Darren Mays1, Kenneth P Tercyak2, Isaac M Lipkus3. 1. Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC; dmm239@georgetown.edu. 2. Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC; 3. Duke University School of Nursing, Durham, NC.
Abstract
INTRODUCTION: This study investigated the immediate effects of brief education messages delivered online about harms and addictiveness of waterpipe tobacco use among young adult waterpipe users aged 18 to 30 years. METHODS:Participants (n = 327, mean age 24.8 years, 62.1% male, 77.6% white, 67.8% used waterpipe monthly, 26.4% weekly, 5.8% daily) were recruited online and randomized to one of three experimental conditions: (1) Control condition viewing no messages; (2) Harms condition viewing messages about harms of waterpipe tobacco; (3) Harms and addiction condition viewing messages about harms and addictiveness of waterpipe tobacco. Outcomes included perceived harm and addictiveness of waterpipe, worry about harm and addiction, and desire to quit. RESULTS: Compared to the control condition, participants in the harms condition reported significantly greater perceived harm and addictiveness of waterpipe relative to cigarettes, perceived risk of harm and addiction, worry about harm and addiction, and desire to quit. There were few significant differences in these outcomes between participants in the harms condition and the harms and addiction condition. Mediation analyses suggest waterpipe tobacco use harm messages may increase desire to quit by producing greater worry about harm and addiction. CONCLUSIONS: Brief education messages about waterpipe tobacco use harm increased young adult's perceptions of harm and addictiveness of waterpipe tobacco use and generated stronger desire to quit. The waterpipe tobacco use addiction messages tested had little added impact. Studies should prospectively examine the real-world impact of waterpipe tobacco use harm messages and investigate more effective strategies for designing addiction messages. IMPLICATIONS: This study demonstrates that brief education messages about waterpipe tobacco use harm can increase young adult waterpipe tobacco user's perceptions of harm and addictiveness of waterpipe tobacco use and generate stronger desire to quit. The findings indicate messages on addictiveness of waterpipe tobacco use have no added impact on these outcomes.
RCT Entities:
INTRODUCTION: This study investigated the immediate effects of brief education messages delivered online about harms and addictiveness of waterpipe tobacco use among young adult waterpipe users aged 18 to 30 years. METHODS:Participants (n = 327, mean age 24.8 years, 62.1% male, 77.6% white, 67.8% used waterpipe monthly, 26.4% weekly, 5.8% daily) were recruited online and randomized to one of three experimental conditions: (1) Control condition viewing no messages; (2) Harms condition viewing messages about harms of waterpipe tobacco; (3) Harms and addiction condition viewing messages about harms and addictiveness of waterpipe tobacco. Outcomes included perceived harm and addictiveness of waterpipe, worry about harm and addiction, and desire to quit. RESULTS: Compared to the control condition, participants in the harms condition reported significantly greater perceived harm and addictiveness of waterpipe relative to cigarettes, perceived risk of harm and addiction, worry about harm and addiction, and desire to quit. There were few significant differences in these outcomes between participants in the harms condition and the harms and addiction condition. Mediation analyses suggest waterpipe tobacco use harm messages may increase desire to quit by producing greater worry about harm and addiction. CONCLUSIONS: Brief education messages about waterpipe tobacco use harm increased young adult's perceptions of harm and addictiveness of waterpipe tobacco use and generated stronger desire to quit. The waterpipe tobacco use addiction messages tested had little added impact. Studies should prospectively examine the real-world impact of waterpipe tobacco use harm messages and investigate more effective strategies for designing addiction messages. IMPLICATIONS: This study demonstrates that brief education messages about waterpipe tobacco use harm can increase young adult waterpipe tobacco user's perceptions of harm and addictiveness of waterpipe tobacco use and generate stronger desire to quit. The findings indicate messages on addictiveness of waterpipe tobacco use have no added impact on these outcomes.
Authors: Brian A Primack; Ariel Shensa; Kevin H Kim; Mary V Carroll; Mary T Hoban; E Victor Leino; Thomas Eissenberg; Kathleen H Dachille; Michael J Fine Journal: Nicotine Tob Res Date: 2012-05-28 Impact factor: 4.244
Authors: Isaac M Lipkus; Thomas Eissenberg; Rochelle D Schwartz-Bloom; Alexander V Prokhorov; Janet Levy Journal: Nicotine Tob Res Date: 2011-04-06 Impact factor: 4.244
Authors: Israel T Agaku; Brian A King; Corinne G Husten; Rebecca Bunnell; Bridget K Ambrose; S Sean Hu; Enver Holder-Hayes; Hannah R Day Journal: MMWR Morb Mortal Wkly Rep Date: 2014-06-27 Impact factor: 17.586
Authors: Eleanor L S Leavens; Ellen Meier; Alayna P Tackett; Mary Beth Miller; Noor N Tahirkheli; Emma I Brett; Dana M Carroll; Leslie M Driskill; Michael P Anderson; Theodore L Wagener Journal: Addict Behav Date: 2017-10-28 Impact factor: 3.913
Authors: Lilianna Phan; Darren Mays; Kenneth P Tercyak; Andrea C Johnson; Kathryn Rehberg; Isaac M Lipkus Journal: Transl Behav Med Date: 2021-02-11 Impact factor: 3.046
Authors: Lilianna Phan; Andrew A Strasser; Andrea C Johnson; Andrea C Villanti; Raymond Niaura; Kathryn Rehberg; Darren Mays Journal: Tob Regul Sci Date: 2020-03
Authors: Andrea C Johnson; Isaac Lipkus; Kenneth P Tercyak; George Luta; Kathryn Rehberg; Lilianna Phan; Lorien C Abroms; Darren Mays Journal: Health Educ Behav Date: 2019-12