Evidence map›Paper›PMID 33341530›Full record

ArticleAddictive behaviors2021

Identifying message content to reduce vaping: Results from online message testing trials in young adult tobacco users.

Andrea C Villanti, S Elisha LePine, Julia C West, Tess Boley Cruz, Elise M Stevens, Haley J Tetreault, Jennifer B Unger, Olivia A Wackowski, Darren Mays

Open access · greenAbstract read
In one paragraph

Article in Addictive behaviors, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 9% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 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. Trial
  5. Trial
  6. Trial
  7. Optimizing Images for an E-Cigarette Messaging Campaign: Liking and Perceived Effectiveness.International journal of environmental research and public health · 2021
    Trial
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Examining indirect effects of advertising exposure on young adults' cannabis and nicotine vaping.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2023
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

9 authors at 5 institutions in 1 country.

Andrea C VillantiVermont Center on Behavior and Health, Department of Psychiatry, University of Vermont, USA. Electronic address: andrea.villanti@uvm.edu.
S Elisha LePineVermont Center on Behavior and Health, Department of Psychiatry, University of Vermont, USA.
Julia C WestVermont Center on Behavior and Health, Department of Psychiatry, University of Vermont, USA.
Tess Boley CruzDepartment of Preventive Medicine, Keck School of Medicine, University of Southern California, USA.
Elise M StevensHarvard TH Chan School of Public Health and Dana-Farber Cancer Institute, Harvard University, USA.
Haley J TetreaultVermont Center on Behavior and Health, Department of Psychiatry, University of Vermont, USA.
Jennifer B UngerDepartment of Preventive Medicine, Keck School of Medicine, University of Southern California, USA.
Olivia A WackowskiCenter for Tobacco Studies, School of Public Health, Rutgers, the State University, USA.
Darren MaysDepartment of Internal Medicine, Wexner Medical Center, Center for Tobacco Research, The Ohio State University Comprehensive Cancer Center, USA.
University of Vermont · USUniversity of Southern California · USHarvard University · USRutgers, The State University of New Jersey · USThe Ohio State University Wexner Medical Center · US

Funding

USC Tobacco Center of Regulatory ScienceU54CA180905 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Adam Matthew Leventhal · 2018 to 2026
$39.0M
University of Vermont Tobacco Center of Regulatory ScienceU54DA036114 · NIDA · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI HIGGINS, STEPHEN T · 2018 to 2022
$19.4M
Tobacco Industry Marketing CoreU54CA229973 · NCI · UNIVERSITY OF PENNSYLVANIA · PI STRASSER, ANDREW A · 2018 to 2022
$18.8M
Young Adults Responses to E-Cigarette Advertisement Features and the Effects of Restricting Features on Tobacco UseR00DA046563 · NIDA · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI STEVENS, ELISE MARIE · 2021 to 2023
$914k
Young Adults Responses to E-Cigarette Advertisement Features and the Effect of Restricting Features on Tobacco UseK99DA046563 · NIDA · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI STEVENS, ELISE MARIE · 2019 to 2020
$237k
NCI NIH HHS U54 CA180905NCI NIH HHS U54 CA229973NIDA NIH HHS K99 DA046563NIDA NIH HHS R00 DA046563NIDA NIH HHS U54 DA036114
6 · The paper itself

Abstract

introductionYoung adults' e-cigarette use is associated with perceptions that e-cigarettes are less harmful or addictive than cigarettes, socially acceptable, and appealing. This study developed and tested vaping educational messages addressing these factors: 1) Harm Perceptions, 2) Addictiveness, 3) Social Use, and 4) Flavors.

methodsTwo message trials were conducted in U.S. Amazon Mechanical Turk workers aged 18-24 using a 2 (content: addiction, harm) × 3 (theme: alone, + flavors, + social) design with multiple messages in each of the six categories. Participants were assigned to view a random subset of messages and report on likeability and perceived message effectiveness (PME). Phase 1 (n = 200) tested 33 messages and 32 images. Phase 2 (n = 769) tested combinations of Phase 1's 24 most effective messages with 6 images rated most likeable or effective. Linear mixed effects models assessed the effect of content, theme, image, and their interactions on message response.

resultsIn both trials, most participants were past 30-day tobacco users. Harm content messages produced higher PME ratings than addiction content messages, and flavor theme messages were correlated with higher likeability scores than "content alone" theme messages. In Phase 2, flavor and social message themes decreased the PME of harm messages. There was no effect of images on either outcome controlling for the independent or interaction effects of content, theme, and image.

conclusionsMessages conveying the harms of vaping may be best for reducing vaping in young adult tobacco users; flavor and social themes may diminish their effectiveness.

Indexed as

Electronic Nicotine Delivery SystemsTobacco ProductsVapingAdolescentFlavoring AgentsHumansYoung AdultFlavoring AgentsE-cigaretteEducationMass mediaPreventionVapingYoung adults

Identifiers

PMID33341530
PMCPMC8085990
OpenAlexW3112117444

What OpenQuestion holds

Textmetadata
LicenceTDM
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.