Evidence map›Paper›PMID 27886656›Full record

Observational studyAddiction (Abingdon, England)2017

Neural mechanisms underlying visual attention to health warnings on branded and plain cigarette packs.

Olivia M Maynard, Jonathan C W Brooks, Marcus R Munafò, Ute Leonards

Erratum issuedOpen access · hybridAbstract readObservational Study
In one paragraph

Observational study in Addiction (Abingdon, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Pooled it
  2. Tobacco packaging design for reducing tobacco use.The Cochrane database of systematic reviews · 2017
    Pooled it
  3. Article
  4. Article
  5. Mindfulness and Executive Functions: Making the Case for Elementary School Practice.European journal of investigation in health, psychology and education · 2020
    Article
  6. Article
  7. Advancing Tobacco Product Warning Labels Research Methods and Theory: A Summary of a Grantee Meeting Held by the US National Cancer Institute.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2019
    Review
  8. Using Neuroscience to Inform Tobacco Control Policy.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2019
    Review
  9. Article
  10. Article
  11. Corrigendum.Addiction (Abingdon, England) · 2017
    Article
  12. Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Olivia M MaynardSchool of Experimental Psychology, University of Bristol, Bristol, UK.
Jonathan C W BrooksSchool of Experimental Psychology, University of Bristol, Bristol, UK.
Marcus R MunafòSchool of Experimental Psychology, University of Bristol, Bristol, UK.
Ute LeonardsSchool of Experimental Psychology, University of Bristol, Bristol, UK.
UK Centre for Tobacco & Alcohol Studies · GBNIHR Bristol Biomedical Research Centre · GBUniversity of Bristol · GB

Funding

Medical Research Council G0700238Medical Research Council MC_UU_12013/6
6 · The paper itself

Abstract

aimsTo (1) test if activation in brain regions related to reward (nucleus accumbens) and emotion (amygdala) differ when branded and plain packs of cigarettes are viewed, (2) test whether these activation patterns differ by smoking status and (3) examine whether activation patterns differ as a function of visual attention to health warning labels on cigarette packs.

designCross-sectional observational study combining functional magnetic resonance imaging (fMRI) with eye-tracking. Non-smokers, weekly smokers and daily smokers performed a memory task on branded and plain cigarette packs with pictorial health warnings presented in an event-related design.

settingClinical Research and Imaging Centre, University of Bristol, UK.

participantsNon-smokers, weekly smokers and daily smokers (n = 72) were tested. After exclusions, data from 19 non-smokers, 19 weekly smokers and 20 daily smokers were analysed. MEASUREMENTS: Brain activity was assessed in whole brain analyses and in pre-specified masked analyses in the amygdala and nucleus accumbens. On-line eye-tracking during scanning recorded visual attention to health warnings.

findingsThere was no evidence for a main effect of pack type or smoking status in either the nucleus accumbens or amygdala, and this was unchanged when taking account of visual attention to health warnings. However, there was evidence for an interaction, such that we observed increased activation in the right amygdala when viewing branded as compared with plain packs among weekly smokers (P = 0.003). When taking into account visual attention to health warnings, we observed higher levels of activation in the visual cortex in response to plain packaging compared with branded packaging of cigarettes (P = 0.020).

conclusionsBased on functional magnetic resonance imaging and eye-tracking data, health warnings appear to be more salient on 'plain' cigarette packs than branded packs.

Indexed as

Product PackagingTobacco ProductsAdolescentAdultAmygdalaAttentionBrainCross-Sectional StudiesEye Movement MeasurementsFemaleFunctional NeuroimagingHumansMagnetic Resonance ImagingMaleMemoryNucleus AccumbensAttentioneye-trackingfMRIhealth warningsplain packagingpolicysmokingstandardised packagingtobaccotobacco control

Identifiers

PMID27886656
PMCPMC5347953
OpenAlexW2559490963

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.