Evidence map›Paper›PMID 31506379›Full record

ArticleTobacco control2020

Reactions to electronic nicotine delivery system (ENDS) prevention messages: results from qualitative research used to inform FDA's first youth ENDS prevention campaign.

Maria L Roditis, Atanaska Dineva, Alexandria Smith, Matthew Walker, Janine Delahanty, Emily D'lorio, Kristen D Holtz

Open access · hybridAbstract read
In one paragraph

Article in Tobacco control, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 8% 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

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Tailoring e-Cigarette Health Messages by Vaping Status: How Source and Message Presentation Type Shape Young Adults' Perceptions.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Trial
  4. Identifying Promising Message Themes for Youth Who Use Multiple Tobacco Products.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
    Trial
  5. Framing Effects in Youth E-Cigarette Use Prevention: Individual Text Messages Versus Simulated Text Exchanges.Health education & behavior : the official publication of the Society for Public Health Education · 2023
    Trial
  6. Unintended Consequences: Testing the Effects of Adolescent-Targeted Anti-vaping Media Upon Adult Smokers.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
    Trial
  7. The Impact of The Real Cost Vaping and Smoking Ads across Tobacco Products.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
    Trial
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  13. Access to E-Cigarettes Is Easy in a Regional Area in Australia: A Qualitative Study to Explore Young People's Views on Vaping.Health expectations : an international journal of public participation in health care and health policy · 2025
    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 at 2 institutions in 1 country.

Maria L RoditisOffice of Health Communication and Education, Center for Tobacco Products, US Food and Drug Administration, Silver Spring, Maryland, USA maria.roditis@fda.hhs.gov.ORCID 0000-0003-2040-024X
Atanaska DinevaOffice of Health Communication and Education, Center for Tobacco Products, US Food and Drug Administration, Silver Spring, Maryland, USA.
Alexandria SmithOffice of Health Communication and Education, Center for Tobacco Products, US Food and Drug Administration, Silver Spring, Maryland, USA.
Matthew WalkerOffice of Health Communication and Education, Center for Tobacco Products, US Food and Drug Administration, Silver Spring, Maryland, USA.
Janine DelahantyOffice of Health Communication and Education, Center for Tobacco Products, US Food and Drug Administration, Silver Spring, Maryland, USA.
Emily D'lorioOffice of Health Communication and Education, Center for Tobacco Products, US Food and Drug Administration, Silver Spring, Maryland, USA.
Kristen D HoltzKDH Research and Communication, Atlanta, Georgia, USA.
United States Food and Drug Administration · USKDH Research & Communication (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundYouth e-cigarette use is a major public health concern. Large-scale tobacco prevention campaigns are a proven strategy to prevent tobacco use. There is a gap in understanding what types of e-cigarette prevention messages might be most effective. This study addresses this gap by reporting youth reactions to health messages aimed at preventing e-cigarette use.

methodsIn 2018, twenty-four focus groups, with 159 teens (12-17) at risk for or experimenting with e-cigarettes were conducted in four cities across the USA. During focus groups, youth responded to creative concepts dealing with (1) the addictive nature of e-cigarettes, (2) the fact that e-cigarettes come in flavours, which may encourage youth initiation, and nicotine which may lead to addiction, or (3) that youth who use e-cigarettes are more likely to use cigarettes. Youth also gave feedback to specific facts about harmful and potentially harmful chemicals in e-cigarettes. Transcripts were analysed using thematic analysis.

resultsMessages focusing on addiction alone did not resonate with participants. While youth found the idea that e-cigarettes may contain nicotine and can be addictive believable, with many describing personal experiences of addiction, they questioned how bad this really was, comparing addiction to e-cigarettes to things like being addicted to food. Participants wanted more information about negative consequences of vaping. Concepts paired with strong health effects messages resonated with participants.

conclusionThese focus groups clarified which e-cigarette prevention messages might be most persuasive to teens. Youth in this study responded favourably to messages stating specific health consequences of e-cigarette use.

Indexed as

Electronic Nicotine Delivery SystemsSmoking CessationAdolescentBehavior, AddictiveChildFemaleFlavoring AgentsHumansMaleUnited StatesUnited States Food and Drug AdministrationVapingFlavoring Agentsadvertising and promotionpreventionpriority/special populations

Identifiers

PMID31506379
PMCPMC7476260
OpenAlexW2972779873

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.