Evidence map›Paper›PMID 34470790›Full record

Trial reportBMJ open2021

Effects of brief exposure to misinformation about e-cigarette harms on twitter: a randomised controlled experiment.

Caroline Wright, Philippa Williams, Olga Elizarova, Jennifer Dahne, Jiang Bian, Yunpeng Zhao, Andy S L Tan

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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.

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

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

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Dual-Vaping of Nicotine and Cannabis Among Adults Who Currently Use Tobacco Products in Five New England States.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024
    Article
  6. Article
  7. Article
  8. Characteristics Associated with Young Adults' Intentions to Engage with Anti-Vaping Instagram Posts.International journal of environmental research and public health · 2023
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. 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

7 authors.

Caroline WrightPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK caroline.wright@bristol.ac.uk.ORCID 0000-0002-4321-4872
Philippa WilliamsPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.ORCID 0000-0002-6774-2514
Olga ElizarovaPlay Collaborate Change, Boston, Massachusetts, USA.ORCID 0000-0001-5239-4759
Jennifer DahnePsychiatry and Behavioral Sciences, Medical University of South Carolina College of Medicine, Charleston, South Carolina, USA.
Jiang BianHealth Outcomes & Biomedical Informatics, College of Medicine, University of Florida, Gainesville, Florida, USA.ORCID 0000-0002-2238-5429
Yunpeng ZhaoHealth Outcomes & Biomedical Informatics, College of Medicine, University of Florida, Gainesville, Florida, USA.
Andy S L TanAnnenberg School for Communication, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0001-6459-6171

Funding

Development and Testing of a Depression-Specific Behavioral Activation Mobile App Paired with Nicotine Replacement Therapy Sampling for Smoking Cessation Treatment Via Primary CareK23DA045766 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI DAHNE, JENNIFER RENEE · 2018 to 2022
$1.0M
Cancer Research UK C60153/A23895Cancer Research UK C60153/A28664NIDA NIH HHS K23 DA045766
6 · The paper itself

Abstract

objectivesTo assess the effect of exposure to misinformation about e-cigarette harms found on Twitter on adult current smokers' intention to quit smoking cigarettes, intention to purchase e-cigarettes and perceived relative harm of e-cigarettes compared with regular cigarettes.

settingAn online randomised controlled experiment conducted in November 2019 among USA and UK current smokers.

participants2400 adult current smokers aged ≥18 years who were not current e-cigarette users recruited from an online panel. Participants' were randomised in a 1:1:1:1 ratio using a least-fill randomiser function.

interventionsViewing 4 tweets in random order within one of four conditions: (1) e-cigarettes are just as or more harmful than smoking, (2) e-cigarettes are completely harmless, (3) e-cigarette harms are uncertain, and (4) a control condition of tweets about physical activity. PRIMARY OUTCOMES MEASURES: Self-reported post-test intention to quit smoking cigarettes, intention to purchase e-cigarettes, and perceived relative harm of e-cigarettes compared with smoking.

resultsAmong US and UK participants, after controlling for baseline measures of the outcome, exposure to tweets that e-cigarettes are as or more harmful than smoking versus control was associated with lower post-test intention to purchase e-cigarettes (β=-0.339, 95% CI -0.487 to -0.191, p<0.001) and increased post-test perceived relative harm of e-cigarettes (β=0.341, 95% CI 0.273 to 0.410, p<0.001). Among US smokers, exposure to tweets that e-cigarettes are completely harmless was associated with higher post-test intention to purchase e-cigarettes (β=0.229, 95% CI 0.002 to 0.456, p=0.048) and lower post-test perceived relative harm of e-cigarettes (β=-0.154, 95% CI -0.258 to -0.050, p=0.004).

conclusionsUS and UK adult current smokers may be deterred from considering using e-cigarettes after brief exposure to tweets that e-cigarettes were just as or more harmful than smoking. Conversely, US adult current smokers may be encouraged to use e-cigarettes after exposure to tweets that e-cigarettes are completely harmless. These findings suggest that misinformation about e-cigarette harms may influence some adult smokers' decisions to consider using e-cigarettes. TRIAL REGISTRATION NUMBER: ISRCTN16082420.

Indexed as

Electronic Nicotine Delivery SystemsSmoking CessationSocial MediaAdolescentAdultCommunicationHumansSmokersepidemiologypreventive medicinepublic healthsocial medicine

Identifiers

PMID34470790
PMCPMC8413940

What OpenQuestion holds

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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.