Evidence map›Paper›PMID 29411272›Full record

ArticleJournal of behavioral medicine2018

Public support for pictorial warnings on cigarette packs: an experimental study of US smokers.

Marissa G Hall, Theresa M Marteau, Cass R Sunstein, Kurt M Ribisl, Seth M Noar, Elizabeth N Orlan, Noel T Brewer

Registry-linked trialAbstract readEvaluation Study
In one paragraph

Article in Journal of behavioral medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05700019 (Effects of 'Pinkwashed' Alcohol Ads in an Online RCT), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT05700019 nacompletednot on this mapstarted 2023, after this paper: background citation

Effects of 'Pinkwashed' Alcohol Ads in an Online RCT

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2023 to 2023Enrolled602ConditionsBreast Cancer, CancerArmsPinkwashed Advertisements, Control - Standard Advertisements
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Understanding Why Pictorial Cigarette Pack Warnings Increase Quit Attempts.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2019
    Trial
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  9. Nudging Interventions on Alcohol and Tobacco Consumption in Adults: A Scoping Review of the Literature.International journal of environmental research and public health · 2023
    Article
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  12. Public Support for Cigarette Pack Pictorial Health Warnings Among US Adults: A Cross-sectional Analysis of the 2020 Health Information National Trends Survey.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Marissa G HallLineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, USA. mghall@unc.edu.
Theresa M MarteauBehaviour and Health Research Unit, Institute of Public Health, University of Cambridge, Cambridge, UK.
Cass R SunsteinHarvard Law School, Harvard University, Cambridge, MA, USA.
Kurt M RibislLineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, USA.
Seth M NoarLineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, USA.
Elizabeth N OrlanDepartment of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 324 Rosenau Hall CB7440, Chapel Hill, NC, 27599, USA.
Noel T BrewerDepartment of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 324 Rosenau Hall CB7440, Chapel Hill, NC, 27599, USA.

Funding

Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Deborah F. Tate · 1985 to 2026
$201.5M
Cancer Control Education ProgramT32CA057726 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Melissa B Gilkey, Melissa A. Troester · 2017 to 2026
$3.7M
Understanding how graphic warnings on cigarette packs increase quit intentionsF31CA196037 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HALL, MARISSA · 2016 to 2017
$40k
NCI NIH HHS F31 CA196037NCI NIH HHS P30 CA016086NCI NIH HHS T32 CA057726
6 · The paper itself

Abstract

backgroundUnderstanding factors that influence public support for "nudging" policies, like pictorial cigarette pack warnings, may offer insight about how to increase such support. We sought to examine factors that influence smokers' support for requiring pictorial warnings on cigarette packs.

methodsIn 2014 and 2015, we randomly assigned 2149 adult US smokers to receive either pictorial warnings or text-only warnings on their cigarette packs for 4 weeks. The outcome examined in the current study was support for a policy requiring pictorial warnings on cigarette packs in the US.

resultsSupport for pictorial warnings was high at baseline (mean: 3.2 out of 4). Exposure to pictorial warnings increased policy support at week 4 (β = .05, p = .03). This effect was explained by increases in perceived message effectiveness (p < .001) and reported conversations about policy support (p < .001). Message reactance (i.e., an oppositional reaction to the warning) partially diminished the impact of pictorial warnings on policy support (p < .001).

conclusionsExposing people to a new policy through implementation could increase public support for that policy by increasing perceived effectiveness and by prompting conversations about the policy. Reactance may partially weaken the effect of policy exposure on public support.

Indexed as

Product LabelingPublic OpinionPublic PolicyAdolescentAdultFemaleHumansMaleRandom AllocationSmokersSmoking PreventionUnited StatesYoung AdultGraphic warningsNudgingPictorial warningsPolicy supportPublic supportReactanceTobacco control

Identifiers

PMID29411272
PMCPMC5924634

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.