|Grant Number:||1R01CA167067-01A1 Interpret this number|
|Primary Investigator:||Thrasher, James|
|Organization:||University Of South Carolina At Columbia|
|Project Title:||Building Evidence for Effective and Sustainable Cigarette Warning Label Policy|
DESCRIPTION (provided by applicant): The US Food and Drug Administration (FDA) now has regulatory authority over tobacco, including the selection and changing of pictorial and textual content for health warning labels (HWLs) on cigarette packaging. In September 2012, the US is scheduled to implement nine different text messages and images on HWLs that will cover 50% of the front and back of cigarette packs. After the first round of pictorial HWLs is implemented, its effects will "wear out" over time. The FDA is charged with changing the content of HWLs if they have evidence that changing them will "...promote greater public understanding of the risks associated with the use of tobacco products.'' The proposed study will address methodological shortfalls of previous studies to provide researchers and US regulators with state-of-the-art scientific evidence on the effects of key pictorial HWL policy characteristics on smokers' understanding of smoking-related risks and on smoking cessation. The results will inform legal challenges to implementation of current US policy, and they will provide the basis for decision-making about future pictorial HWL policy in the US and around the world. We propose to conduct studies of adult smokers in the US and in three comparable countries that will all implement new pictorial HWLs in 2012, but with policies that differ from one another in important ways: 1. the US will implement its 1st round of pictorial HWLs, using short and simple risk messages; 2. Mexico will rotate new HWLs at the highest frequency in the world (i.e., two new HWLs every three months); 2. Canada will implement its 2nd round of pictorial HWLs, which include comprehensive risk and quit messages; 4. Australia will implement its 2nd round of pictorial HWLs, while also implementing the innovative policy of prohibiting brand colors and logos from cigarette packages in order to enhance the efficacy of HWLs. This project will capitalize on the unprecedented opportunity to systematically examine the real world effects over time of different pictorial HWL policies that US regulators should consider for future policy development. The proposed project will pursue the following specific aims: Specific Aim 1: We will use a quasi-experimental design with panels of adult smokers in four countries (Canada, Australia, Mexico, United States) to determine which pictorial HWL characteristics most effectively promote understanding of smoking-related risks and increase cessation behavior. Specific Aim 2: We will conduct a series of controlled randomized experiments among adult smokers in the same four countries, systematically varying their exposure to pictorial HWL characteristics that are novel relative to existing HWLs, in order to determine the cognitive and affective impact of these manipulations. Meeting these aims will produce the scientific evidence that US regulators need on the real world impacts of different pictorial HWL policy options. Results will be disseminated to researchers and decision-makers, including the FDA, which can revise US HWLs to improve consumer understanding of smoking-related harms. PUBLIC HEALTH RELEVANCE: In 2012, the United States (US), Mexico, Canada, and Australia will all implement new pictorial health warning labels (HWLs) on cigarette packaging in order to address smoking, which remains the leading cause of preventable death in the US. The proposed study will take advantage of the extraordinary opportunity to examine the effects of new pictorial HWLs in countries that are comparable to the US but with pictorial HWL policies that contrast in important ways with US policy. Our innovative study will address methodological problems with previous research in order to provide US regulators with the scientific knowledge that they need to develop a HWL policy that most effectively builds and sustains consumer understanding of smoking-related risks.
The U.S. National Tips From Former Smokers Antismoking Campaign: Promoting Awareness of Smoking-Related Risks, Cessation Resources, and Cessation Behaviors.
Authors: Huang LL, Thrasher JF, Abad EN, Cummings KM, Bansal-Travers M, Brown A, Nagelhout GE
Source: Health Educ Behav, 2015 Jan 14;null, p. null.
EPub date: 2015 Jan 14.
Promoting cessation resources through cigarette package warning labels: a longitudinal survey with adult smokers in Canada, Australia and Mexico.
Authors: Thrasher JF, Osman A, Moodie C, Hammond D, Bansal-Travers M, Cummings KM, Borland R, Yong HH, Hardin J
Source: Tob Control, 2015 Mar;24(e1), p. e23-31.
EPub date: 2014 Jul 22.
Pictorial health warning label content and smokers' understanding of smoking-related risks-a cross-country comparison.
Authors: Swayampakala K, Thrasher JF, Hammond D, Yong HH, Bansal-Travers M, Krugman D, Brown A, Borland R, Hardin J
Source: Health Educ Res, 2015 Feb;30(1), p. 35-45.
EPub date: 2014 May 21.
Adult smokers' responses to "corrective statements" regarding tobacco industry deception.
Authors: Kollath-Cattano CL, Abad-Vivero EN, Thrasher JF, Bansal-Travers M, O'Connor RJ, Krugman DM, Berg CJ, Hardin JW
Source: Am J Prev Med, 2014 Jul;47(1), p. 26-36.
EPub date: 2014 Apr 18.
Examining the relationship between psychosocial and behavioral proxies for future consumption behavior: self-reported impact and bidding behavior in an experimental auction study on cigarette labeling.
Authors: Rousu MC, Thrasher JF
Source: Health Educ Res, 2014 Apr;29(2), p. 183-94.
EPub date: 2014 Jan 7.
Cigarette warning label policy alternatives and smoking-related health disparities.
Authors: Thrasher JF, Carpenter MJ, Andrews JO, Gray KM, Alberg AJ, Navarro A, Friedman DB, Cummings KM
Source: Am J Prev Med, 2012 Dec;43(6), p. 590-600.