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Grant Details

Grant Number: 5R01CA125413-03 Interpret this number
Primary Investigator: Vidrine, Jennifer
Organization: University Of Tx Md Anderson Can Ctr
Project Title: Literacy and Smoking Risk Communications
Fiscal Year: 2009
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Abstract

DESCRIPTION (provided by applicant): For over 90 million adults - nearly half of all adults in the United States - difficulty with health literacy interferes with the capacity to obtain, process, and understand health information. Moreover, these individuals have an increased risk of disease. Because tobacco smoking is the leading behavioral risk factor that contributes to social disparities in the incidence and mortality of disease, effectively providing low-literate smokers with information concerning the health consequences of smoking is critical. Therefore, the primary aim of the proposed study is to examine how health literacy influences responses to smoking risk messages manipulated in terms of message framing and emotionality. In addition to traditional questionnaires, outcomes will be assessed using "implicit" cognitive psychological measures. Thus, the proposed study examines the immediate effects of different types of smoking risk messages on cognition in a laboratory setting. Findings will have important implications for the future development of smoking cessation interventions targeted at low literacy populations. Smokers with varying levels of health literacy (i.e., inadequate, marginal, adequate) will listen to one of four different types of smoking risk messages recorded on a computer in the form of audio scripts (i.e., a human voice pre-recorded on a computer will read each message) and concurrently presented in written form via a computer monitor. They will be written at a fifth- to sixth-grade reading level and manipulated in terms of 1) framing (i.e., gain-framed messages that highlight the benefits of quitting vs. loss-framed messages that emphasize the costs of failing to quit), and 2) emotionality (i.e., primarily fact-based vs. primarily emotion-based). Framing and emotionality will be completely crossed to create four different types of messages, 1) factual gain-framed, 2) factual loss-framed, 3) emotional gain-framed, and 4) emotional loss-framed. The primary specific aims are to examine: 1) whether main effects emerge for health literacy (inadequate, marginal, adequate) and the different message types (fact-based vs. emotion-based and gain-framed vs. loss-framed) on the primary explicit and implicit outcome measures: a) intention to quit smoking, and b) implicit and explicit attitudes toward smoking, and 2) whether health literacy interacts with the different message types (fact- vs. emotion-based and gain- vs. loss- framed) to influence the primary explicit and implicit outcome measures: a) intention to quit smoking, and b) implicit and explicit attitudes toward smoking. A secondary, exploratory aim is to examine potential associations between explicit and implicit outcomes. Findings will shed light on important cognitive mechanisms that may influence the potency of smoking risk messages across the health literacy spectrum. Moreover, findings will be directly relevant to translation of the basic behavioral science underlying smoking risk communications into enhanced smoking cessation treatment approaches.

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Publications

Associations between health literacy and established predictors of smoking cessation.
Authors: Stewart DW, Adams CE, Cano MA, Correa-Fernández V, Li Y, Waters AJ, Wetter DW, Vidrine JI
Source: Am J Public Health, 2013 Jul;103(7), p. e43-9.
EPub date: 2013 May 16.
PMID: 23678912
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The role of tobacco in cancer health disparities.
Authors: Irvin Vidrine J, Reitzel LR, Wetter DW
Source: Curr Oncol Rep, 2009 Nov;11(6), p. 475-81.
PMID: 19840525
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Pathways between socioeconomic status and modifiable risk factors among African American smokers.
Authors: Kendzor DE, Businelle MS, Mazas CA, Cofta-Woerpel LM, Reitzel LR, Vidrine JI, Li Y, Costello TJ, Cinciripini PM, Ahluwalia JS, Wetter DW
Source: J Behav Med, 2009 Dec;32(6), p. 545-57.
EPub date: 2009 Sep 16.
PMID: 19757014
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The Smoking Consequences Questionnaire: Factor structure and predictive validity among Spanish-speaking Latino smokers in the United States.
Authors: Vidrine JI, Vidrine DJ, Costello TJ, Mazas C, Cofta-Woerpel L, Mejia LM, Wetter DW
Source: Nicotine Tob Res, 2009 Nov;11(11), p. 1280-8.
EPub date: 2009 Aug 20.
PMID: 19696309
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Cigarette smoking is associated with body shape concerns and bulimia symptoms among young adult females.
Authors: Kendzor DE, Adams CE, Stewart DW, Baillie LE, Copeland AL
Source: Eat Behav, 2009 Jan;10(1), p. 56-8.
EPub date: 2008 Nov 6.
PMID: 19171320
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Light versus heavy smoking among African American men and women.
Authors: Businelle MS, Kendzor DE, Costello TJ, Cofta-Woerpel L, Li Y, Mazas CA, Vidrine JI, Reitzel LR, Cinciripini PM, Ahluwalia JS, Wetter DW
Source: Addict Behav, 2009 Feb;34(2), p. 197-203.
EPub date: 2008 Oct 11.
PMID: 18976867
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