Evidence map›Paper›PMID 37575887›Full record

Trial reportAmerican journal of preventive medicine2023

Designing Effective Alcohol Warnings: Consumer Reactions to Icons and Health Topics.

Anna H Grummon, Phoebe R Ruggles, Thomas K Greenfield, Marissa G Hall

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of preventive medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–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

17 citing papers in PubMed.

  1. Trial
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  8. Alcohol and Cancer Messaging: A Scoping Review.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Messages About Tobacco and Alcohol Co-Users.Journal of studies on alcohol and drugs · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. 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
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

4 authors.

Anna H GrummonDepartment of Nutrition, Harvard TH Chan School of Public Health, Boston, Massachusetts.
Phoebe R RugglesDepartment of Health Behavior, University of North Carolina Gillings School of Global Public Health, Chapel Hill, North Carolina.
Thomas K GreenfieldAlcohol Research Group, Public Health Institute, Emeryville, California.
Marissa G HallDepartment of Health Behavior, University of North Carolina Gillings School of Global Public Health, Chapel Hill, North Carolina.

Funding

TREND &STRUCTURE OF ALCOHOL DEPENDENCE--GENERAL POPULATION 1990 SURVEY DATAP50AA005595 · NIAAA · WESTERN CONSORTIUM FOR PUBLIC HEALTH · PI KERR, WILLIAM C. · 1985 to 2025
$34.1M
CVD Epidemiology Training Program in Behavior, the Environment and Global HealthT32HL098048 · NHLBI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Goodarz Danaei, ERIC B RIMM · 2009 to 2026
$6.9M
Designing and Evaluating High-Impact Pictorial Health Warnings for Food ProductsK01HL147713 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HALL, MARISSA · 2019 to 2023
$738k
Developing and Evaluating Health and Environmental Messages to Improve Diet in Emerging AdultsK01HL158608 · NHLBI · STANFORD UNIVERSITY · PI Anna H Grummon · 2022 to 2026
$660k
NHLBI NIH HHS K01 HL147713NHLBI NIH HHS K01 HL158608NHLBI NIH HHS T32 HL098048NIAAA NIH HHS P50 AA005595
6 · The paper itself

Abstract

Introduction: New warning labels for alcohol could reduce alcohol-related health harms. This study examined consumer responses to alcohol warnings with different designs. Methods: A national sample of 3,051 U.S. adults completed an online survey in August 2021. Participants were randomized to 1 of 4 warning topics (addiction, liver damage, early death, or colon cancer). Participants viewed 3 labels, presented in random order: 2 types of warning labels (text-only and icon) showing a newly developed warning message about their assigned topic and a text-only control label showing a neutral message. Participants rated each label on effectiveness at discouraging alcohol consumption (primary outcome) and attention (secondary outcome) using 1 to 5 Likert-type scales. Participants also rated warnings with different causal language variants (e.g., "increases risk of," "contributes to") and marker words (e.g., "WARNING," "SURGEON GENERAL WARNING"). Results: Both the text-only and icon warnings were perceived as more effective (Average Differential Effects [ADEs]=0.79 and 0.86, respectively) and more attention-grabbing (ADEs=0.43 and 0.69, respectively) than control labels (all Conclusions: New alcohol warnings could discourage alcohol consumption, especially if warnings include icons.

Indexed as

Alcohol DrinkingProduct LabelingAdultHumansSurveys and Questionnaires

Identifiers

PMID37575887
PMCPMC10421534

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.