Literacy and Smoking Risk Communications

NCT00684437 | Active Not Recruiting

• 3 other identifiers: 2006-06991R01CA125413-01NCI-2015-00727
• Study Type: interventional
• Target: 494
• Locations: 1 country
• Sites: 1

Brief Summary

Objectives: Smokers with varying levels of health literacy as assessed by the S-TOFHLA (i.e., inadequate, marginal, adequate) recruited from the community will listen to one of 4 different types of messages emphasizing the health consequences of smoking recorded on a computer in the form of audio scripts (i.e., a human voice pre-recorded on a computer will read each message). Messages written at a 5th to 6th grade reading level will be concurrently presented in written form via a computer monitor and be manipulated in terms of 1) emotionality (i.e., primarily fact- vs. primarily emotion-based), and 2) framing (i.e., gain-framed messages that highlight the potential benefits of quitting smoking vs. loss-framed messages that emphasize the potential costs of failing to quit smoking). Emotionality and framing will be completely crossed to create four different types of messages, 1) factual gain-framed (FGF), 2) factual loss-framed (FLF), 3) emotional gain-framed (EGF), and 4) emotional loss-framed (ELF). The primary objectives are to:

1. 1.Examine whether main effects emerge for health literacy as assessed by the S-TOFHLA (inadequate, marginal, adequate) and the different message types (fact- vs. emotion-based and gain- vs. loss-framed) on the primary explicit and implicit outcomes: a) intention to quit, and b) implicit and explicit attitudes toward smoking.
2. 2.Examine whether health literacy interacts with the different types of messages (fact-based vs. emotion-based and gain-framed vs. loss-framed) to influence the primary explicit and implicit outcome measures: a) intention to quit smoking, and b) implicit and explicit attitudes toward smoking.
3. 3.Examine potential associations between a) the primary explicit and implicit outcomes, and b) the secondary explicit and implicit outcomes: knowledge, risk perception, attitudes, self-efficacy, message evaluations, implicit fear of disease, and implicit associations between smoking and disease.

Conditions

Smoking

Keywords

Health Literacy; Smoking Risk; Focus Group; Questionnaire; Survey

Outcome Measures

Primary Outcomes (1)

• Factors that may influence how smokers understand smoking health risk informational messages.

  Examine whether main effects emerge for health literacy as assessed by the Short Test of Functional Health Literacy in Adults (S-TOFHLA) (inadequate, marginal, adequate) and the different message types (fact- vs. emotion-based and gain- vs. loss-framed) on the primary explicit and implicit outcomes: a) intention to quit, and b) implicit and explicit attitudes toward smoking

  2 years

Study Arms (4)

Factual Gain-Framed

EXPERIMENTAL

Smoking Risk Message - Factual Gain-Framed (FGF)

Behavioral: Focus Group; Behavioral: Questionnaire

Factual Loss-Framed

EXPERIMENTAL

Smoking Risk Message - Factual Loss-Framed (FLF)

Behavioral: Focus Group; Behavioral: Questionnaire

Emotional Gain-Framed

EXPERIMENTAL

Smoking Risk Message - Emotional Gain-Framed (EGF)

Behavioral: Focus Group; Behavioral: Questionnaire

Emotional Loss-Framed

EXPERIMENTAL

Smoking Risk Message - Emotional Loss-Framed (ELF)

Behavioral: Focus Group; Behavioral: Questionnaire

Interventions

Focus Group BEHAVIORAL

Focus group discussion and evaluation of various smoking risk informational messages. The focus group session should last about 1 hour and 30 minutes.

Emotional Gain-Framed; Emotional Loss-Framed; Factual Gain-Framed; Factual Loss-Framed

Questionnaire BEHAVIORAL

Questionnaires taking 15-30 minutes to complete.

Also known as: Survey

Emotional Gain-Framed; Emotional Loss-Framed; Factual Gain-Framed; Factual Loss-Framed

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• age 18 to 70 years
• current smoker with a history of at least 5 cigarettes/day for the last year
• can speak, read, and write in English
• home address and a functioning home telephone number

You may not qualify if:

• current use of nicotine replacement therapy or bupropion
• current enrollment in a smoking cessation treatment program
• expired CO\<10 ppm

Sponsors & Collaborators

• M.D. Anderson Cancer Center: lead
• National Cancer Institute (NCI): collaborator

Study Sites (1)

University of Texas MD Anderson Cancer Center

Houston, Texas, 77030, United States

Location

Related Links

• M D Anderson Cancer Center

MeSH Terms

Conditions

Smoking

Interventions

Focus Groups; Surveys and Questionnaires

Condition Hierarchy (Ancestors)

Behavior

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Officials

• Lorna H. McNeill, MPH,PHD

  M.D. Anderson Cancer Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 22, 2008
• First Posted: May 26, 2008
• Study Start: May 21, 2008
• Primary Completion (Estimated): May 31, 2026
• Study Completion (Estimated): May 31, 2026
• Last Updated: January 14, 2026

Record last verified: 2026-01

Locations

US (1)