Waterpipe Warnings Aim 2: Text Versus Pictorial Warning Survey

Study Overview
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Brief Summary
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The purpose of this study is to whether exposure to waterpipe tobacco warnings reduce young adults' intentions to smoke waterpipe in the future.

Detailed Description
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Young adults, defined as those 18-29 years old, have the highest rates of waterpipe tobacco smoking, which increases their risk of a variety of pulmonary, neurological, and oncological health conditions, among many others. This trial will randomly assign young adult waterpipe users or those susceptible to use to view waterpipe tobacco packages with text warning, pictorial warnings, or no warnings in a one-time online study. Participants will answer a series of questions regarding each package.

Official Title
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Communicating Waterpipe Tobacco Harms to Reduce Use Among Young Adults: Aim 2 Text Versus Pictorial Warning Survey

Conditions
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Waterpipe Tobacco Smoking

Intervention / Treatment
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* Behavioral: Pictorial Warnings
* Behavioral: Text Warnings
* Behavioral: No Warnings (Control)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: United States (US) Resident Has used waterpipe tobacco within the past year (self-report) OR Has not used waterpipe tobacco within the past year but is susceptible to use (self-report) Exclusion Criteria: Younger than 18 or older than 29 Not a US Resident Has not used waterpipe tobacco within the past year and is not susceptible to use (self-report)

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 29 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: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Participants randomized to the text-only condition will see six packages with different text warnings. Participants randomized to the pictorial condition will see six packages with different pictorial warnings. Participants in the control condition will see a single package without a warning.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Pictorial Warnings<br>Waterpipe tobacco packages shown with pictorial warnings about health harms of waterpipe smoking | Behavioral: Pictorial Warnings<br>* Participants will be shown 6 waterpipe tobacco packages with 6 different pictorial warnings about the health harms of waterpipe smoking. The order of the 6 packages within this trial arm will be randomized. Study investigators developed a fictitious waterpipe tobacco brand to be used in this study and designed the warnings for this arm.<br>|
| Experimental: Text Warnings<br>Waterpipe tobacco packages shown with text-only warning about health harms of waterpipe smoking | Behavioral: Text Warnings<br>* Participants will be shown 6 waterpipe tobacco packages with 6 different text-only warnings about the health harms of waterpipe smoking. The order of the 6 packages within this trial arm will be randomized. Study investigators developed a fictitious waterpipe tobacco brand to be used in this study and designed the warnings for this arm.<br>|
| Experimental: No Warnings (Control)<br>Waterpipe tobacco package shown without a warning | Behavioral: No Warnings (Control)<br>* Participants will be shown a single package without a warning. Study investigators developed a fictitious waterpipe tobacco brand to be used in this study.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Behavioral Intentions | The primary outcome is intention to smoke tobacco in a waterpipe within the next year, measured by averaging three items adapted from research on cigarette smoking. The primary outcome will be measured after the exposure to waterpipe packages. How interested are you in smoking hookah in the next year? How likely are you to smoke hookah in the next year? How much do you plan to smoke hookah in the next year? Response scale: (1) Not at all / (2) Very little / (3) Somewhat / (4) Quite a bit / (5) Very | Minute 2 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Waterpipe Tobacco Smoking