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Grant Details

Grant Number: 5R00CA187460-05 Interpret this number
Primary Investigator: Popova, Lyudmila
Organization: Georgia State University
Project Title: Communicating Harm of New Tobacco Products
Fiscal Year: 2018


Abstract

DESCRIPTION (provided by applicant): Despite significant gains achieved by public education campaigns in past decades, many people still underestimate the risks of tobacco use. The situation is compounded by aggressive marketing of new and alternative tobacco products, such as snus, dissolvables, and electronic cigarettes. A timely public health response comprising more nuanced communication about health effects of tobacco products and regulation of new tobacco products is needed. Although new tobacco products have been marketed in the US since 2006, research examining effective counter-messages has been virtually nonexistent. The proposed project will determine effective ways to communicate harm of tobacco products by pursuing three Specific Aims: (1) Identify key features (e.g., naming specific diseases, depicting affected body parts, or listing harmful chemicals) of informational and emotional anti-tobacco messages. (2) Compare the effects of informational messages and those that combine information with emotional appeals on perceptions of harm of tobacco products, intentions to use tobacco products, and attitudes towards regulation of these products. (3) Determine how communication about cigarettes vs. novel tobacco products distinctly impacts message processing and responses to anti-tobacco messages among different subpopulations - current smokers, former smokers, and non-smokers. Work on Aim 1 will happen during the K99 phase and the key features of emotional and informational messages determined during this stage will inform development of anti-tobacco messages for testing in Aim 2 (R00 phase). During the R00 phase, I will run a series of four studies to test hypotheses of Aim 2 with different message topics (such as addiction, harmful constituents of tobacco products, or second-hand smoke), with various tobacco products (cigarettes and novel tobacco products), and in different populations (current and former smokers and non-smokers). The data from these studies will be pooled to accomplish Aim 3 through integrative data analysis, which will also occur in the R00 stage. In evaluating effects of anti-tobacco messages this project will go beyond the image/text dichotomy that dominated past research on cigarette warning labels. The proposed studies will be guided by the new conceptual model of processing and outcomes of anti-tobacco messages and will examine both desirable responses to the message and undesirable responses, such as message avoidance or reactance, another area of research on anti-tobacco messages that has received only limited empirical attention. This proposal will enable me to expand my training in tobacco control, regulatory science, advanced statistical methods, and behavioral interventions under the mentorship of a multidisciplinary team of experts in tobacco control, and provide critical preliminary data for me to launch my independent research career. This research is directly relevant to the development of new effective tools to counteract the increased promotion of novel tobacco products and will inform the FDA's policymaking and educational efforts on new and established tobacco products, including graphic warning labels.



Publications

When Cigarette Smoking Meets COVID-19: How the Two Types of Threat and Efficacy Perceptions Interactively Predict Danger Control and Fear Control Processes.
Authors: Li Y. , Duong H.T. , Massey Z.B. , Churchill V. , Popova L. .
Source: International Journal Of Environmental Research And Public Health, 2023-02-08 00:00:00.0; 20(4), .
EPub date: 2023-02-08 00:00:00.0.
PMID: 36833665
Related Citations

Examining reactions to smoking and COVID-19 risk messages: An experimental study with people who smoke.
Authors: Massey Z.B. , Duong H.T. , Churchill V. , Popova L. .
Source: The International Journal On Drug Policy, 2022 04; 102, p. 103607.
EPub date: 2022-01-31 00:00:00.0.
PMID: 35180555
Related Citations

Perceived Message Effectiveness: Do People Need to Think About Message Effectiveness to Report the Message as Effective?
Authors: Popova L. , Li Y. .
Source: Health Education & Behavior : The Official Publication Of The Society For Public Health Education, 2022-01-26 00:00:00.0; , p. 10901981211068412.
EPub date: 2022-01-26 00:00:00.0.
PMID: 35081824
Related Citations

Serious Psychological Distress Is Associated with Higher Intentions to Quit among Smokers during the COVID-19 Pandemic.
Authors: Churchill V. , Duong H.T. , Massey Z.B. , Popova L. .
Source: Journal Of Psychoactive Drugs, 2021-12-20 00:00:00.0; , p. 1-8.
EPub date: 2021-12-20 00:00:00.0.
PMID: 34930099
Related Citations

LGB Tobacco Control: Do Health Belief Model Constructs Predict Tobacco Use Intentions Differently between LGB and Heterosexual Individuals?
Authors: Li Y. , Yang B. , Chen B. .
Source: International Journal Of Environmental Research And Public Health, 2021-06-30 00:00:00.0; 18(13), .
EPub date: 2021-06-30 00:00:00.0.
PMID: 34209073
Related Citations

Do Young Adults Attend to Health Warnings in the First IQOS Advertisement in the U.S.? An Eye-Tracking Approach.
Authors: Liu J. , Phua J. , Krugman D. , Xu L. , Nowak G. , Popova L. .
Source: Nicotine & Tobacco Research : Official Journal Of The Society For Research On Nicotine And Tobacco, 2021-05-04 00:00:00.0; 23(5), p. 815-822.
PMID: 33245339
Related Citations

Effects of modified risk tobacco product claims on consumer comprehension and risk perceptions of IQOS.
Authors: Yang B. , Massey Z.B. , Popova L. .
Source: Tobacco Control, 2021-03-09 00:00:00.0; , .
EPub date: 2021-03-09 00:00:00.0.
PMID: 33688084
Related Citations

Are smokers scared by COVID-19 risk? How fear and comparative optimism influence smokers' intentions to take measures to quit smoking.
Authors: Duong H.T. , Massey Z.B. , Churchill V. , Popova L. .
Source: Plos One, 2021; 16(12), p. e0260478.
EPub date: 2021-12-07 00:00:00.0.
PMID: 34874964
Related Citations

Support for smoke-free public places among adults in four countries in sub-Saharan Africa.
Authors: Mamudu H.M. , Owusu D. , Asare B. , Williams F. , Asare M. , Oke A. , Poole A. , Osedeme F. , Ouma O.A.E. .
Source: Nicotine & Tobacco Research : Official Journal Of The Society For Research On Nicotine And Tobacco, 2020-12-12 00:00:00.0; 22(12), p. 2141-2148.
PMID: 31927591
Related Citations

A Content Analysis of U.S. Adults' Open-Ended Responses to E-Cigarette Risk Messages.
Authors: Li Y. , Yang B. , Henderson K. , Popova L. .
Source: Health Communication, 2020-10-30 00:00:00.0; , p. 1-11.
EPub date: 2020-10-30 00:00:00.0.
PMID: 33124482
Related Citations

Inferences beyond a claim: a typology of potential halo effects related to modified risk tobacco product claims.
Authors: Seidenberg A.B. , Popova L. , Ashley D.L. , Wackowski O.A. .
Source: Tobacco Control, 2020-10-12 00:00:00.0; , .
EPub date: 2020-10-12 00:00:00.0.
PMID: 33046582
Related Citations

Perceived risk of electronic cigarettes compared with combustible cigarettes: direct versus indirect questioning.
Authors: Churchill V. , Nyman A.L. , Weaver S.R. , Yang B. , Huang J. , Popova L. .
Source: Tobacco Control, 2020-06-16 00:00:00.0; , .
EPub date: 2020-06-16 00:00:00.0.
PMID: 32546665
Related Citations

Smokefree home rules and cigarette smoking intensity among smokers in different stages of smoking cessation from 20 low-and-middle income countries.
Authors: Owusu D. , Quinn M. , Wang K. , Williams F. , Mamudu H.M. .
Source: Preventive Medicine, 2020 03; 132, p. 106000.
EPub date: 2020-01-22 00:00:00.0.
PMID: 31981644
Related Citations

An experimental study of messages communicating potential harms of electronic cigarettes.
Authors: Owusu D. , Massey Z. , Popova L. .
Source: Plos One, 2020; 15(10), p. e0240611.
EPub date: 2020-10-21 00:00:00.0.
PMID: 33085686
Related Citations

Effects of Framing Nicotine Reduction in Cigarettes on Anticipated Tobacco Product Use Intentions and Risk Perceptions Among US Adult Smokers.
Authors: Popova L. , Owusu D. , Nyman A.L. , Weaver S.R. , Yang B. , Huang J. , Ashley D.L. .
Source: Nicotine & Tobacco Research : Official Journal Of The Society For Research On Nicotine And Tobacco, 2019-12-23 00:00:00.0; 21(Suppl 1), p. S108-S116.
PMID: 31867652
Related Citations

Effects of a Nicotine Fact Sheet on Perceived Risk of Nicotine and E-Cigarettes and Intentions to Seek Information About and Use E-Cigarettes.
Authors: Yang B. , Owusu D. , Popova L. .
Source: International Journal Of Environmental Research And Public Health, 2019-12-23 00:00:00.0; 17(1), .
EPub date: 2019-12-23 00:00:00.0.
PMID: 31878111
Related Citations

Communicating risk differences between electronic and combusted cigarettes: the role of the FDA-mandated addiction warning and a nicotine fact sheet.
Authors: Yang B. , Popova L. .
Source: Tobacco Control, 2019-10-22 00:00:00.0; , .
EPub date: 2019-10-22 00:00:00.0.
PMID: 31641058
Related Citations

Higher negative emotions in response to cigarette pictorial warning labels predict higher quit intentions among smokers.
Authors: Li Y. , Yang B. , Owusu D. , Popova L. .
Source: Tobacco Control, 2019-08-16 00:00:00.0; , .
EPub date: 2019-08-16 00:00:00.0.
PMID: 31420374
Related Citations

Feeling Hopeful Motivates Change: Emotional Responses to Messages Communicating Comparative Risk of Electronic Cigarettes and Combusted Cigarettes.
Authors: Yang B. , Liu J. , Popova L. .
Source: Health Education & Behavior : The Official Publication Of The Society For Public Health Education, 2019 Jun; 46(3), p. 471-483.
EPub date: 2019-02-10 00:00:00.0.
PMID: 30741001
Related Citations

'The lesser devil you don't know': a qualitative study of smokers' responses to messages communicating comparative risk of electronic and combusted cigarettes.
Authors: Owusu D. , Lawley R. , Yang B. , Henderson K. , Bethea B. , LaRose C. , Stallworth S. , Popova L. .
Source: Tobacco Control, 2019-04-30 00:00:00.0; , .
EPub date: 2019-04-30 00:00:00.0.
PMID: 31040224
Related Citations

Psychological distress and responses to comparative risk messages about electronic and combusted cigarettes.
Authors: Yang B. , Spears C.A. , Popova L. .
Source: Addictive Behaviors, 2019 Apr; 91, p. 141-148.
EPub date: 2018-11-19 00:00:00.0.
PMID: 30477820
Related Citations

Intention to Try Tobacco Among Middle School Students in a Predominantly Rural Environment of Central Appalachia.
Authors: Owusu D. , Mamudu H.M. , Robertson C. , Wang L. , Guy H. , Collins C. , Boghozian R. , Littleton M.A. .
Source: Substance Use & Misuse, 2019; 54(3), p. 449-458.
EPub date: 2019-01-08 00:00:00.0.
PMID: 30618325
Related Citations

The Usage and Associated Factors of Alternative Tobacco Products among School-going Youth in Central Appalachia.
Authors: Owusu D. , Mamudu H.M. , Collins C. , Robertson C. , Wang L. , Rafie B. , Littleton M.A. .
Source: Journal Of Health Care For The Poor And Underserved, 2019; 30(1), p. 249-264.
PMID: 30827981
Related Citations

Reactions to tobacco warning labels: predictors and outcomes of adaptive and maladaptive responses.
Authors: Owusu D. , So J. , Popova L. .
Source: Addiction Research & Theory, 2019; 27(5), p. 383-393.
EPub date: 2019-02-22 00:00:00.0.
PMID: 31511769
Related Citations

Trends in Trust in the Sources of Health Information on E-Cigarettes Among US Adults, 2015-2017.
Authors: Owusu D. , Weaver S.R. , Yang B. , Ashley D.L. , Popova L. .
Source: American Journal Of Public Health, 2018-11-29 00:00:00.0; , p. e1-e3.
EPub date: 2018-11-29 00:00:00.0.
PMID: 30496009
Related Citations

IQOS labelling will mislead consumers.
Authors: McKelvey K. , Popova L. , Kim M. , Lempert L.K. , Chaffee B.W. , Vijayaraghavan M. , Ling P. , Halpern-Felsher B. .
Source: Tobacco Control, 2018 Nov; 27(Suppl 1), p. s48-s54.
EPub date: 2018-08-29 00:00:00.0.
PMID: 30158208
Related Citations

Heated tobacco products likely appeal to adolescents and young adults.
Authors: McKelvey K. , Popova L. , Kim M. , Chaffee B.W. , Vijayaraghavan M. , Ling P. , Halpern-Felsher B. .
Source: Tobacco Control, 2018 Nov; 27(Suppl 1), p. s41-s47.
PMID: 30352843
Related Citations

Targeted Versus Nontargeted Communication About Electronic Nicotine Delivery Systems in Three Smoker Groups.
Authors: Yang B. , Liu J. , Popova L. .
Source: International Journal Of Environmental Research And Public Health, 2018-09-21 00:00:00.0; 15(10), .
EPub date: 2018-09-21 00:00:00.0.
PMID: 30248887
Related Citations

Light and mild redux: heated tobacco products' reduced exposure claims are likely to be misunderstood as reduced risk claims.
Authors: Popova L. , Lempert L.K. , Glantz S.A. .
Source: Tobacco Control, 2018-09-12 00:00:00.0; , .
EPub date: 2018-09-12 00:00:00.0.
PMID: 30209208
Related Citations

Testing messages about comparative risk of electronic cigarettes and combusted cigarettes.
Authors: Yang B. , Owusu D. , Popova L. .
Source: Tobacco Control, 2018-08-13 00:00:00.0; , .
EPub date: 2018-08-13 00:00:00.0.
PMID: 30104408
Related Citations

Who are the smokers who never plan to quit and what do they think about the risks of using tobacco products?
Authors: Popova L. , Majeed B. , Owusu D. , Spears C.A. , Ashley D.L. .
Source: Addictive Behaviors, 2018-06-26 00:00:00.0; 87, p. 62-68.
EPub date: 2018-06-26 00:00:00.0.
PMID: 29958136
Related Citations

Affect, risk perception, and the use of cigarettes and e-cigarettes: a population study of U.S. adults.
Authors: Popova L. , Owusu D. , Weaver S.R. , Kemp C.B. , Mertz C.K. , Pechacek T.F. , Slovic P. .
Source: Bmc Public Health, 2018-03-22 00:00:00.0; 18(1), p. 395.
EPub date: 2018-03-22 00:00:00.0.
PMID: 29566752
Related Citations

Effects of Large Cigarette Warning Labels on Smokers' Expected Longevity.
Authors: Popova L. , Thrul J. , Glantz S.A. .
Source: American Journal Of Health Behavior, 2018-03-01 00:00:00.0; 42(2), p. 85-92.
PMID: 29458517
Related Citations

Health Care Provider Intervention and Utilization of Cessation Assistance in 12 Low- and Middle-Income Countries.
Authors: Owusu D. , Wang K.S. , Quinn M. , Aibangbee J. , John R.M. , Mamudu H.M. .
Source: Nicotine & Tobacco Research : Official Journal Of The Society For Research On Nicotine And Tobacco, 2018-02-06 00:00:00.0; , .
EPub date: 2018-02-06 00:00:00.0.
PMID: 29420833
Related Citations

A Profile of Individuals with Anti-tobacco Message Fatigue.
Authors: So J. , Popova L. .
Source: American Journal Of Health Behavior, 2018-01-01 00:00:00.0; 42(1), p. 109-118.
PMID: 29320344
Related Citations

Adolescents have unfavorable opinions of adolescents who use e-cigarettes.
Authors: McKelvey K. , Popova L. , Pepper J.K. , Brewer N.T. , Halpern-Felsher B. .
Source: Plos One, 2018; 13(11), p. e0206352.
EPub date: 2018-11-07 00:00:00.0.
PMID: 30403731
Related Citations

The comparative effectiveness of two brief tobacco interventions in the U.S. Air Force: Perceived harm and intentions-to-use of tobacco products.
Authors: Bursac Z. , Klesges R.C. , Little M.A. , Linde B.D. , Popova L. , Kaplan C.M. , Talcott G.W. .
Source: Tobacco Induced Diseases, 2018; 16, p. 26.
EPub date: 2018-06-01 00:00:00.0.
PMID: 31516426
Related Citations

Effects of e-Cigarette Advertisements on Adolescents' Perceptions of Cigarettes.
Authors: Kim M. , Popova L. , Halpern-Felsher B. , Ling P.M. .
Source: Health Communication, 2017-12-13 00:00:00.0; , p. 1-8.
EPub date: 2017-12-13 00:00:00.0.
PMID: 29236550
Related Citations

Worldviews and trust of sources for health information on electronic nicotine delivery systems: Effects on risk perceptions and use.
Authors: Weaver S.R. , Jazwa A. , Popova L. , Slovic P. , Rothenberg R.B. , Eriksen M.P. .
Source: Ssm - Population Health, 2017 12; 3, p. 787-794.
EPub date: 2017-09-29 00:00:00.0.
PMID: 29349263
Related Citations

Perceived harms and benefits of tobacco, marijuana, and electronic vaporizers among young adults in Colorado: Implications for health education and research.
Authors: Popova L. , McDonald E.A. , Sidhu S. , Barry R. , Richers Maruyama T.A. , Sheon N.M. , Ling P.M. .
Source: Addiction (abingdon, England), 2017-04-27 00:00:00.0; , .
EPub date: 2017-04-27 00:00:00.0.
PMID: 28449191
Related Citations

Factual Text And Emotional Pictures: Overcoming A False Dichotomy Of Cigarette Warning Labels
Authors: Popova L. , Owusu D. , Jenson D. , Neilands T.B. .
Source: Tobacco Control, 2017-04-20 00:00:00.0; , .
PMID: 28428337
Related Citations

Do Emotions Spark Interest In Alternative Tobacco Products?
Authors: Popova L. , So J. , Sangalang A. , Neilands T.B. , Ling P.M. .
Source: Health Education & Behavior : The Official Publication Of The Society For Public Health Education, 2017-01-01 00:00:00.0; , p. 1090198116683169.
PMID: 28071144
Related Citations

Testing antismoking messages for Air Force trainees.
Authors: Popova L. , Linde B.D. , Bursac Z. , Talcott G.W. , Modayil M.V. , Little M.A. , Ling P.M. , Glantz S.A. , Klesges R.C. .
Source: Tobacco Control, 2016 Nov; 25(6), p. 656-663.
PMID: 26482786
Related Citations

Traversing The Triangulum: The Intersection Of Tobacco, Legalised Marijuana And Electronic Vaporisers In Denver, Colorado
Authors: McDonald E.A. , Popova L. , Ling P.M. .
Source: Tobacco Control, 2016 Oct; 25(Suppl 1), p. i96-i102.
PMID: 27697954
Related Citations

Sugar-sweetened Beverage Warning Labels: Lessons Learned From The Tobacco Industry
Authors: Popova L. .
Source: Journal Of The California Dental Association, 2016 Oct; 44(10), p. 633-640.
PMID: 28190943
Related Citations

State of transition: Marijuana use among young adults in the San Francisco Bay Area.
Authors: Holmes L.M. , Popova L. , Ling P.M. .
Source: Preventive Medicine, 2016 Sep; 90, p. 11-6.
PMID: 27346757
Related Citations

A Longitudinal Study of Adolescents' Optimistic Bias about Risks and Benefits of Cigarette Smoking.
Authors: Popova L. , Halpern-Felsher B.L. .
Source: American Journal Of Health Behavior, 2016 May; 40(3), p. 341-51.
PMID: 27103413
Related Citations

Can We Resolve the Disconnect Between How Communication Interventions Work and How We Evaluate Them?
Authors: Popova L. .
Source: Health Education & Behavior : The Official Publication Of The Society For Public Health Education, 2016 Apr; 43(2), p. 121-4.
PMID: 26944810
Related Citations

Exploring Smoking Stigma, Alternative Tobacco Product Use, & Quit Attempts.
Authors: Brown-Johnson C.G. , Popova L. .
Source: Health Behavior And Policy Review, 2016-01-01 00:00:00.0; 3(1), p. 13-20.
PMID: 27088103
Related Citations

Cannabis Mobile Apps: A Content Analysis.
Authors: Ramo D.E. , Popova L. , Grana R. , Zhao S. , Chavez K. .
Source: Jmir Mhealth And Uhealth, 2015-08-12 00:00:00.0; 3(3), p. e81.
EPub date: 2015-08-12 00:00:00.0.
PMID: 26268634
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