Evidence map›Paper›PMID 39602397›Full record

ArticlePLOS global public health2024

Visual attention and recall of flavored cigarillo package elements among young adults: A randomized control trial.

Stephanie Pike Moore, Alysha C Ennis, Sho Kirihara, Elvia C Gomez, Maya Reyes-Klein, Hannah Sharp, Joseph M Macisco, Erika S Trapl, Amanda J Quisenberry, Elizabeth G Klein

Registry-linked trialAbstract read
In one paragraph

Article in PLOS global public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04358705 (C-FLASH), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT04358705 nacompletednot on this map

C-FLASH (Cigarillo Flavor and Abuse Liability, Attention, and Substitution in youtH)

TypeinterventionalSponsorCase Comprehensive Cancer CenterRan2020 to 2023Enrolled658ConditionsSmoking BehaviorsArmsAim 1: Online survey, Eye Tracking Activity, Eye tracking survey, Online Experimental Marketplace (ETM), Aim 3 survey
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Stephanie Pike MooreDepartment of Population and Quantitative Health Sciences, School of Medicine, Case Western Reserve University, Cleveland, Ohio, United States of America.
Alysha C EnnisCollege of Public Health, Ohio State University, Columbus, Ohio, United States of America.ORCID https://orcid.org/0009-0000-8062-3440
Sho KiriharaCollege of Public Health, Ohio State University, Columbus, Ohio, United States of America.ORCID https://orcid.org/0009-0008-0794-3438
Elvia C GomezCollege of Public Health, Ohio State University, Columbus, Ohio, United States of America.
Maya Reyes-KleinCollege of Science, University of Nevada, Reno, Nevada, United States of America.
Hannah SharpAllegheny College, Meadville, Pennsylvania, United States of America.
Joseph M MaciscoCollege of Public Health, Ohio State University, Columbus, Ohio, United States of America.ORCID https://orcid.org/0000-0003-0688-4460
Erika S TraplDepartment of Population and Quantitative Health Sciences, School of Medicine, Case Western Reserve University, Cleveland, Ohio, United States of America.
Amanda J QuisenberryDepartment of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, New York, United States of America.
Elizabeth G KleinCollege of Public Health, Ohio State University, Columbus, Ohio, United States of America.ORCID https://orcid.org/0000-0002-6895-4682

Funding

Impact of Flavor on Youth & Young Adults use Intention, Abuse Liability and Perceptions of CigarillosR01DA048529 · NIDA · CASE WESTERN RESERVE UNIVERSITY · PI KLEIN, ELIZABETH G, QUISENBERRY, AMANDA J · 2019 to 2021
$1.7M
NIDA NIH HHS R01 DA048529
6 · The paper itself

Abstract

introductionFlavoring in cigarillos contributes to greater product initiation and abuse liability particularly among young adults. Few studies have examined how packaging elements, including flavor, may draw visual attention from potential consumers as well as impact product recall. This study aimed to test the difference in visual attention to flavor names and other packaging elements on cigarillo products as well as recall of these packaging elements. MATERIALS AND

methodsYoung adults aged 16-28 years were recruited to participate in a randomized control trial (Clinictrials.org ID: NCT04358705) in June through December 2022 (N = 89). Participants were randomized to two conditions viewing 12 flavored or unflavored cigarillo package images. Eye tracking software captured participants viewing (dwell) time on package features: flavor, brand, health warning, price, and other package imagery. Participants were asked about their recall of the images viewed. The proportion of dwell time on each package elements were used to examine differences between experimental conditions.

resultsAcross conditions, participants spent the greatest proportion of dwell time looking at the health warning. Participants in the flavored condition spent a significantly greater proportion of dwell time looking at flavor name (mean: 10.66%; SD: 3.56) compared to those in the unflavored condition (mean:7.03%; SD 2.81). Following the experiment, 45.8% of those in the flavored condition recalled having seen flavors or flavor names, which was greater than recall of all other elements and was significantly greater than flavor recall in the unflavored condition (12.2%).

conclusionsFlavored cigarillos attract greater visual attention and were the most memorable element of cigarillo packaging among young adults sampled. Changes to cigarillo packaging, including limiting flavor descriptors, imagery, and/or color on packaging and advertisements may be an effective way to reduce young adults' attention to the products and thus their appeal.

Identifiers

PMID39602397
PMCPMC11602028

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Registered trials

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.