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Int. J. Environ. Res. Public Health 2018, 15(2), 282; https://doi.org/10.3390/ijerph15020282

Testing Cessation Messages for Cigarette Package Inserts: Findings from a Best/Worst Discrete Choice Experiment

1
Department of Health Promotion, Education & Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA
2
Department of Biostatistics and Epidemiology, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA
3
Division of Health Promotion and Behavior, School of Public Health, Georgia State University, Atlanta, GA 30302, USA
4
Department of Health Outcomes & Policy, College of Medicine, University of Florida, Gainesville, FL 32610, USA
5
Institute for Choice and School of Marketing, University of South Australia, Adelaide, SA 5001, Australia
6
School of Public Health & Health Systems, University of Waterloo, Waterloo, ON N2L3G1, Canada
*
Author to whom correspondence should be addressed.
Received: 9 December 2017 / Revised: 20 January 2018 / Accepted: 1 February 2018 / Published: 6 February 2018
(This article belongs to the Special Issue Development and Evaluation of New Tobacco Control Interventions)
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Abstract

This study assessed smokers’ responses to different smoking cessation topics and imagery for cigarette package inserts. Adult smokers from Canada (n = 1000) participated in three discrete choice experiments (DCEs): DCE 1 assessed five cessation benefit topics and five imagery types; DCE 2 assessed five messages with tips to improve cessation success and five imagery types; DCE 3 assessed four reproductive health benefits of cessation topics and four imagery types. In each DCE, participants evaluated four or five sets of four inserts, selecting the most and least motivating (DCEs 1 & 3) or helpful (DCE 2) for quitting. Linear mixed models regressed choices on insert and smoker characteristics. For DCE 1, the most motivating messages involved novel disease topics and imagery of younger women. For DCE 2, topics of social support, stress reduction and nicotine replacement therapy were selected as most helpful, with no differences by imagery type. For DCE 3, imagery influenced choices more than topic, with imagery of a family or a mom and baby selected as most motivating. Statistically significant interactions for all three experiments indicated that the influence of imagery type on choices depended on the message topic. Messages to promote smoking cessation through cigarette pack inserts should consider specific combinations of message topic and imagery. View Full-Text
Keywords: tobacco control; health communication; smoking cessation; health policy tobacco control; health communication; smoking cessation; health policy
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Thrasher, J.F.; Islam, F.; Davis, R.E.; Popova, L.; Lambert, V.; Cho, Y.J.; Salloum, R.G.; Louviere, J.; Hammond, D. Testing Cessation Messages for Cigarette Package Inserts: Findings from a Best/Worst Discrete Choice Experiment. Int. J. Environ. Res. Public Health 2018, 15, 282.

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