ArticleSocial science & medicine (1982)2018
Conversations about pictorial cigarette pack warnings: Theoretical mechanisms of influence.
Article in Social science & medicine (1982), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06182475 (Increasing Equity in Live Donor Kidney Transplantation Through Effective Patient-Provider Communication), which is not on this map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Increasing Equity in Live Donor Kidney Transplantation Through Effective Patient-Provider Communication
Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Understanding the mechanisms of change in social norms around tobacco use: A systematic review and meta-analysis of interventions.Addiction (Abingdon, England) · 2025Pooled it
- Do Vaping Prevention Messages Impact Adolescents and Young Adults? A Meta-Analysis of Experimental Studies.Health communication · 2023Pooled it
- Associations of egocentric social network characteristics with conversations about the harms of smoking and the benefits of quitting.PloS one · 2026Trial
- Do Perceived Message Effectiveness Ratings Change in Response to Repeated Message Exposures?Health communication · 2025Trial
- Tobacco package health warnings about product manipulations: an experimental study among Australian adults who smoke.Health promotion international · 2025Trial
- Mediational Effects on Motivation to Quit Smoking After Exposure to a Cigarette Pictorial Warning Label Among Young Adults.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2022Trial
- Cognitive and emotional responses to pictorial warning labels and their association with quitting measures after continued exposure.Addictive behaviors · 2022Trial
- Information Diffusion and Social Norms Are Associated with Infant and Young Child Feeding Practices in Bangladesh.The Journal of nutrition · 2019Trial
- Social Network Determinants of Cigarette Forgoing and Quit-Related Conversations in a 15-Day Ecological Momentary Assessment Study in Mexico and the US.Tobacco use insights · 2026Article
- Indonesian Adolescents' Perceptions of Front-of-Package Labels on Packaged Food and Drinks.Current developments in nutrition · 2025Article
- Conversations about cigarette health warning labels and smoking cessation attempts in Mexico.Salud publica de Mexico · 2024Article
- Designing and testing social media campaign messages to promote COVID-19 vaccine confidence among rural adults: A community-engaged approach featuring rural community leader and clinician testimonials.Preventive medicine reports · 2023Article
- The Effect of Graphic Health Warning Labels Placed on the ENDS Device on Young Adult Users' Experience, Exposure and Intention to Use: A Pilot Study.Health communication · 2022Article
- The impact of cigarette pack anti-littering messages.Addictive behaviors · 2022Article
- Does warning language impact perceptions? Results from an exploratory experiment comparing English, Spanish, and Dual language E-Cigarette warnings among Spanish speakers in the US.Preventive medicine reports · 2021Article
- Tool to assess appeal-aversion response to graphic warning labels on cigarette packs among US smokers.Tobacco control · 2021Article
- Effectiveness of warning graphic labels on cigarette packs in enhancing late-teenagers' perceived fear of smoking-related harms in Bangkok, Thailand.Journal of public health research · 2021Article
- Cessation Conversations and Quit Attempts: Differences by Ethnicity and Language Preference.American journal of health behavior · 2020Article
- Experimental Studies of Front-of-Package Nutrient Warning Labels on Sugar-Sweetened Beverages and Ultra-Processed Foods: A Scoping Review.Nutrients · 2020Article
- Impact of tobacco-pack pictorial warnings on youth and young adults: A systematic review of experimental studies.Tobacco induced diseases · 2019Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
backgroundSocial interactions are a key mechanism through which health communication campaigns influence behavior. Little research has examined how conversations about pictorial warnings motivate behavior. PURPOSE: We sought to establish whether and how smokers' conversations explain the effect of pictorial warnings on quit attempts.
methodsUS adult smokers (n = 2149) participated in a controlled trial that randomly assigned them to have their cigarette packs labeled with pictorial or text-only warnings for four weeks. Surveys assessed the number of conversations sparked by pictorial warnings and the theoretical mechanisms cognitive elaboration and social norms at each visit. Analyses used structural equation modeling to test our theorized mediation models.
resultsThe number of conversations about the warnings mediated the relationship between exposure to pictorial warnings and quit attempts (p < .001). In serial mediation analysis examining possible theoretical mechanisms, the number of conversations was associated with greater cognitive elaboration, which in turn was associated with being more likely to make a quit attempt (p < .05). Social norms did not explain the influence of conversations on quit attempts.
conclusionsPictorial warnings increased conversations about the warnings, which led to greater cognitive elaboration, which led to greater quit attempts. Our findings suggest designing warnings that increase conversations in order to better inform and motivate smokers. Furthermore, these findings improve our understanding of why conversations matter in health communication.
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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.