Trial Outcomes & Findings for Effects of Narratives on Demand for Low and High Ventilated Cigarettes and Substitution for Alternative Products (NCT NCT05487625)

NCT ID: NCT05487625

Last Updated: 2025-07-02

Results Overview

Participants completed purchasing trials in an Experimental Tobacco Marketplace (ETM), where cigarette prices increased (type varied by condition) while other product prices remained at market value. The extent to which other nicotine/tobacco products substituted for usual, high-, and low-ventilated cigarettes was assessed. The quantity of products purchased in the ETM was converted to milligrams (mg) of nicotine to standardize the unit of measurement across products. The data reflect the relationship between nicotine purchased (mg; y-axis) and cigarette price (x-axis). To obtain estimates of substitution of price-constant products in the different ETM conditions, the investigators used ordinary least squares regression to predict total mg of nicotine purchased of the price constant product. Y-intercept of price-constant products is reported.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

89 participants

Primary outcome timeframe

1 day

Results posted on

2025-07-02

Participant Flow

Participant milestones

Participant milestones
Measure
Narratives
High-ventilated cigarette (HVC) smokers will be exposed to a narrative about the negative consequences of smoking HVC and all of the conditions described in the intervention section. HVC alone: HVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at market price (MP). Note that all participants will complete all the specified conditions. Low-ventilated cigarette (LVC) alone: LVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. HVC and LVC with HVC increasing in price: HVC and LVC are available in the ETM with HVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. LVC and HVC with HVC increasing in price: LVC and HVC are available in the ETM with LVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. Usual, HVC and LVC with usual cigarettes increasing in price.: Usual cigarette, HVC and LVC are available in the ETM with usual cigarettes increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions.
Fact Sheet
High-ventilated cigarette (HVC) smokers will be exposed to fact sheet about the negative consequences of smoking ventilated cigarettes and all of the conditions described in the intervention section. HVC alone: HVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at market price (MP). Note that all participants will complete all the specified conditions. Low-ventilated cigarette (LVC) alone: LVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. HVC and LVC with HVC increasing in price: HVC and LVC are available in the ETM with HVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. LVC and HVC with HVC increasing in price: LVC and HVC are available in the ETM with LVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. Usual, HVC and LVC with usual cigarettes increasing in price.: Usual cigarette, HVC and LVC are available in the ETM with usual cigarettes increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions.
Control
High-ventilated cigarette (HVC) smokers will be not be exposed to any messages and will complete all of the conditions described in the intervention section. HVC alone: HVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at market price (MP). Note that all participants will complete all the specified conditions. Low-ventilated cigarette (LVC) alone: LVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. HVC and LVC with HVC increasing in price: HVC and LVC are available in the ETM with HVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. LVC and HVC with HVC increasing in price: LVC and HVC are available in the ETM with LVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. Usual, HVC and LVC with usual cigarettes increasing in price.: Usual cigarette, HVC and LVC are available in the ETM with usual cigarettes increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions.
Overall Study
STARTED
28
30
29
Overall Study
HVC Alone
27
28
27
Overall Study
LVC Alone
27
28
27
Overall Study
HVC and LVC With HVC Increasing in Price
27
28
27
Overall Study
LVC and HVC With HVC Increasing in Price
27
28
27
Overall Study
Usual, HVC and LVC With Usual Cigarettes Increasing in Price
27
28
27
Overall Study
COMPLETED
27
28
27
Overall Study
NOT COMPLETED
1
2
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Effects of Narratives on Demand for Low and High Ventilated Cigarettes and Substitution for Alternative Products

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Narratives
n=27 Participants
High-ventilated cigarette (HVC) smokers will be exposed to a narrative about the negative consequences of smoking HVC and all of the conditions described in the intervention section. HVC alone: HVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at market price (MP). Note that all participants will complete all the specified conditions. Low-ventilated cigarette (LVC) alone: LVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. HVC and LVC with HVC increasing in price: HVC and LVC are available in the ETM with HVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. LVC and HVC with HVC increasing in price: LVC and HVC are available in the ETM with LVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. Usual, HVC and LVC with usual cigarettes increasing in price.: Usual cigarette, HVC and LVC are available in the ETM with usual cigarettes increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions.
Fact Sheet
n=28 Participants
High-ventilated cigarette (HVC) smokers will be exposed to fact sheet about the negative consequences of smoking ventilated cigarettes and all of the conditions described in the intervention section. HVC alone: HVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at market price (MP). Note that all participants will complete all the specified conditions. Low-ventilated cigarette (LVC) alone: LVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. HVC and LVC with HVC increasing in price: HVC and LVC are available in the ETM with HVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. LVC and HVC with HVC increasing in price: LVC and HVC are available in the ETM with LVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. Usual, HVC and LVC with usual cigarettes increasing in price.: Usual cigarette, HVC and LVC are available in the ETM with usual cigarettes increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions.
Control
n=27 Participants
High-ventilated cigarette (HVC) smokers will be not be exposed to any messages and will complete all of the conditions described in the intervention section. HVC alone: HVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at market price (MP). Note that all participants will complete all the specified conditions. Low-ventilated cigarette (LVC) alone: LVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. HVC and LVC with HVC increasing in price: HVC and LVC are available in the ETM with HVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. LVC and HVC with HVC increasing in price: LVC and HVC are available in the ETM with LVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. Usual, HVC and LVC with usual cigarettes increasing in price.: Usual cigarette, HVC and LVC are available in the ETM with usual cigarettes increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions.
Total
n=82 Participants
Total of all reporting groups
Age, Continuous
46.37 Years of age
STANDARD_DEVIATION 10.76 • n=5 Participants
40.32 Years of age
STANDARD_DEVIATION 10.06 • n=7 Participants
43.81 Years of age
STANDARD_DEVIATION 7.71 • n=5 Participants
43.46 Years of age
STANDARD_DEVIATION 9.81 • n=4 Participants
Sex: Female, Male
Female
16 Participants
n=5 Participants
15 Participants
n=7 Participants
19 Participants
n=5 Participants
50 Participants
n=4 Participants
Sex: Female, Male
Male
11 Participants
n=5 Participants
13 Participants
n=7 Participants
8 Participants
n=5 Participants
32 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
27 Participants
n=5 Participants
28 Participants
n=7 Participants
27 Participants
n=5 Participants
82 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
4 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
6 Participants
n=5 Participants
2 Participants
n=7 Participants
7 Participants
n=5 Participants
15 Participants
n=4 Participants
Race (NIH/OMB)
White
20 Participants
n=5 Participants
22 Participants
n=7 Participants
19 Participants
n=5 Participants
61 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Fagerstrom Test for Cigarette Dependence
5.52 Scores on a scale
STANDARD_DEVIATION 2.19 • n=5 Participants
6.25 Scores on a scale
STANDARD_DEVIATION 2.03 • n=7 Participants
5.26 Scores on a scale
STANDARD_DEVIATION 1.58 • n=5 Participants
5.68 Scores on a scale
STANDARD_DEVIATION 1.97 • n=4 Participants

PRIMARY outcome

Timeframe: 1 day

Participants completed purchasing trials in an Experimental Tobacco Marketplace (ETM), where cigarette prices increased (type varied by condition) while other product prices remained at market value. The extent to which other nicotine/tobacco products substituted for usual, high-, and low-ventilated cigarettes was assessed. The quantity of products purchased in the ETM was converted to milligrams (mg) of nicotine to standardize the unit of measurement across products. The data reflect the relationship between nicotine purchased (mg; y-axis) and cigarette price (x-axis). To obtain estimates of substitution of price-constant products in the different ETM conditions, the investigators used ordinary least squares regression to predict total mg of nicotine purchased of the price constant product. Y-intercept of price-constant products is reported.

Outcome measures

Outcome measures
Measure
Narratives
n=27 Participants
High-ventilated cigarette (HVC) smokers will be exposed to a narrative about the negative consequences of smoking ventilated cigarettes and all of the conditions described in the intervention section. HVC alone: HVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at market price (MP). Note that all participants will complete all the specified conditions. Low-ventilated cigarette (LVC) alone: LVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. HVC and LVC with HVC increasing in price: HVC and LVC are available in the ETM with HVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. LVC and HVC with HVC increasing in price: LVC and HVC are available in the ETM with LVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. Usual, HVC and LVC with usual cigarettes increasing in price.: Usual cigarette, HVC and LVC are available in the ETM with usual cigarettes increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions.
Fact Sheet
n=28 Participants
High-ventilated cigarette (HVC) smokers will be exposed to fact sheet about the negative consequences of smoking ventilated cigarettes and all of the conditions described in the intervention section. HVC alone: HVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at market price (MP). Note that all participants will complete all the specified conditions. Low-ventilated cigarette (LVC) alone: LVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. HVC and LVC with HVC increasing in price: HVC and LVC are available in the ETM with HVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. LVC and HVC with HVC increasing in price: LVC and HVC are available in the ETM with LVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. Usual, HVC and LVC with usual cigarettes increasing in price.: Usual cigarette, HVC and LVC are available in the ETM with usual cigarettes increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions.
Control
n=27 Participants
High-ventilated cigarette (HVC) smokers will be not be exposed to any messages and will complete all of the conditions described in the intervention section. HVC alone: HVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at market price (MP). Note that all participants will complete all the specified conditions. Low-ventilated cigarette (LVC) alone: LVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. HVC and LVC with HVC increasing in price: HVC and LVC are available in the ETM with HVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. LVC and HVC with HVC increasing in price: LVC and HVC are available in the ETM with LVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. Usual, HVC and LVC with usual cigarettes increasing in price.: Usual cigarette, HVC and LVC are available in the ETM with usual cigarettes increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions.
Nicotine/Tobacco Products Substitution Intercept
High-ventilated cigarette alone: e-cigarette estimated intercept
16.4 Mg of Nicotine purchased
Standard Error 37.6
94.2 Mg of Nicotine purchased
Standard Error 36.9
47.8 Mg of Nicotine purchased
Standard Error 37.5
Nicotine/Tobacco Products Substitution Intercept
Low-ventilated cigarette alone: e-cigarette estimated intercept
56.0 Mg of Nicotine purchased
Standard Error 43.5
12.1 Mg of Nicotine purchased
Standard Error 42.8
67.4 Mg of Nicotine purchased
Standard Error 43.5
Nicotine/Tobacco Products Substitution Intercept
HVC and LVC cigarette with HVC cigarettes increasing in price: LVC estimated intercept
129.8 Mg of Nicotine purchased
Standard Error 48.6
182.0 Mg of Nicotine purchased
Standard Error 47.9
236.2 Mg of Nicotine purchased
Standard Error 48.6
Nicotine/Tobacco Products Substitution Intercept
HVC and LVC cigarette with HVC cigarettes increasing in price: e-cigarette estimated intercept
49.9 Mg of Nicotine purchased
Standard Error 48.6
56.9 Mg of Nicotine purchased
Standard Error 47.9
30.2 Mg of Nicotine purchased
Standard Error 48.6
Nicotine/Tobacco Products Substitution Intercept
HVC and LVC cigarette with LVC cigarettes increasing in price: e-cigarette estimated intercept
56.1 Mg of Nicotine purchased
Standard Error 45.4
40.3 Mg of Nicotine purchased
Standard Error 44.8
40.7 Mg of Nicotine purchased
Standard Error 45.4
Nicotine/Tobacco Products Substitution Intercept
HVC and LVC cigarette with LVC cigarettes increasing in price: HVC estimated intercept
102.3 Mg of Nicotine purchased
Standard Error 45.4
184.8 Mg of Nicotine purchased
Standard Error 44.8
206.9 Mg of Nicotine purchased
Standard Error 45.4
Nicotine/Tobacco Products Substitution Intercept
Usual, HVC and LVC cigarette with usual cigarettes increasing in price: e-cigarette intercept
59.43 Mg of Nicotine purchased
Standard Error 37.9
40.35 Mg of Nicotine purchased
Standard Error 37.4
2.80 Mg of Nicotine purchased
Standard Error 37.9
Nicotine/Tobacco Products Substitution Intercept
Usual, HVC and LVC cigarette with usual cigarettes increasing in price: HVC intercept
-55.80 Mg of Nicotine purchased
Standard Error 37.9
-24.32 Mg of Nicotine purchased
Standard Error 37.4
35.66 Mg of Nicotine purchased
Standard Error 37.9
Nicotine/Tobacco Products Substitution Intercept
Usual, HVC and LVC cigarette with usual cigarettes increasing in price: LVC intercept
6.24 Mg of Nicotine purchased
Standard Error 37.9
23.99 Mg of Nicotine purchased
Standard Error 37.4
-5.20 Mg of Nicotine purchased
Standard Error 37.9

PRIMARY outcome

Timeframe: 1 day

Participants completed purchasing trials in an Experimental Tobacco Marketplace (ETM), where cigarette prices increased (type varied by condition) while other product prices remained at market value. The extent to which other nicotine/tobacco products substituted for usual, high-, and low-ventilated cigarettes was assessed. The quantity of products purchased in the ETM was converted to milligrams (mg) of nicotine to standardize the unit of measurement across products. The data reflect the relationship between nicotine purchased (mg; y-axis) and cigarette price (x-axis). Demand was estimated using the exponential equation: Q = Q0 \* 10\^k(exp(-αQ0C) - 1), where Q is nicotine purchased (mg), C is price, Q0 is demand intensity (purchases at no cost), k is the function's logarithmic span, and α is demand elasticity. Intensity q0 is reported, which represents the estimated mg of nicotine purchased when cigarettes are free (price = 0).

Outcome measures

Outcome measures
Measure
Narratives
n=27 Participants
High-ventilated cigarette (HVC) smokers will be exposed to a narrative about the negative consequences of smoking ventilated cigarettes and all of the conditions described in the intervention section. HVC alone: HVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at market price (MP). Note that all participants will complete all the specified conditions. Low-ventilated cigarette (LVC) alone: LVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. HVC and LVC with HVC increasing in price: HVC and LVC are available in the ETM with HVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. LVC and HVC with HVC increasing in price: LVC and HVC are available in the ETM with LVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. Usual, HVC and LVC with usual cigarettes increasing in price.: Usual cigarette, HVC and LVC are available in the ETM with usual cigarettes increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions.
Fact Sheet
n=28 Participants
High-ventilated cigarette (HVC) smokers will be exposed to fact sheet about the negative consequences of smoking ventilated cigarettes and all of the conditions described in the intervention section. HVC alone: HVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at market price (MP). Note that all participants will complete all the specified conditions. Low-ventilated cigarette (LVC) alone: LVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. HVC and LVC with HVC increasing in price: HVC and LVC are available in the ETM with HVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. LVC and HVC with HVC increasing in price: LVC and HVC are available in the ETM with LVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. Usual, HVC and LVC with usual cigarettes increasing in price.: Usual cigarette, HVC and LVC are available in the ETM with usual cigarettes increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions.
Control
n=27 Participants
High-ventilated cigarette (HVC) smokers will be not be exposed to any messages and will complete all of the conditions described in the intervention section. HVC alone: HVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at market price (MP). Note that all participants will complete all the specified conditions. Low-ventilated cigarette (LVC) alone: LVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. HVC and LVC with HVC increasing in price: HVC and LVC are available in the ETM with HVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. LVC and HVC with HVC increasing in price: LVC and HVC are available in the ETM with LVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. Usual, HVC and LVC with usual cigarettes increasing in price.: Usual cigarette, HVC and LVC are available in the ETM with usual cigarettes increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions.
Cigarette Demand Intensity q0
Cigarette demand intensity q0: usual
2509.951 Mg of Nicotine purchased
Standard Error 636.7094
2446.043 Mg of Nicotine purchased
Standard Error 629.3318
2002.901 Mg of Nicotine purchased
Standard Error 431.5768
Cigarette Demand Intensity q0
Cigarette demand intensity q0: HVC and LVC with HVC increasing in price
1226.371 Mg of Nicotine purchased
Standard Error 313.1189
1389.097 Mg of Nicotine purchased
Standard Error 376.9664
1201.065 Mg of Nicotine purchased
Standard Error 333.2428
Cigarette Demand Intensity q0
Cigarette demand intensity q0: LVC and HVC with LVC increasing in price
1296.955 Mg of Nicotine purchased
Standard Error 371.9530
1106.049 Mg of Nicotine purchased
Standard Error 292.4133
1393.520 Mg of Nicotine purchased
Standard Error 416.9316
Cigarette Demand Intensity q0
Cigarette demand intensity q0: HVC only
1293.099 Mg of Nicotine purchased
Standard Error 247.6387
2207.993 Mg of Nicotine purchased
Standard Error 483.5283
1395.041 Mg of Nicotine purchased
Standard Error 321.9870
Cigarette Demand Intensity q0
Cigarette demand intensity q0: LVC only
2289.174 Mg of Nicotine purchased
Standard Error 613.9061
1379.648 Mg of Nicotine purchased
Standard Error 215.8875
2085.754 Mg of Nicotine purchased
Standard Error 565.8513

PRIMARY outcome

Timeframe: 1 day

Participants completed purchasing trials in an Experimental Tobacco Marketplace (ETM), where cigarette prices increased (type varied by condition) while other product prices remained at market value. The extent to which other nicotine/tobacco products substituted for usual, high-, and low-ventilated cigarettes was assessed. The quantity of products purchased in the ETM was converted to milligrams (mg) of nicotine to standardize the unit of measurement across products. The data reflect the relationship between nicotine purchased (mg; y-axis) and cigarette price (x-axis). To obtain estimates of substitution of price-constant products in the different ETM conditions, the investigators used ordinary least squares regression to predict total mg of nicotine purchased of the price-constant product. Slope of price-constant products is reported, which represents the change in mg of nicotine purchased of price-constant products divided by the change in cigarette price.

Outcome measures

Outcome measures
Measure
Narratives
n=27 Participants
High-ventilated cigarette (HVC) smokers will be exposed to a narrative about the negative consequences of smoking ventilated cigarettes and all of the conditions described in the intervention section. HVC alone: HVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at market price (MP). Note that all participants will complete all the specified conditions. Low-ventilated cigarette (LVC) alone: LVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. HVC and LVC with HVC increasing in price: HVC and LVC are available in the ETM with HVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. LVC and HVC with HVC increasing in price: LVC and HVC are available in the ETM with LVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. Usual, HVC and LVC with usual cigarettes increasing in price.: Usual cigarette, HVC and LVC are available in the ETM with usual cigarettes increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions.
Fact Sheet
n=28 Participants
High-ventilated cigarette (HVC) smokers will be exposed to fact sheet about the negative consequences of smoking ventilated cigarettes and all of the conditions described in the intervention section. HVC alone: HVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at market price (MP). Note that all participants will complete all the specified conditions. Low-ventilated cigarette (LVC) alone: LVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. HVC and LVC with HVC increasing in price: HVC and LVC are available in the ETM with HVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. LVC and HVC with HVC increasing in price: LVC and HVC are available in the ETM with LVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. Usual, HVC and LVC with usual cigarettes increasing in price.: Usual cigarette, HVC and LVC are available in the ETM with usual cigarettes increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions.
Control
n=27 Participants
High-ventilated cigarette (HVC) smokers will be not be exposed to any messages and will complete all of the conditions described in the intervention section. HVC alone: HVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at market price (MP). Note that all participants will complete all the specified conditions. Low-ventilated cigarette (LVC) alone: LVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. HVC and LVC with HVC increasing in price: HVC and LVC are available in the ETM with HVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. LVC and HVC with HVC increasing in price: LVC and HVC are available in the ETM with LVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. Usual, HVC and LVC with usual cigarettes increasing in price.: Usual cigarette, HVC and LVC are available in the ETM with usual cigarettes increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions.
Nicotine/Tobacco Products Substitution Slope
High-ventilated cigarette alone: e-cigarette estimated slope
13.24 Mg of nicotine/price US$
Standard Error 8.35
-10.33 Mg of nicotine/price US$
Standard Error 8.24
1.96 Mg of nicotine/price US$
Standard Error 8.35
Nicotine/Tobacco Products Substitution Slope
Low-ventilated cigarette alone: e-cigarette tobacco estimated slope
1.65 Mg of nicotine/price US$
Standard Error 9.47
11.50 Mg of nicotine/price US$
Standard Error 9.34
-4.26 Mg of nicotine/price US$
Standard Error 9.47
Nicotine/Tobacco Products Substitution Slope
HVC and LVC cigarette with HVC cigarettes increasing in price: LVC estimated slope
26.48 Mg of nicotine/price US$
Standard Error 9.89
20.94 Mg of nicotine/price US$
Standard Error 9.79
27.70 Mg of nicotine/price US$
Standard Error 9.89
Nicotine/Tobacco Products Substitution Slope
HVC and LVC cigarette with HVC cigarettes increasing in price: e-cigarette estimated slope
1.88 Mg of nicotine/price US$
Standard Error 9.89
-3.67 Mg of nicotine/price US$
Standard Error 9.79
3.09 Mg of nicotine/price US$
Standard Error 9.89
Nicotine/Tobacco Products Substitution Slope
HVC and LVC cigarette with LVC cigarettes increasing in price: e-cigarette estimated slope
0.989 Mg of nicotine/price US$
Standard Error 9.65
1.593 Mg of nicotine/price US$
Standard Error 9.54
0.110 Mg of nicotine/price US$
Standard Error 9.65
Nicotine/Tobacco Products Substitution Slope
HVC and LVC cigarette with LVC cigarettes increasing in price: HVC estimated slope
24.678 Mg of nicotine/price US$
Standard Error 9.65
25.283 Mg of nicotine/price US$
Standard Error 9.54
23.800 Mg of nicotine/price US$
Standard Error 9.65
Nicotine/Tobacco Products Substitution Slope
Usual, HVC and LVC cigarette with usual cigarettes increasing in price: e-cigarette slope
-4.370 Mg of nicotine/price US$
Standard Error 8.17
-0.643 Mg of nicotine/price US$
Standard Error 8.09
7.577 Mg of nicotine/price US$
Standard Error 8.17
Nicotine/Tobacco Products Substitution Slope
Usual, HVC and LVC cigarette with usual cigarettes increasing in price: HVC slope
28.306 Mg of nicotine/price US$
Standard Error 8.17
32.033 Mg of nicotine/price US$
Standard Error 8.09
40.253 Mg of nicotine/price US$
Standard Error 8.17
Nicotine/Tobacco Products Substitution Slope
Usual, HVC and LVC cigarette with usual cigarettes increasing in price: LVC slope
20.456 Mg of nicotine/price US$
Standard Error 8.17
24.182 Mg of nicotine/price US$
Standard Error 8.09
32.403 Mg of nicotine/price US$
Standard Error 8.17

PRIMARY outcome

Timeframe: 1 day

Participants completed purchasing trials in an Experimental Tobacco Marketplace (ETM), where cigarette prices increased (type varied by condition) while other product prices remained at market value. The extent to which other nicotine/tobacco products substituted for usual, high-, and low-ventilated cigarettes was assessed. The quantity of products purchased in the ETM was converted to milligrams (mg) of nicotine to standardize the unit of measurement across products. The data reflect the relationship between nicotine purchased (mg; y-axis) and cigarette price (x-axis). Demand was estimated using the exponential equation: Q = Q0 \* 10\^k(exp(-αQ0C) - 1), where Q is nicotine purchased (mg), C is price, Q0 is demand intensity (purchases at no cost), k is the function's logarithmic span, and α is demand elasticity. Elasticity alpha is reported, which represents the sensitivity of purchasing to changes in cigarette price.

Outcome measures

Outcome measures
Measure
Narratives
n=27 Participants
High-ventilated cigarette (HVC) smokers will be exposed to a narrative about the negative consequences of smoking ventilated cigarettes and all of the conditions described in the intervention section. HVC alone: HVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at market price (MP). Note that all participants will complete all the specified conditions. Low-ventilated cigarette (LVC) alone: LVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. HVC and LVC with HVC increasing in price: HVC and LVC are available in the ETM with HVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. LVC and HVC with HVC increasing in price: LVC and HVC are available in the ETM with LVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. Usual, HVC and LVC with usual cigarettes increasing in price.: Usual cigarette, HVC and LVC are available in the ETM with usual cigarettes increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions.
Fact Sheet
n=28 Participants
High-ventilated cigarette (HVC) smokers will be exposed to fact sheet about the negative consequences of smoking ventilated cigarettes and all of the conditions described in the intervention section. HVC alone: HVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at market price (MP). Note that all participants will complete all the specified conditions. Low-ventilated cigarette (LVC) alone: LVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. HVC and LVC with HVC increasing in price: HVC and LVC are available in the ETM with HVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. LVC and HVC with HVC increasing in price: LVC and HVC are available in the ETM with LVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. Usual, HVC and LVC with usual cigarettes increasing in price.: Usual cigarette, HVC and LVC are available in the ETM with usual cigarettes increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions.
Control
n=27 Participants
High-ventilated cigarette (HVC) smokers will be not be exposed to any messages and will complete all of the conditions described in the intervention section. HVC alone: HVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at market price (MP). Note that all participants will complete all the specified conditions. Low-ventilated cigarette (LVC) alone: LVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. HVC and LVC with HVC increasing in price: HVC and LVC are available in the ETM with HVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. LVC and HVC with HVC increasing in price: LVC and HVC are available in the ETM with LVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. Usual, HVC and LVC with usual cigarettes increasing in price.: Usual cigarette, HVC and LVC are available in the ETM with usual cigarettes increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions.
Cigarette Demand Elasticity Alpha
Cigarette demand elasticity alpha: usual
0.0001184530 Mg of Nicotine purchased/Price changes
Standard Error 0.00002668313
0.0001866522 Mg of Nicotine purchased/Price changes
Standard Error 0.00005510821
0.0006728454 Mg of Nicotine purchased/Price changes
Standard Error 0.0004281379
Cigarette Demand Elasticity Alpha
Cigarette demand elasticity alpha: HVC and LVC with HVC increasing in price
-0.004862780 Mg of Nicotine purchased/Price changes
Standard Error 0.00730483
0.003933976 Mg of Nicotine purchased/Price changes
Standard Error 0.00373252
0.002001107 Mg of Nicotine purchased/Price changes
Standard Error 0.00192290
Cigarette Demand Elasticity Alpha
Cigarette demand elasticity alpha: LVC and HVC with LVC increasing in price
0.0001730126 Mg of Nicotine purchased/Price changes
Standard Error 0.00008899978
0.0010937345 Mg of Nicotine purchased/Price changes
Standard Error 0.0007710276
0.0004953039 Mg of Nicotine purchased/Price changes
Standard Error 0.0003009148
Cigarette Demand Elasticity Alpha
Cigarette demand elasticity alpha: HVC only
0.005474398 Mg of Nicotine purchased/Price changes
Standard Error 0.002837352
0.002718229 Mg of Nicotine purchased/Price changes
Standard Error 0.002489950
0.006274115 Mg of Nicotine purchased/Price changes
Standard Error 0.005146063
Cigarette Demand Elasticity Alpha
Cigarette demand elasticity alpha: LVC only
0.0017715209 Mg of Nicotine purchased/Price changes
Standard Error 0.0015139344
0.0003113996 Mg of Nicotine purchased/Price changes
Standard Error 0.0001296562
0.0058833919 Mg of Nicotine purchased/Price changes
Standard Error 0.0053767638

Adverse Events

Narratives

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

Fact Sheet

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Control

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Narratives
n=27 participants at risk
High-ventilated cigarette (HVC) smokers will be exposed to a narrative about the negative consequences of smoking HVC and all of the conditions described in the intervention section. HVC alone: HVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at market price (MP). Note that all participants will complete all the specified conditions. Low-ventilated cigarette (LVC) alone: LVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. HVC and LVC with HVC increasing in price: HVC and LVC are available in the ETM with HVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. LVC and HVC with HVC increasing in price: LVC and HVC are available in the ETM with LVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. Usual, HVC and LVC with usual cigarettes increasing in price.: Usual cigarette, HVC and LVC are available in the ETM with usual cigarettes increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions.
Fact Sheet
n=28 participants at risk
High-ventilated cigarette (HVC) smokers will be exposed to fact sheet about the negative consequences of smoking ventilated cigarettes and all of the conditions described in the intervention section. HVC alone: HVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at market price (MP). Note that all participants will complete all the specified conditions. Low-ventilated cigarette (LVC) alone: LVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. HVC and LVC with HVC increasing in price: HVC and LVC are available in the ETM with HVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. LVC and HVC with HVC increasing in price: LVC and HVC are available in the ETM with LVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. Usual, HVC and LVC with usual cigarettes increasing in price.: Usual cigarette, HVC and LVC are available in the ETM with usual cigarettes increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions.
Control
n=27 participants at risk
High-ventilated cigarette (HVC) smokers will be not be exposed to any messages and will complete all of the conditions described in the intervention section. HVC alone: HVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at market price (MP). Note that all participants will complete all the specified conditions. Low-ventilated cigarette (LVC) alone: LVC are the only available cigarettes in the ETM which increases in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. HVC and LVC with HVC increasing in price: HVC and LVC are available in the ETM with HVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. LVC and HVC with HVC increasing in price: LVC and HVC are available in the ETM with LVC increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions. Usual, HVC and LVC with usual cigarettes increasing in price.: Usual cigarette, HVC and LVC are available in the ETM with usual cigarettes increasing in price across trials. Other products are available in the ETM at MP. Note that all participants will complete all the specified conditions.
Gastrointestinal disorders
Gastrointestinal Issues
0.00%
0/27 • Approximately 2-3 weeks.
Adverse events were assessed in a systematic manner. Specifically, this adverse event was identified before the intervention phase, during the period when a participant was sampling products at home. The participant reported experiencing withdrawal symptoms after using the products.
3.6%
1/28 • Number of events 1 • Approximately 2-3 weeks.
Adverse events were assessed in a systematic manner. Specifically, this adverse event was identified before the intervention phase, during the period when a participant was sampling products at home. The participant reported experiencing withdrawal symptoms after using the products.
0.00%
0/27 • Approximately 2-3 weeks.
Adverse events were assessed in a systematic manner. Specifically, this adverse event was identified before the intervention phase, during the period when a participant was sampling products at home. The participant reported experiencing withdrawal symptoms after using the products.

Additional Information

Roberta Freitas Lemos

Fralin Biomedical Research Institute at VTC

Phone: 540 526 2106

Results disclosure agreements

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