participants
n=5 Participants
8 Participants
n=7 Participants
8 Participants
n=5 Participants
20 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
2 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
262 Participants
n=5 Participants
266 Participants
n=7 Participants
259 Participants
n=5 Participants
787 Participants
n=4 Participants
Race (NIH/OMB)
White
202 Participants
n=5 Participants
196 Participants
n=7 Participants
201 Participants
n=5 Participants
599 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
24 Participants
n=5 Participants
28 Participants
n=7 Participants
24 Participants
n=5 Participants
76 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
29 Participants
n=5 Participants
24 Participants
n=7 Participants
32 Participants
n=5 Participants
85 Participants
n=4 Participants
Region of Enrollment
United States
526 participants
n=5 Participants
526 participants
n=7 Participants
526 participants
n=5 Participants
1578 participants
n=4 Participants

PRIMARY outcome

Timeframe: Within the 20-minute survey

Participants in each arm will participate in six mock shopping trips with a specified budget. They will purchase (mock) single cigarillos. The primary outcome is the average number of cigarillos purchased during each of the six mock shopping trips.

Outcome measures

Outcome measures
Measure
Cigarillo Warnings-Surgeon General Text-Only
n=446 Participants
Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the Surgeon General Text-Only format. Cigarillo warnings-Surgeon General Text-Only: Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the Surgeon General Text-Only format.
Cigarillo Warnings-FDA Proposed Text-only
n=428 Participants
Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the FDA Proposed Text-Only format. Cigarillo warnings-FDA proposed text-only: Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the FDA Proposed Text-Only format.
Cigarillo Warnings-Pictorial
n=428 Participants
Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the Pictorial format. Cigarillo warnings-Pictorial: Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the Pictorial format.
Average Total Number of Cigarillos Purchased
Cigarillo price $0.25
6.33 cigarillos
Standard Deviation 11.20
6.28 cigarillos
Standard Deviation 9.75
6.64 cigarillos
Standard Deviation 10.01
Average Total Number of Cigarillos Purchased
Cigarillo price $0.50
4.98 cigarillos
Standard Deviation 7.91
6.45 cigarillos
Standard Deviation 12.44
6.14 cigarillos
Standard Deviation 10.09
Average Total Number of Cigarillos Purchased
Cigarillo price $0.75
4.36 cigarillos
Standard Deviation 7.08
5.29 cigarillos
Standard Deviation 10.83
4.66 cigarillos
Standard Deviation 7.40
Average Total Number of Cigarillos Purchased
Cigarillo price $1.50
2.81 cigarillos
Standard Deviation 4.28
3.66 cigarillos
Standard Deviation 6.96
3.09 cigarillos
Standard Deviation 4.38
Average Total Number of Cigarillos Purchased
Cigarillo price $3
1.82 cigarillos
Standard Deviation 3.01
2.19 cigarillos
Standard Deviation 3.83
1.96 cigarillos
Standard Deviation 2.81
Average Total Number of Cigarillos Purchased
Cigarillo price $6
1.00 cigarillos
Standard Deviation 1.62
1.14 cigarillos
Standard Deviation 1.95
1.04 cigarillos
Standard Deviation 1.77

SECONDARY outcome

Timeframe: Within the 20-minute survey

Participants will participate in six mock shopping trips with a specified budget. They will have the option to purchase (mock) tobacco products in addition to cigarillos: cigarettes, menthol cigarettes, e-cigarettes/vaping devices, oral nicotine. This outcome will be the sum mg of the number of combusted non-cigarillo tobacco products purchased during each of the six mock shopping trips

Outcome measures

Outcome measures
Measure
Cigarillo Warnings-Surgeon General Text-Only
n=446 Participants
Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the Surgeon General Text-Only format. Cigarillo warnings-Surgeon General Text-Only: Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the Surgeon General Text-Only format.
Cigarillo Warnings-FDA Proposed Text-only
n=428 Participants
Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the FDA Proposed Text-Only format. Cigarillo warnings-FDA proposed text-only: Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the FDA Proposed Text-Only format.
Cigarillo Warnings-Pictorial
n=428 Participants
Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the Pictorial format. Cigarillo warnings-Pictorial: Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the Pictorial format.
Average Total Amount of mg Combusted Tobacco Purchased
Shopping Trip 1
445.06 mg of combusted tobacco purchased
Standard Error 46.29
404.52 mg of combusted tobacco purchased
Standard Error 30.56
395.66 mg of combusted tobacco purchased
Standard Error 27.59
Average Total Amount of mg Combusted Tobacco Purchased
Shopping Trip 2
339.39 mg of combusted tobacco purchased
Standard Error 27.34
416.61 mg of combusted tobacco purchased
Standard Error 34.95
401.25 mg of combusted tobacco purchased
Standard Error 38.88
Average Total Amount of mg Combusted Tobacco Purchased
Shopping Trip 3
296.12 mg of combusted tobacco purchased
Standard Error 24.37
363.16 mg of combusted tobacco purchased
Standard Error 33.61
360.90 mg of combusted tobacco purchased
Standard Error 33.81
Average Total Amount of mg Combusted Tobacco Purchased
Shopping Trip 4
230.15 mg of combusted tobacco purchased
Standard Error 20.73
274.97 mg of combusted tobacco purchased
Standard Error 23.35
277.28 mg of combusted tobacco purchased
Standard Error 29.80
Average Total Amount of mg Combusted Tobacco Purchased
Shopping Trip 5
181.61 mg of combusted tobacco purchased
Standard Error 18.50
213.83 mg of combusted tobacco purchased
Standard Error 20.12
219.56 mg of combusted tobacco purchased
Standard Error 28.03
Average Total Amount of mg Combusted Tobacco Purchased
Shopping Trip 6
160.71 mg of combusted tobacco purchased
Standard Error 18.30
171.90 mg of combusted tobacco purchased
Standard Error 18.60
168.82 mg of combusted tobacco purchased
Standard Error 19.88

SECONDARY outcome

Timeframe: Within the 20-minute survey

Participants will participate in six mock shopping trips with a specified budget. They will have the option to purchase (mock) tobacco products in addition to cigarillos: cigarettes, menthol cigarettes, e-cigarettes/vaping devices, oral nicotine. This outcome will be the sum mg of the number of non-combusted tobacco products purchased during each of the six mock shopping trips.

Outcome measures

Outcome measures
Measure
Cigarillo Warnings-Surgeon General Text-Only
n=446 Participants
Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the Surgeon General Text-Only format. Cigarillo warnings-Surgeon General Text-Only: Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the Surgeon General Text-Only format.
Cigarillo Warnings-FDA Proposed Text-only
n=428 Participants
Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the FDA Proposed Text-Only format. Cigarillo warnings-FDA proposed text-only: Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the FDA Proposed Text-Only format.
Cigarillo Warnings-Pictorial
n=428 Participants
Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the Pictorial format. Cigarillo warnings-Pictorial: Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the Pictorial format.
Average Total Amount of mg Non-combusted Tobacco Purchased
Shopping Trip 2
106.68 mg of non-combusted tobacco purchased
Standard Error 11.19
122.98 mg of non-combusted tobacco purchased
Standard Error 22.81
126.93 mg of non-combusted tobacco purchased
Standard Error 17.02
Average Total Amount of mg Non-combusted Tobacco Purchased
Shopping Trip 1
134.81 mg of non-combusted tobacco purchased
Standard Error 17.75
133.72 mg of non-combusted tobacco purchased
Standard Error 18.23
148.93 mg of non-combusted tobacco purchased
Standard Error 20.12
Average Total Amount of mg Non-combusted Tobacco Purchased
Shopping Trip 3
120.26 mg of non-combusted tobacco purchased
Standard Error 18.11
108.97 mg of non-combusted tobacco purchased
Standard Error 11.54
102.30 mg of non-combusted tobacco purchased
Standard Error 14.35
Average Total Amount of mg Non-combusted Tobacco Purchased
Shopping Trip 4
92.73 mg of non-combusted tobacco purchased
Standard Error 10.76
116.16 mg of non-combusted tobacco purchased
Standard Error 22.73
82.43 mg of non-combusted tobacco purchased
Standard Error 9.38
Average Total Amount of mg Non-combusted Tobacco Purchased
Shopping Trip 5
73.07 mg of non-combusted tobacco purchased
Standard Error 8.37
81.28 mg of non-combusted tobacco purchased
Standard Error 9.48
82.46 mg of non-combusted tobacco purchased
Standard Error 9.89
Average Total Amount of mg Non-combusted Tobacco Purchased
Shopping Trip 6
67.79 mg of non-combusted tobacco purchased
Standard Error 8.40
70.37 mg of non-combusted tobacco purchased
Standard Error 7.49
75.45 mg of non-combusted tobacco purchased
Standard Error 9.29

SECONDARY outcome

Timeframe: Within the 20 minute survey.

Population: For this index, participants were removed whose baseline balance was insufficient to purchase any products and people who did not purchase anything. Another 50 cases were removed for violating modified bounce criterion.

Number of cigarillos purchased at lowest price, averaged across the six shopping trips

Outcome measures

Outcome measures
Measure
Cigarillo Warnings-Surgeon General Text-Only
n=446 Participants
Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the Surgeon General Text-Only format. Cigarillo warnings-Surgeon General Text-Only: Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the Surgeon General Text-Only format.
Cigarillo Warnings-FDA Proposed Text-only
n=428 Participants
Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the FDA Proposed Text-Only format. Cigarillo warnings-FDA proposed text-only: Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the FDA Proposed Text-Only format.
Cigarillo Warnings-Pictorial
n=428 Participants
Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the Pictorial format. Cigarillo warnings-Pictorial: Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the Pictorial format.
Intensity Index for Cigarillos
6.33 number of cigarillos
Standard Deviation 11.20
6.28 number of cigarillos
Standard Deviation 9.75
6.64 number of cigarillos
Standard Deviation 10.01

SECONDARY outcome

Timeframe: Within the 20-minute survey

Population: For this index, participants were removed whose baseline balance was insufficient to purchase any products and people who did not purchase anything. Another 50 cases were removed for violating modified bounce criterion.

Omax is the maximum amount spent on cigarillos across all shopping trips. Breakpoint is the price where no cigarillos were purchased. Pmax is the price where Omax occurs.

Outcome measures

Outcome measures
Measure
Cigarillo Warnings-Surgeon General Text-Only
n=446 Participants
Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the Surgeon General Text-Only format. Cigarillo warnings-Surgeon General Text-Only: Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the Surgeon General Text-Only format.
Cigarillo Warnings-FDA Proposed Text-only
n=428 Participants
Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the FDA Proposed Text-Only format. Cigarillo warnings-FDA proposed text-only: Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the FDA Proposed Text-Only format.
Cigarillo Warnings-Pictorial
n=428 Participants
Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the Pictorial format. Cigarillo warnings-Pictorial: Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the Pictorial format.
Cost Related Indices for Cigarillos
Omax-maximum amount spent across all shopping trips
8.91 dollars
Standard Deviation 10.46
9.89 dollars
Standard Deviation 12.35
9.47 dollars
Standard Deviation 11.10
Cost Related Indices for Cigarillos
Breakpoint-price where no cigarillos purchased
6.05 dollars
Standard Deviation 3.47
6.40 dollars
Standard Deviation 3.27
6.37 dollars
Standard Deviation 5.59
Cost Related Indices for Cigarillos
Pmax-price where Omax occurs
3.05 dollars
Standard Deviation 2.27
3.19 dollars
Standard Deviation 2.26
3.04 dollars
Standard Deviation 2.22

SECONDARY outcome

Timeframe: Within the 20-minute survey

Population: For Alpha, cases were removed for negative alphas values indicating poor/implausible fits. Cases were were also removed for negative curvature to the data (i.e., a mostly flat line), which does not allow alpha to be generated. Additional cases for each group were removed if alpha could not be calculated leading to the smaller numbers of participants analyzed in each group.

The rate of change for cigarillo demand is called Alpha, which is the rate constant of fitted Exponentiated Demand Equation. It is calculated with the Exponentiated Demand Equation, Q=Q0\*10\^k(e-αQ0C -1), where Q is the mg of nicotine purchased at a given price, Q0 is peak demand consumption or intensity (typically occurring at the lowest price), k is a constant across all compared conditions, and alpha (α) is the rate of change in demand or elasticity.

Outcome measures

Outcome measures
Measure
Cigarillo Warnings-Surgeon General Text-Only
n=337 Participants
Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the Surgeon General Text-Only format. Cigarillo warnings-Surgeon General Text-Only: Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the Surgeon General Text-Only format.
Cigarillo Warnings-FDA Proposed Text-only
n=329 Participants
Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the FDA Proposed Text-Only format. Cigarillo warnings-FDA proposed text-only: Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the FDA Proposed Text-Only format.
Cigarillo Warnings-Pictorial
n=341 Participants
Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the Pictorial format. Cigarillo warnings-Pictorial: Participants will complete 6 mock shopping trips in the Experimental Tobacco Marketplace, and be asked to spend their weekly tobacco budget. Cigarillos in the Marketplace will have one of three cigarillo warnings in the Pictorial format.
Rate of Change for Cigarillo Demand
0.03 cigarillos/dollar
Standard Deviation 0.05
0.02 cigarillos/dollar
Standard Deviation 0.03
0.03 cigarillos/dollar
Standard Deviation 0.05

OTHER_PRE_SPECIFIED outcome

Timeframe: Within the 20-minute survey

Three survey items to measure emotional reactions (anxious, scared, disgusted) to the cigarillo warning the participant saw. Response options are on a 1 to 5 scale. Overall scale scores are determined by summing scores of the 4 items and dividing by 4 (range 1-5), with higher scores representing a higher amount of the construct.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Within the 20-minute survey

The 1 item measure assesses the extent to which a participant reports the warning making them think about the risks of cigarillo smoking. Response options are on a 1 to 5 scale, with higher scores representing a higher amount of the construct.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Within the 20-minute survey

Three survey items to measure participant's interest in quitting cigarillo smoking in the next month, likelihood of quitting smoking cigarillos in the month week, and plans to quit smoking cigarillos in the next month. Response options are on a 1 to 5 scale. Overall scale scores are determined by summing the scores of the 3 items and dividing by 3 (range 1-5), with higher scores representing a higher amount of the construct/intentions to quit

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Within the 20-minute survey

one survey item asking participants if they noticed any health warnings on the cigarillo packages during their shopping tasks, with response options of Yes, No, and I'm not sure. Recall will be determine if participants select Yes.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Within the 20-minute survey

One survey item asking participants to identify which warning they saw during their mock shopping trips. Participants will be shown their warning, a warning that wasn't in their ETM, and "I don't know" response options. Selecting the correct warning indicates warning recognition.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Within the 20-minute survey

The 3-item UNC mean perceived message effectiveness scale assesses a participant's judgement of a warning's impact on their cigarillo beliefs and behavior. Response options are on a 1 to 5 scale. Overall scores are determined by summing the scores of the 3 items and dividing by 3 (range 1-5), with higher scores representing a higher amount of the construct

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Within the 20-minute survey

One survey item asking participants to what extent did they learn something new from the warning. Response options are on a 1 to 5 scale, with the higher number indicating more self-reported learning.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Within the 20-minute survey

Participants will participate in six mock shopping trips with a specified budget. They will have the option to purchase (mock) tobacco products in addition to cigarillos: cigarettes, menthol cigarettes, e-cigarettes/vaping devices, oral nicotine, and two non-tobacco options: snack food and non-alcoholic beverage. This outcome will be the sum mg of the number of non- tobacco products purchased during each of the six mock shopping trips.

Outcome measures

Outcome data not reported

Adverse Events

Cigarillo Warnings-Surgeon General Text-Only

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Cigarillo Warnings-FDA Proposed Text-only

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Cigarillo Warnings-Pictorial

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Jennifer Ross, PhD

BU School of Public Health

Phone: 617 358 1905

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place