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National Institutes of Health: National Cancer Institute: Division of Cancer Control and Population Sciences
Grant Details

Grant Number: 7R01CA167067-03 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
Fiscal Year: 2013
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Abstract

DESCRIPTION (provided by applicant): Recent legislation provides the US Food and Drug Administration (FDA) with regulatory authority over tobacco, including the selection of pictorial imagery for new health warning labels (HWLs) that will cover 50% of the front and back of cigarette packs starting in 2012. US HWL policy is aligned with research that has clearly demonstrated that the most effective HWLs are prominent, cover the front and back of the pack, and include imagery that depicts the consequences of smoking. However, the effects of pictorial HWLs "wear out", and the specific characteristics of pictorial HWLs that promote a sustained impact have not been carefully studied. Between-country variation in key characteristics of pictorial HWL policies allows for a natural experiment to determine their relative impact over time. We propose to conduct quasi-experimental and experimental studies among adult smokers in four countries with pictorial HWL policies that differ along key dimensions and that involve implementation of new pictorial HWL content and design in 2012: 1. The US will introduce pictorial HWLs for the first time; 2. Canada will change pictorial HWLs for the first tim after the longest period of exposure in the world (i.e., 11 years); 3. Mexico will continue rotatin new HWLs at the highest frequency in the world (i.e., every three months); and 4. Australia will change its pictorial HWLs while simultaneously implementing the innovative policy of prohibiting brand imagery on cigarette packs (i.e., "plain" packaging). This project would capitalize on the unprecedented opportunity to systematically examine the over-time effects of changes to HWL policies in four countries that will introduce novel pictorial HWLs in the same year. We will do this by pursuing the following specific aims: Specific Aim 1: We will use a quasi-experimental design with rolling panels of adult smokers in these four countries, in order to determine whether pictorial HWL characteristics that are easiest to process have a more sustained impact on smoking cessation-related cognitions, affect and behaviors than HWL characteristics that require greater cognitive effort to process. 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 content and design that is novel relative to existing HWLs, in order to determine the cognitive and affective impact of these manipulations. This project brings together the world's leading experts on tobacco HWL policy to extend the foundation for evidence-based policy development, so that it encompasses the effectiveness and sustainability of different HWL policy options. Results will be disseminated to key decision-makers around the world, including the US FDA and the US Secretary of Health and Human Services, who have the authority to revise HWLs to ensure adequate public understanding of the harms of tobacco use.

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Publications

Cigarette Warning Label Policy Alternatives And Smoking-related Health Disparities
Authors: Thrasher J.F. , Carpenter M.J. , Andrews J.O. , Gray K.M. , Alberg A.J. , Navarro A. , Friedman D.B. , Cummings K.M. .
Source: American Journal Of Preventive Medicine, 2012 Dec; 43(6), p. 590-600.
PMID: 23159254
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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 M.C. , Thrasher J.F. .
Source: Health Education Research, 2014 Apr; 29(2), p. 183-94.
PMID: 24399267
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Adult Smokers' Responses To "corrective Statements" Regarding Tobacco Industry Deception
Authors: Kollath-Cattano C.L. , Abad-Vivero E.N. , Thrasher J.F. , Bansal-Travers M. , O'Connor R.J. , Krugman D.M. , Berg C.J. , Hardin J.W. .
Source: American Journal Of Preventive Medicine, 2014 Jul; 47(1), p. 26-36.
PMID: 24746372
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Pictorial Health Warning Label Content And Smokers' Understanding Of Smoking-related Risks-a Cross-country Comparison
Authors: Swayampakala K. , Thrasher J.F. , Hammond D. , Yong H.H. , Bansal-Travers M. , Krugman D. , Brown A. , Borland R. , Hardin J. .
Source: Health Education Research, 2015 Feb; 30(1), p. 35-45.
PMID: 24848554
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Mediational Pathways Of The Impact Of Cigarette Warning Labels On Quit Attempts
Authors: Yong H.H. , Borland R. , Thrasher J.F. , Thompson M.E. , Nagelhout G.E. , Fong G.T. , Hammond D. , Cummings K.M. .
Source: Health Psychology : Official Journal Of The Division Of Health Psychology, American Psychological Association, 2014 Nov; 33(11), p. 1410-20.
PMID: 24977309
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Promoting Cessation Resources Through Cigarette Package Warning Labels: A Longitudinal Survey With Adult Smokers In Canada, Australia And Mexico
Authors: Thrasher J.F. , Osman A. , Moodie C. , Hammond D. , Bansal-Travers M. , Cummings K.M. , Borland R. , Yong H.H. , Hardin J. .
Source: Tobacco Control, 2015 Mar; 24(e1), p. e23-31.
PMID: 25052860
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The Use Of Cigarette Package Inserts To Supplement Pictorial Health Warnings: An Evaluation Of The Canadian Policy
Authors: Thrasher J.F. , Osman A. , Abad-Vivero E.N. , Hammond D. , Bansal-Travers M. , Cummings K.M. , Hardin J.W. , Moodie C. .
Source: Nicotine & Tobacco Research : Official Journal Of The Society For Research On Nicotine And Tobacco, 2015 Jul; 17(7), p. 870-5.
PMID: 25480931
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The U.s. National Tips From Former Smokers Antismoking Campaign: Promoting Awareness Of Smoking-related Risks, Cessation Resources, And Cessation Behaviors
Authors: Huang L.L. , Thrasher J.F. , Abad E.N. , Cummings K.M. , Bansal-Travers M. , Brown A. , Nagelhout G.E. .
Source: Health Education & Behavior : The Official Publication Of The Society For Public Health Education, 2015 Aug; 42(4), p. 480-6.
PMID: 25588934
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Cigarette Brands With Flavour Capsules In The Filter: Trends In Use And Brand Perceptions Among Smokers In The Usa, Mexico And Australia, 2012-2014
Authors: Thrasher J.F. , Abad-Vivero E.N. , Moodie C. , O'Connor R.J. , Hammond D. , Cummings K.M. , Yong H.H. , Salloum R.G. , Czoli C. , Reynales-Shigematsu L.M. .
Source: Tobacco Control, 2015-04-27 00:00:00.0; , .
PMID: 25918129
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Was The Media Campaign That Supported Australia's New Pictorial Cigarette Warning Labels And Plain Packaging Policy Associated With More Attention To And Talking About Warning Labels?
Authors: Nagelhout G.E. , Osman A. , Yong H.H. , Huang L.L. , Borland R. , Thrasher J.F. .
Source: Addictive Behaviors, 2015 Oct; 49, p. 64-7.
PMID: 26050643
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Interpersonal Communication About Pictorial Health Warnings On Cigarette Packages: Policy-related Influences And Relationships With Smoking Cessation Attempts
Authors: Thrasher J.F. , Abad-Vivero E.N. , Huang L. , O'Connor R.J. , Hammond D. , Bansal-Travers M. , Yong H.H. , Borland R. , Markovsky B. , Hardin J. .
Source: Social Science & Medicine (1982), 2015-05-31 00:00:00.0; , .
PMID: 26092600
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Predictive And External Validity Of A Pre-market Study To Determine The Most Effective Pictorial Health Warning Label Content For Cigarette Packages
Authors: Huang L.L. , Thrasher J.F. , Reid J.L. , Hammond D. .
Source: Nicotine & Tobacco Research : Official Journal Of The Society For Research On Nicotine And Tobacco, 2016 May; 18(5), p. 1376-81.
PMID: 26377516
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Depressive Symptoms And Responses To Cigarette Pack Warning Labels Among Mexican Smokers
Authors: Osman A. , Thrasher J.F. , Cayir E. , Hardin J.W. , Perez-Hernandez R. , Froeliger B. .
Source: Health Psychology : Official Journal Of The Division Of Health Psychology, American Psychological Association, 2016-02-11 00:00:00.0; , .
PMID: 26867043
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Cigarette Package Inserts Can Promote Efficacy Beliefs And Sustained Smoking Cessation Attempts: A Longitudinal Assessment Of An Innovative Policy In Canada
Authors: Thrasher J.F. , Swayampakala K. , Cummings K.M. , Hammond D. , Anshari D. , Krugman D.M. , Hardin J.W. .
Source: Preventive Medicine, 2016-03-10 00:00:00.0; 88, p. 59-65.
PMID: 26970037
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Influences Of Self-efficacy, Response Efficacy, And Reactance On Responses To Cigarette Health Warnings: A Longitudinal Study Of Adult Smokers In Australia And Canada
Authors: Thrasher J.F. , Swayampakala K. , Borland R. , Nagelhout G. , Yong H.H. , Hammond D. , Bansal-Travers M. , Thompson M. , Hardin J. .
Source: Health Communication, 2016-05-02 00:00:00.0; , p. 1-10.
PMID: 27135826
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