Grant Details
Grant Number: |
1R01CA217861-01 Interpret this number |
Primary Investigator: |
Mays, Darren |
Organization: |
Georgetown University |
Project Title: |
Optimizing Risk Messages to Promote Waterpipe Tobacco Cessation in Young Adults |
Fiscal Year: |
2017 |
Abstract
Project Summary
Waterpipe tobacco is one of the most commonly used tobacco products among U.S. young adults. Waterpipe
tobacco exposes users to high levels of carcinogens and other harmful toxicants, can lead to long-term
addiction, and is associated with cancer and other negative health outcomes. Despite this evidence, young
adults do not view waterpipe tobacco to be harmful or addictive, perceptions that contribute to the high
prevalence of use. Waterpipe tobacco intervention research has focused on clinical cessation interventions
among older, dependent users. These interventions likely have limited impact among young adults because
their use of clinical cessation interventions is generally low and they do not view themselves to be in need of
such cessation supports for waterpipe. Our research indicates public health messaging conveying the harms
and addictiveness of waterpipe tobacco may be effective to shift young adult waterpipe tobacco users’
perceptions and motivate behavior change. This study builds from our preliminary work and addresses a
critical gap in this research area by rigorously examining the effects of messages conveying the harms and
addictiveness of waterpipe tobacco using text and visual imagery and delivered by mobile phone multimedia
messaging service (MMS) among young adults ages 18 to 30 who use waterpipe tobacco. Our approach
leverages online crowdsourced data collection for message refinement and two-way, interactive mobile phone
technology to engage with participants, deliver MMS messages containing text and visual imagery, and test the
added effects of personally tailored MMS message content. Participants will complete baseline measures,
receive basic message content on the harms and addictiveness of waterpipe tobacco use, and be randomized
to three conditions: 1) a control condition receiving no additional messaging, 2) an untailored MMS condition,
or 3) a tailored MMS condition. For a 1 month period, participants assigned to MMS conditions will receive text
message prompts on two days each week delivered to their mobile phones via an interactive messaging
system to assess waterpipe tobacco perceptions and behavior. After responding to prompts, participants will
immediately receive MMS messages on the harms and addictiveness of waterpipe tobacco. For the tailored
MMS condition, message content will be personalized to their responses to baseline measures and
dynamically through the interactive text message exchanges during the intervention period. Waterpipe tobacco
use and hypothesized mediators will be reassessed 1-, 3-, and 6-months post-baseline. Our study will
generate critically needed data on the effects of mobile MMS messaging and tailored MMS message content to
inform waterpipe tobacco use interventions. Our study directly addresses National Cancer Institute tobacco
control research priorities, and now that waterpipe tobacco is regulated by the Food and Drug Administration
(FDA) this study can guide the FDA’s efforts to educate the public about the harms of waterpipe tobacco.
Publications
Correlates of motivation to quit waterpipe tobacco smoking among US young adults: implications for cessation interventions.
Authors: Alalwan M.A.
, Keller-Hamilton B.
, Long L.
, Lipkus I.
, Wagener T.L.
, Mays D.
.
Source: Health Education Research, 2023-02-28 00:00:00.0; , .
EPub date: 2023-02-28 00:00:00.0.
PMID: 36880171
Related Citations
Exploring motivation to quit and risk appraisals of hookah tobacco smoking for self and partner among a member of single and dual smoker couples.
Authors: Lipkus I.M.
, Mays D.
, Sanders C.
, Hatch D.
.
Source: Journal Of Behavioral Medicine, 2022-11-01 00:00:00.0; , .
EPub date: 2022-11-01 00:00:00.0.
PMID: 36318399
Related Citations
Influencing Perceptions of Harm of Waterpipe Tobacco Smoking Among One Member of Couples Who Use Waterpipe.
Authors: Lipkus I.M.
, Sanders C.
, Mays D.
.
Source: Nicotine & Tobacco Research : Official Journal Of The Society For Research On Nicotine And Tobacco, 2022-06-15 00:00:00.0; 24(7), p. 1071-1078.
PMID: 34953166
Related Citations
Tailored Mobile Messaging Intervention for Waterpipe Tobacco Cessation in Young Adults: A Randomized Trial.
Authors: Mays D.
, Johnson A.C.
, Phan L.
, Sanders C.
, Shoben A.
, Tercyak K.P.
, Wagener T.L.
, Brinkman M.C.
, Lipkus I.M.
.
Source: American Journal Of Public Health, 2021 09; 111(9), p. 1686-1695.
EPub date: 2021-08-26 00:00:00.0.
PMID: 34436927
Related Citations
Effects of mental simulation of future waterpipe tobacco smoking on attitudes, perceived harms and intended use among young adults.
Authors: Lipkus I.M.
, Mays D.
, Sheeran P.
, Pan W.
, Cameron L.D.
, De Brigard F.
.
Source: Journal Of Behavioral Medicine, 2021-08-18 00:00:00.0; , .
EPub date: 2021-08-18 00:00:00.0.
PMID: 34406549
Related Citations
Testing the Effects of Hookah Tobacco Social Media Risk Communication Messages Among Young Adults.
Authors: Johnson A.C.
, Mays D.
.
Source: Health Education & Behavior : The Official Publication Of The Society For Public Health Education, 2020-10-19 00:00:00.0; , p. 1090198120963104.
EPub date: 2020-10-19 00:00:00.0.
PMID: 33073594
Related Citations
Effect of risk messages on risk appraisals, attitudes, ambivalence, and willingness to smoke hookah in young adults.
Authors: Mays D.
, Johnson A.C.
, Phan L.
, Tercyak K.P.
, Rehberg K.
, Lipkus I.
.
Source: Health Psychology And Behavioral Medicine, 2020; 8(1), p. 96-109.
EPub date: 2020-02-20 00:00:00.0.
PMID: 33033657
Related Citations
Development and Pretesting of Risk-Based Mobile Multimedia Message Content for Young Adult Hookah Use.
Authors: Johnson A.C.
, Lipkus I.
, Tercyak K.P.
, Luta G.
, Rehberg K.
, Phan L.
, Abroms L.C.
, Mays D.
.
Source: Health Education & Behavior : The Official Publication Of The Society For Public Health Education, 2019 Dec; 46(2_suppl), p. 97-105.
PMID: 31742460
Related Citations
Initial development of the Hookah Smoker Scale: Assessing young adults' mental schemas about hookah "smokers".
Authors: Phan L.
, Mays D.
, Tercyak K.P.
, Johnson A.C.
, Rehberg K.
, Lipkus I.M.
.
Source: Translational Behavioral Medicine, 2019-11-13 00:00:00.0; , .
EPub date: 2019-11-13 00:00:00.0.
PMID: 31722424
Related Citations
Comparing harm beliefs and risk perceptions among young adult waterpipe tobacco smokers and nonsmokers: Implications for cessation and prevention.
Authors: Lipkus I.M.
, Mays D.
.
Source: Addictive Behaviors Reports, 2018 Jun; 7, p. 103-110.
EPub date: 2018-03-17 00:00:00.0.
PMID: 29892704
Related Citations