Communicating about Nicotine and Differential Risks of Tobacco Products

沟通尼古丁和烟草制品的差异风险

• 批准号: 10227991
• 负责人: Lyudmila Popova
• 金额: $ 43.32万
• 依托单位: GEORGIA STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-16 至 2023-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10227991
• 关键词: 18 year old; Address; Adult; Affect; Ally; Area; Behavioral; Cessation of life; Cigarette; Color; Communication; Conscious; Data; Descriptor; Disease; Electronic Nicotine Delivery Systems; Emotions; Focus Groups; Health; Lead; Life; Light; Measures; Nicotine; Outcome; Participant; Policies; Politics; Qualitative Research; Randomized Clinical Trials; Research; Risk; Sampling; Savings; Science; Side; Smoker; Smoking; Source; Testing; Tobacco; Tobacco Industry; Tobacco use; United States Food and Drug Administration; Work; addiction; behavioral outcome; cigarette user; craving; emotional reaction; experimental study; follow-up; former smoker; innovation; insight; low nicotine content cigarette; nicotine use; non-cigarette tobacco product; non-smoker; novel; positive emotional state; prevent; public education; risk perception; smoking cessation; smoking-related disease; tobacco control; tobacco products; tobacco regulation; virtual; young adult; 18 year old; Address; Adult; Affect; Ally; Area; Behavioral; Cessation of life; Cigarette; Color; Communication; Conscious; Data; Descriptor; Disease; Electronic Nicotine Delivery Systems; Emotions; Focus Groups; Health; Lead; Life; Light; Measures; Nicotine; Outcome; Participant; Policies; Politics; Qualitative Research; Randomized Clinical Trials; Research; Risk; Sampling; Savings; Science; Side; Smoker; Smoking; Source; Testing; Tobacco; Tobacco Industry; Tobacco use; United States Food and Drug Administration; Work; addiction; behavioral outcome; cigarette user; craving; emotional reaction; experimental study; follow-up; former smoker; innovation; insight; low nicotine content cigarette; nicotine use; non-cigarette tobacco product; non-smoker; novel; positive emotional state; prevent; public education; risk perception; smoking cessation; smoking-related disease; tobacco control; tobacco products; tobacco regulation; virtual; young adult

ABSTRACT The US Food and Drug Administration’s (FDA) potentially groundbreaking plan to reduce tobacco-related death and disease by lowering nicotine in combusted cigarettes to minimally addictive levels has many challenges. The tobacco industry and its allies argue that it would lead to a skyrocketing black market and public and political backlash. Some caution that smokers would view reduced nicotine cigarettes as less harmful, which would deter quitting, similar to how “light” and “mild” descriptors caused many health-conscious smokers to continue smoking. To maximize the benefits of this potentially life-saving policy, it is necessary to develop effective ways to communicate about nicotine in various tobacco products and about the health risks of using products that have different levels of nicotine, such as combusted cigarettes and electronic nicotine delivery systems (ENDS). One promising communication strategy is to combine messages about reduced nicotine in combusted cigarettes with messages about lower risks of other nicotine-delivering products (i.e., “modified risk claims”). Our central hypothesis is that the two types of messages in combination have greater positive impact than either type alone. This might be due to modified risk messages being able to mitigate negative emotional reactions and reactance to reduced nicotine messages. Yet this communication strategy remains virtually unexplored. Research is sorely needed to examine these two types of messages as they present both sides of the FDA’s new comprehensive plan for nicotine and tobacco regulation. This project will provide that research by pursuing these specific aims: (1) Develop preliminary messages about reduced nicotine in combusted tobacco products using qualitative focus groups; (2) Quantify the relative importance of different types of information in communications about reduced nicotine using Discrete Choice Experiment; (3) Test the impact of messages about reduced nicotine in combusted tobacco products in the context of modified risk statements for novel tobacco products in a randomized clinical trial with a nationally representative sample of adult current exclusive smokers, dual users, and young adult (18-29) non-smokers. This project will use insights from communication and decision sciences to produce data that will contribute to the science that informs FDA regulatory actions around product review, product standards, and public education on nicotine and the differential risks of tobacco products.

抽象的 美国食品药品监督管理局（FDA）潜在的开创性计划，以减少与烟草有关 通过将燃烧香烟中的尼古丁降低至最低限度上瘾的水平，死亡和疾病有很多 挑战。烟草业及其盟友认为，这将导致黑人市场飞涨， 公共和政治反弹。一些警告说，吸烟者会认为减少尼古丁香烟是较少的 有害，这将决定安静，类似于“轻”和“轻度”的描述符如何引起许多健康意识 吸烟者继续吸烟。为了最大程度地利用这项潜在的挽救生命的政策的好处，有必要 开发有效的方法来在各种烟草产品中沟通有关尼古丁的及健康风险 使用具有不同水平的尼古丁的产品，例如燃烧的民用和电子尼古丁 输送系统（末端）。一种有希望的沟通策略是结合有关减少的信息 燃烧香烟中的尼古丁，以及有关其他尼古丁产品风险较低的消息（即 “修改风险索赔”）。我们的中心假设是，组合的两种类型的消息具有更大的 积极的影响比单独的任何一种类型。这可能是由于修改的风险消息能够减轻 负面情绪反应和对减少尼古丁信息的反应。然而这种沟通策略 几乎是出乎意料的。非常需要研究来检查这两种类型的消息 介绍了FDA针对尼古丁和烟草法规的新综合计划的两面。这个项目将 通过追求这些具体目标来提供该研究：（1）开发有关减少的初步信息 使用定性焦点组中燃烧的烟草产品中的尼古丁； （2）量化的相对重要性 使用离散选择实验的有关减少尼古丁的通信中的不同类型的信息； （3） 测试有关在经过修改的背景下燃烧烟草产品减少尼古丁的消息的影响 在随机临床试验中，新型烟草产品的风险陈述和全国代表性样本 成人目前的独家吸烟者，双重用户和年轻人（18-29）非吸烟者。这个项目将使用 沟通和决策科学的见解，以产生将有助于科学的数据 告知FDA有关产品审查，产品标准和公共教育尼古丁的监管行动 以及烟草产品的差异风险。