Reactions to Warnings on Hookah Ads

Study Overview
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Brief Summary
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The purpose of this study is to help us better understand what kinds of waterpipe tobacco advertisements appeal to young adults as well as to help evaluate and create health warnings that can be placed on waterpipe tobacco advertisements to inform young adults of the risks associated with smoking hookah tobacco.

Official Title
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Exploring Reactions to Health Warnings on Waterpipe Tobacco Ads

Conditions
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Reactions to Warnings, Hookah Smoking

Intervention / Treatment
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* Behavioral: Control
* Behavioral: Text Only
* Behavioral: Text + Graphic


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Young adults who are susceptible to or who are current tobacco smokers (which is defined as at least once in the past month, and using hookah tobacco on at least a monthly basis). Must have Internet access for Phase 1 and Phase 2 and have a Turkprime account. English speaker Exclusion Criteria: Anyone who is not susceptible to waterpipe tobacco smoking or is not a current waterpipe tobacco smoker Anyone who does not have Internet access or a Turkprime account

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 34 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Hookah Tobacco Smokers<br>Young adults, ages 18-34, who smoke hookah tobacco | Behavioral: Control<br>* Participants will view 24 ads with and without health warnings. Additionally, 16 control non-tobacco ads matched for graphical content, presence of text, people, and other factors will be randomly distributed among these ads.<br>Behavioral: Text Only<br>* Participants will view at random 24 ads twice, each ad will have a different health warning chosen at random with the caveat that each health warning will be seen 3 times. The 16 control ads will have text disclaimers to control for physical features of the ads.<br>Behavioral: Text + Graphic<br>* This arm is identical to the text only intervention except a graphic will be added to the health warning. Thus, each ad will be seen twice; the text + graphic warnings will be seen three times. The 16 control ads will have text disclaimers and logos or other images to control for physical features of ads.<br>|
| Active Comparator: Open to Smoking Hookah Tobacco<br>Young adults, ages 18-34, who do not smoke hookah tobacco but are open to trying | Behavioral: Control<br>* Participants will view 24 ads with and without health warnings. Additionally, 16 control non-tobacco ads matched for graphical content, presence of text, people, and other factors will be randomly distributed among these ads.<br>Behavioral: Text Only<br>* Participants will view at random 24 ads twice, each ad will have a different health warning chosen at random with the caveat that each health warning will be seen 3 times. The 16 control ads will have text disclaimers to control for physical features of the ads.<br>Behavioral: Text + Graphic<br>* This arm is identical to the text only intervention except a graphic will be added to the health warning. Thus, each ad will be seen twice; the text + graphic warnings will be seen three times. The 16 control ads will have text disclaimers and logos or other images to control for physical features of ads.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Perceived Risk as Measured by Questionnaire |  | up to 45 minutes | 
| Worry about Harms as Measured by Questionnaire |  | up to 45 minutes | 
| Attitudes toward Waterpipe Tobacco Smoking as Measured by Questionnaire |  | up to 45 minutes | 
| Intention to Try (for Susceptible Nonsmokers of Waterpipe Tobacco Smokers) or Quit (for Smokers of Waterpipe Tobacco) as Measured by Questionnaire |  | up to 45 minutes | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Effectiveness of Health Warnings on a 1 to 7 scale | 1 = Not at all effective to 7 = A great deal effective | up to 45 minutes | 
| Avoidance / Acceptance of Health Warnings as Measured by Eye Tracking |  | up to one hour | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Hookah, Shisha, Tobacco, Narghile