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Exploring the impact of efficacy messages on cessation-related outcomes using Ecological Momentary Assessment.

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  • Additional Information
    • Subject Terms:
    • Author-Supplied Keywords:
      health communication
      health policy
      smoking cessation
      tobacco control
    • NAICS/Industry Codes:
      621990 All other ambulatory health care services
      621999 All Other Miscellaneous Ambulatory Health Care Services
      517210 Wireless Telecommunications Carriers (except Satellite)
    • Abstract:
      INTRODUCTION Observational studies indicate that cigarette package inserts with efficacy messages about the benefits of quitting (i.e. response efficacy) and recommendations for successful cessation increase smokers' self-efficacy to quit and promote sustained cessation. However, the effects of inserts with such efficacy messages have not been studied using experimental designs. This study used ecological momentary assessment (EMA) to assess smokers' responses to efficacy inserts. METHODS In a randomized case-crossover study among smokers from the United States (n=23), participants received a one-week supply of cigarettes with efficacy inserts and a one-week supply without any inserts, and were randomized to use the packs with inserts on either the first or second week of the study. For 14 consecutive days, participants used a smartphone to answer brief surveys on cessation-related variables during smoking sessions and at the beginning of each day. Multilevel mixed-effects linear and logistic regression models compared responses during the insert period to those of the non-insert period. RESULTS The insert period was associated with greater desire to quit (b=0.21, p=0.012), motivation to quit (b=0.18, p=0.001), self-efficacy to cut down (b=0.26, p<0.001) and to quit (b=0.28, p<0.000), and response efficacy/ perceived benefits of quitting (b=0.13, p=0.012). Insert exposure was not significantly associated with forgoing cigarettes (OR=1.9, p=0.2). CONCLUSIONS Results from this EMA study suggest that inserts with efficacy messages may promote determinants of smoking cessation. This is consistent with observational research in Canada, which is the only country to use inserts with efficacy messages as well as pictorial warnings about smoking risks on the outside of packs. Future studies should assess the extent to which efficacy inserts can not only be used to communicate health information to smokers but also work in synergy with pictorial warnings. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Tobacco Induced Diseases is the property of EU European Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • Author Affiliations:
      1Department of Health Promotion, Education, & Behavior, Arnold School of Public Health, University of South Carolina, Columbia, United States
      2School of Medicine, University of Tasmania, Hobart, Australia
      3Department of Communication, Cornell University, Ithaca, United States
      4School of Public Health & Health Systems, University of Waterloo, Waterloo, Canada
      5Department of Epidemiology & Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, United States
      6Department of Tobacco Research, Center for Population Health Studies, National Institute of Public Health, Cuernavaca, Mexico
    • ISSN:
      2070-7266
    • Accession Number:
      10.18332/tid/94460
    • Accession Number:
      135261916
  • Citations
    • ABNT:
      LAMBERT, V. et al. Exploring the impact of efficacy messages on cessation-related outcomes using Ecological Momentary Assessment. Tobacco Induced Diseases, [s. l.], v. 16, p. 1–6, 2018. DOI 10.18332/tid/94460. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=a9h&AN=135261916. Acesso em: 26 set. 2020.
    • AMA:
      Lambert V, Ferguson SG, Niederdeppe J, Hammond D, Hardin JW, Thrasher JF. Exploring the impact of efficacy messages on cessation-related outcomes using Ecological Momentary Assessment. Tobacco Induced Diseases. 2018;16:1-6. doi:10.18332/tid/94460
    • APA:
      Lambert, V., Ferguson, S. G., Niederdeppe, J., Hammond, D., Hardin, J. W., & Thrasher, J. F. (2018). Exploring the impact of efficacy messages on cessation-related outcomes using Ecological Momentary Assessment. Tobacco Induced Diseases, 16, 1–6. https://doi.org/10.18332/tid/94460
    • Chicago/Turabian: Author-Date:
      Lambert, Victoria, Stuart G. Ferguson, Jeff Niederdeppe, David Hammond, James W. Hardin, and James F. Thrasher. 2018. “Exploring the Impact of Efficacy Messages on Cessation-Related Outcomes Using Ecological Momentary Assessment.” Tobacco Induced Diseases 16 (September): 1–6. doi:10.18332/tid/94460.
    • Harvard:
      Lambert, V. et al. (2018) ‘Exploring the impact of efficacy messages on cessation-related outcomes using Ecological Momentary Assessment’, Tobacco Induced Diseases, 16, pp. 1–6. doi: 10.18332/tid/94460.
    • Harvard: Australian:
      Lambert, V, Ferguson, SG, Niederdeppe, J, Hammond, D, Hardin, JW & Thrasher, JF 2018, ‘Exploring the impact of efficacy messages on cessation-related outcomes using Ecological Momentary Assessment’, Tobacco Induced Diseases, vol. 16, pp. 1–6, viewed 26 September 2020, .
    • MLA:
      Lambert, Victoria, et al. “Exploring the Impact of Efficacy Messages on Cessation-Related Outcomes Using Ecological Momentary Assessment.” Tobacco Induced Diseases, vol. 16, Sept. 2018, pp. 1–6. EBSCOhost, doi:10.18332/tid/94460.
    • Chicago/Turabian: Humanities:
      Lambert, Victoria, Stuart G. Ferguson, Jeff Niederdeppe, David Hammond, James W. Hardin, and James F. Thrasher. “Exploring the Impact of Efficacy Messages on Cessation-Related Outcomes Using Ecological Momentary Assessment.” Tobacco Induced Diseases 16 (September 2018): 1–6. doi:10.18332/tid/94460.
    • Vancouver/ICMJE:
      Lambert V, Ferguson SG, Niederdeppe J, Hammond D, Hardin JW, Thrasher JF. Exploring the impact of efficacy messages on cessation-related outcomes using Ecological Momentary Assessment. Tobacco Induced Diseases [Internet]. 2018 Sep [cited 2020 Sep 26];16:1–6. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=a9h&AN=135261916