Trial Outcomes & Findings for European Regulatory Science on Tobacco: Policy Implementation to Reduce Lung Diseases (EUREST-PLUS) (NCT NCT02773836)

Results Overview

In the last 30 days, how often did you think about the harm your smoking might be doing to you? responses: 1. Never 2. Rarely 3. Sometimes 4. Often 5. Very often 8 Refused 9 Don't know

Recruitment status

COMPLETED

Target enrollment

6036 participants

Primary outcome timeframe

Baseline Pre-TPD

Results posted on

2019-06-03

Participant Flow

The reason there are more participants enrolled at Period 2 (Wave 2 Post-TPD implementation) as compared to Period 1 (Wave 1 Pre-TPD implementation) is because a replenishment sample was recruited in Wave 2.

Participant milestones

Participant milestones
Measure	Greek Cohort Participants recruited from Greece Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	German Cohort Participants recruited from Germany Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Romanian Cohort Participants recruited from Romania Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Spanish Cohort Participants recruited from Spain Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Hungarian Cohort Participants recruited from Hungary Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Polish Cohort Participants recruited from Poland Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)
Wave 1- Pre-TPD Implementation STARTED	1000	1003	1001	1001	1000	1006
Wave 1- Pre-TPD Implementation COMPLETED	1000	1003	1001	1001	1000	1006
Wave 1- Pre-TPD Implementation NOT COMPLETED	0	0	0	0	0	0
Wave 2- Post-TPD Implementation STARTED	1010	1013	1003	1010	1002	998
Wave 2- Post-TPD Implementation COMPLETED	1010	1013	1003	1010	1002	998
Wave 2- Post-TPD Implementation NOT COMPLETED	0	0	0	0	0	0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure	Greek Cohort n=1000 Participants Participants recruited from Greece Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	German Cohort n=1003 Participants Participants recruited from Germany Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Romanian Cohort n=1001 Participants Participants recruited from Romania Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Spanish Cohort n=1001 Participants Participants recruited from Spain Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Hungarian Cohort n=1000 Participants Participants recruited from Hungary Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Polish Cohort n=1006 Participants Participants recruited from Poland Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Total n=6011 Participants Total of all reporting groups
Age, Categorical <=18 years	0 Participants n=1000 Participants	0 Participants n=1003 Participants	0 Participants n=1001 Participants	0 Participants n=1001 Participants	0 Participants n=1000 Participants	0 Participants n=1006 Participants	0 Participants n=6011 Participants
Age, Categorical Between 18 and 65 years	888 Participants n=1000 Participants	903 Participants n=1003 Participants	921 Participants n=1001 Participants	932 Participants n=1001 Participants	898 Participants n=1000 Participants	900 Participants n=1006 Participants	5442 Participants n=6011 Participants
Age, Categorical >=65 years	112 Participants n=1000 Participants	100 Participants n=1003 Participants	80 Participants n=1001 Participants	69 Participants n=1001 Participants	102 Participants n=1000 Participants	106 Participants n=1006 Participants	569 Participants n=6011 Participants
Age, Continuous	47.1 years STANDARD_DEVIATION 14.5 • n=1000 Participants	45.5 years STANDARD_DEVIATION 14.6 • n=1003 Participants	43.9 years STANDARD_DEVIATION 14.2 • n=1001 Participants	43.3 years STANDARD_DEVIATION 14.4 • n=1001 Participants	46.1 years STANDARD_DEVIATION 13.9 • n=1000 Participants	45.1 years STANDARD_DEVIATION 14.7 • n=1006 Participants	45.2 years STANDARD_DEVIATION 14.5 • n=6011 Participants
Sex: Female, Male Female	456 Participants n=1000 Participants	496 Participants n=1003 Participants	420 Participants n=1001 Participants	456 Participants n=1001 Participants	479 Participants n=1000 Participants	529 Participants n=1006 Participants	2836 Participants n=6011 Participants
Sex: Female, Male Male	544 Participants n=1000 Participants	507 Participants n=1003 Participants	581 Participants n=1001 Participants	545 Participants n=1001 Participants	521 Participants n=1000 Participants	477 Participants n=1006 Participants	3175 Participants n=6011 Participants
Race and Ethnicity Not Collected	—	—	—	—	—	—	0 Participants Race and Ethnicity were not collected from any participant.
Number of Cigarettes/E-cigarettes Smoked per day by participants	20.2 cigarettes per day STANDARD_DEVIATION 12.8 • n=1000 Participants	14.9 cigarettes per day STANDARD_DEVIATION 9.0 • n=1003 Participants	16.0 cigarettes per day STANDARD_DEVIATION 8.9 • n=1001 Participants	14.9 cigarettes per day STANDARD_DEVIATION 9.2 • n=1001 Participants	15.9 cigarettes per day STANDARD_DEVIATION 7.4 • n=1000 Participants	15.9 cigarettes per day STANDARD_DEVIATION 7.7 • n=1006 Participants	16.3 cigarettes per day STANDARD_DEVIATION 9.5 • n=6011 Participants

PRIMARY outcome

Timeframe: Baseline Pre-TPD

In the last 30 days, how often did you think about the harm your smoking might be doing to you? responses: 1. Never 2. Rarely 3. Sometimes 4. Often 5. Very often 8 Refused 9 Don't know

Outcome measures

Outcome measures
Measure	Greek Cohort n=1000 Participants Participants recruited from Greece Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	German Cohort n=1003 Participants Participants recruited from Germany Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Romanian Cohort n=1001 Participants Participants recruited from Romania Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Spanish Cohort n=1001 Participants Participants recruited from Spain Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Hungarian Cohort n=1000 Participants Participants recruited from Hungary Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Polish Cohort n=1006 Participants Participants recruited from Poland Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)
Number of Participants Who Think About the Harm of Smoking Often	327 Participants	95 Participants	317 Participants	203 Participants	133 Participants	140 Participants
Number of Participants Who Think About the Harm of Smoking Very often	152 Participants	46 Participants	129 Participants	98 Participants	38 Participants	37 Participants
Number of Participants Who Think About the Harm of Smoking Never	67 Participants	272 Participants	192 Participants	194 Participants	228 Participants	248 Participants
Number of Participants Who Think About the Harm of Smoking Rarely	139 Participants	265 Participants	103 Participants	172 Participants	295 Participants	260 Participants
Number of Participants Who Think About the Harm of Smoking Sometimes	314 Participants	321 Participants	259 Participants	333 Participants	305 Participants	316 Participants
Number of Participants Who Think About the Harm of Smoking Refused/ dont know	1 Participants	4 Participants	1 Participants	1 Participants	1 Participants	5 Participants

PRIMARY outcome

Timeframe: Baseline Pre-TPD

How soon after waking do you usually have your first smoke? responses: 1. 5 min or less 2. 6-30 min 3. 31-60 min 4. More than 60 min

Outcome measures

Outcome measures
Measure	Greek Cohort n=970 Participants Participants recruited from Greece Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	German Cohort n=883 Participants Participants recruited from Germany Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Romanian Cohort n=947 Participants Participants recruited from Romania Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Spanish Cohort n=969 Participants Participants recruited from Spain Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Hungarian Cohort n=988 Participants Participants recruited from Hungary Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Polish Cohort n=944 Participants Participants recruited from Poland Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)
Number of Participants Whose First Cigarette After Waking is 30 Mins or Less > 60 minutes	100 Participants	180 Participants	94 Participants	241 Participants	71 Participants	106 Participants
Number of Participants Whose First Cigarette After Waking is 30 Mins or Less 31-60 minutes	139 Participants	233 Participants	138 Participants	191 Participants	132 Participants	165 Participants
Number of Participants Whose First Cigarette After Waking is 30 Mins or Less 6-30 minutes	484 Participants	340 Participants	425 Participants	343 Participants	487 Participants	429 Participants
Number of Participants Whose First Cigarette After Waking is 30 Mins or Less 5 minutes or less	247 Participants	130 Participants	290 Participants	194 Participants	298 Participants	244 Participants

PRIMARY outcome

Timeframe: Baseline Pre-TPD

The following question ask you about how often you've had certain thoughts in the last 30 days. In the last 30 days, how often did you . . . Think about how much you enjoy smoking? 1. Never 2. Rarely 3. Sometimes 4. Often 5. Very often 6. Refused 7. Don't know

Outcome measures

Outcome measures
Measure	Greek Cohort n=1000 Participants Participants recruited from Greece Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	German Cohort n=1003 Participants Participants recruited from Germany Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Romanian Cohort n=1001 Participants Participants recruited from Romania Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Spanish Cohort n=1001 Participants Participants recruited from Spain Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Hungarian Cohort n=1000 Participants Participants recruited from Hungary Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Polish Cohort n=1006 Participants Participants recruited from Poland Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)
Number of Participants Who Think About How Much They Enjoy Smoking by Frequency Never	79 Participants	171 Participants	275 Participants	294 Participants	189 Participants	261 Participants
Number of Participants Who Think About How Much They Enjoy Smoking by Frequency Rarely	147 Participants	216 Participants	148 Participants	166 Participants	182 Participants	235 Participants
Number of Participants Who Think About How Much They Enjoy Smoking by Frequency Sometimes	298 Participants	335 Participants	263 Participants	338 Participants	334 Participants	305 Participants
Number of Participants Who Think About How Much They Enjoy Smoking by Frequency Often	325 Participants	197 Participants	220 Participants	150 Participants	247 Participants	143 Participants
Number of Participants Who Think About How Much They Enjoy Smoking by Frequency Very often	149 Participants	65 Participants	92 Participants	53 Participants	44 Participants	50 Participants
Number of Participants Who Think About How Much They Enjoy Smoking by Frequency Refused	0 Participants	0 Participants	0 Participants	0 Participants	0 Participants	4 Participants
Number of Participants Who Think About How Much They Enjoy Smoking by Frequency Don't Know	2 Participants	19 Participants	3 Participants	0 Participants	4 Participants	8 Participants

PRIMARY outcome

Timeframe: Baseline Pre-TPD

Have you ever tried to quit smoking? 1. Yes 2. No 8 Refused 9 Don't know

Outcome measures

Outcome measures
Measure	Greek Cohort n=1000 Participants Participants recruited from Greece Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	German Cohort n=1003 Participants Participants recruited from Germany Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Romanian Cohort n=1001 Participants Participants recruited from Romania Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Spanish Cohort n=1001 Participants Participants recruited from Spain Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Hungarian Cohort n=1000 Participants Participants recruited from Hungary Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Polish Cohort n=1006 Participants Participants recruited from Poland Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)
Number of Participants Who Have Ever Tried to Quit Smoking Don't know	0 Participants	0 Participants	0 Participants	0 Participants	0 Participants	0 Participants
Number of Participants Who Have Ever Tried to Quit Smoking Yes	429 Participants	555 Participants	622 Participants	623 Participants	453 Participants	556 Participants
Number of Participants Who Have Ever Tried to Quit Smoking No	571 Participants	448 Participants	379 Participants	378 Participants	547 Participants	447 Participants
Number of Participants Who Have Ever Tried to Quit Smoking Refused	0 Participants	0 Participants	0 Participants	0 Participants	0 Participants	3 Participants

PRIMARY outcome

Timeframe: Baseline Pre-TPD

Are you planning to quit smoking . . . 1. Within the next month 2. Within the next 6 months 3. Sometime in the future, beyond 6 months 4. Or are you not planning to quit? 8 Refused 9 Don't know

Outcome measures

Outcome measures
Measure	Greek Cohort n=1000 Participants Participants recruited from Greece Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	German Cohort n=1003 Participants Participants recruited from Germany Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Romanian Cohort n=1001 Participants Participants recruited from Romania Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Spanish Cohort n=1001 Participants Participants recruited from Spain Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Hungarian Cohort n=1000 Participants Participants recruited from Hungary Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Polish Cohort n=1006 Participants Participants recruited from Poland Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)
Number of Participants Who Plan to Quit Smoking Sometime in the future, beyond 6 months	315 Participants	485 Participants	364 Participants	229 Participants	201 Participants	240 Participants
Number of Participants Who Plan to Quit Smoking Or are you not planning to quit?	589 Participants	384 Participants	443 Participants	617 Participants	655 Participants	497 Participants
Number of Participants Who Plan to Quit Smoking Within the next month	21 Participants	39 Participants	62 Participants	54 Participants	21 Participants	38 Participants
Number of Participants Who Plan to Quit Smoking Within the next 6 months	64 Participants	76 Participants	98 Participants	84 Participants	81 Participants	97 Participants
Number of Participants Who Plan to Quit Smoking Refused	0 Participants	0 Participants	0 Participants	0 Participants	0 Participants	1 Participants
Number of Participants Who Plan to Quit Smoking Don't know	11 Participants	19 Participants	34 Participants	17 Participants	42 Participants	133 Participants

PRIMARY outcome

Timeframe: Post-TPD

In the last 30 days, how often did you think about the harm your smoking might be doing to you? responses: 1. Never 2. Rarely 3. Sometimes 4. Often 5. Very often 8 Refused 9 Don't know

Outcome measures

Outcome measures
Measure	Greek Cohort n=1010 Participants Participants recruited from Greece Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	German Cohort n=1013 Participants Participants recruited from Germany Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Romanian Cohort n=1003 Participants Participants recruited from Romania Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Spanish Cohort n=1010 Participants Participants recruited from Spain Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Hungarian Cohort n=1002 Participants Participants recruited from Hungary Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Polish Cohort n=998 Participants Participants recruited from Poland Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)
Number of Participants Who Think About the Harm of Smoking Never	109 Participants	328 Participants	229 Participants	147 Participants	288 Participants	274 Participants
Number of Participants Who Think About the Harm of Smoking Rarely	172 Participants	282 Participants	123 Participants	152 Participants	257 Participants	262 Participants
Number of Participants Who Think About the Harm of Smoking Sometimes	393 Participants	248 Participants	264 Participants	407 Participants	310 Participants	299 Participants
Number of Participants Who Think About the Harm of Smoking Often	209 Participants	118 Participants	226 Participants	188 Participants	115 Participants	107 Participants
Number of Participants Who Think About the Harm of Smoking Very Often	127 Participants	36 Participants	158 Participants	116 Participants	30 Participants	53 Participants
Number of Participants Who Think About the Harm of Smoking Don't Know	0 Participants	1 Participants	1 Participants	0 Participants	2 Participants	2 Participants
Number of Participants Who Think About the Harm of Smoking Refused	0 Participants	0 Participants	2 Participants	0 Participants	0 Participants	1 Participants

PRIMARY outcome

Timeframe: Post-TPD

How soon after waking do you usually have your first smoke? responses: 1. 5 min or less 2. 6-30 min 3. 31-60 min 4. More than 60 min

Outcome measures

Outcome measures
Measure	Greek Cohort n=932 Participants Participants recruited from Greece Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	German Cohort n=854 Participants Participants recruited from Germany Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Romanian Cohort n=899 Participants Participants recruited from Romania Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Spanish Cohort n=858 Participants Participants recruited from Spain Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Hungarian Cohort n=928 Participants Participants recruited from Hungary Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Polish Cohort n=912 Participants Participants recruited from Poland Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)
Number of Participants Whose First Cigarette After Waking is 30 Mins or Less 5 minutes or less	207 Participants	118 Participants	254 Participants	179 Participants	256 Participants	207 Participants
Number of Participants Whose First Cigarette After Waking is 30 Mins or Less 6-30 minutes	460 Participants	352 Participants	417 Participants	301 Participants	498 Participants	410 Participants
Number of Participants Whose First Cigarette After Waking is 30 Mins or Less 31-60 minutes	160 Participants	206 Participants	134 Participants	174 Participants	122 Participants	162 Participants
Number of Participants Whose First Cigarette After Waking is 30 Mins or Less More than 60 minutes	105 Participants	178 Participants	94 Participants	204 Participants	50 Participants	114 Participants
Number of Participants Whose First Cigarette After Waking is 30 Mins or Less Don't know	0 Participants	0 Participants	0 Participants	0 Participants	2 Participants	19 Participants

PRIMARY outcome

Timeframe: Post-TPD

Have you ever tried to quit smoking? 1. Yes 2. No 8 Refused 9 Don't know

Outcome measures

Outcome measures
Measure	Greek Cohort n=1009 Participants Participants recruited from Greece Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	German Cohort n=1013 Participants Participants recruited from Germany Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Romanian Cohort n=1002 Participants Participants recruited from Romania Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Spanish Cohort n=1010 Participants Participants recruited from Spain Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Hungarian Cohort n=1000 Participants Participants recruited from Hungary Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Polish Cohort n=991 Participants Participants recruited from Poland Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)
Number of Participants Who Have Ever Tried to Quit Smoking Has tried to quit	367 Participants	505 Participants	553 Participants	517 Participants	431 Participants	475 Participants
Number of Participants Who Have Ever Tried to Quit Smoking Never tried to quit	581 Participants	444 Participants	364 Participants	370 Participants	518 Participants	468 Participants

PRIMARY outcome

Timeframe: Post-TPD

Are you planning to quit smoking . . . 1. Within the next month 2. Within the next 6 months 3. Sometime in the future, beyond 6 months 4. Or are you not planning to quit? 8 Refused 9 Don't know

Outcome measures

Outcome measures
Measure	Greek Cohort n=949 Participants Participants recruited from Greece Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	German Cohort n=949 Participants Participants recruited from Germany Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Romanian Cohort n=918 Participants Participants recruited from Romania Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Spanish Cohort n=887 Participants Participants recruited from Spain Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Hungarian Cohort n=951 Participants Participants recruited from Hungary Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Polish Cohort n=950 Participants Participants recruited from Poland Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)
Number of Participants Who Plan to Quit Smoking Within the next month	11 Participants	26 Participants	46 Participants	39 Participants	19 Participants	12 Participants
Number of Participants Who Plan to Quit Smoking Within the next 6 months	43 Participants	72 Participants	84 Participants	93 Participants	85 Participants	83 Participants
Number of Participants Who Plan to Quit Smoking Sometime in the future, beyond 6 months	267 Participants	451 Participants	337 Participants	237 Participants	165 Participants	250 Participants
Number of Participants Who Plan to Quit Smoking Or are you not planning to quit	613 Participants	390 Participants	422 Participants	509 Participants	648 Participants	497 Participants
Number of Participants Who Plan to Quit Smoking Refused	3 Participants	0 Participants	0 Participants	0 Participants	0 Participants	0 Participants
Number of Participants Who Plan to Quit Smoking Don't know	12 Participants	10 Participants	29 Participants	9 Participants	34 Participants	108 Participants

SECONDARY outcome

Timeframe: Baseline Pre-TPD

The following question ask you about how often you've had certain thoughts in the last 30 days. In the last 30 days, how often did you Think about the money you spend on smoking? 1. Never 2. Rarely 3. Sometimes 4. Often 5. Very often 8 Refused 9 Don't know

Outcome measures

Outcome measures
Measure	Greek Cohort n=1000 Participants Participants recruited from Greece Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	German Cohort n=1003 Participants Participants recruited from Germany Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Romanian Cohort n=1001 Participants Participants recruited from Romania Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Spanish Cohort n=1001 Participants Participants recruited from Spain Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Hungarian Cohort n=1000 Participants Participants recruited from Hungary Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Polish Cohort n=1006 Participants Participants recruited from Poland Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)
Number of Participants Who Think About The Money They Spend on Smoking Never	89 Participants	195 Participants	165 Participants	183 Participants	178 Participants	160 Participants
Number of Participants Who Think About The Money They Spend on Smoking Rarely	80 Participants	190 Participants	65 Participants	119 Participants	173 Participants	155 Participants
Number of Participants Who Think About The Money They Spend on Smoking Sometimes	205 Participants	284 Participants	166 Participants	297 Participants	284 Participants	346 Participants
Number of Participants Who Think About The Money They Spend on Smoking Often	344 Participants	206 Participants	301 Participants	196 Participants	256 Participants	229 Participants
Number of Participants Who Think About The Money They Spend on Smoking Very often	281 Participants	125 Participants	304 Participants	205 Participants	108 Participants	109 Participants
Number of Participants Who Think About The Money They Spend on Smoking Refused	0 Participants	2 Participants	0 Participants	1 Participants	0 Participants	1 Participants
Number of Participants Who Think About The Money They Spend on Smoking Don't Know	1 Participants	1 Participants	0 Participants	0 Participants	1 Participants	6 Participants

SECONDARY outcome

Timeframe: Baseline Pre-TPD

The following question ask you about how often you've had certain thoughts in the last 30 days. In the last 30 days, how often did you Think about the harm your smoking might be doing to other people? 1. Never 2. Rarely 3. Sometimes 4. Often 5. Very often 8 Refused 9 Don't know

Outcome measures

Outcome measures
Measure	Greek Cohort n=1000 Participants Participants recruited from Greece Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	German Cohort n=1003 Participants Participants recruited from Germany Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Romanian Cohort n=1001 Participants Participants recruited from Romania Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Spanish Cohort n=1001 Participants Participants recruited from Spain Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Hungarian Cohort n=1000 Participants Participants recruited from Hungary Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Polish Cohort n=1006 Participants Participants recruited from Poland Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)
Number of Participants Who Think About the Harm Their Smoking Might be Doing to Other People Never	120 Participants	348 Participants	219 Participants	240 Participants	259 Participants	230 Participants
Number of Participants Who Think About the Harm Their Smoking Might be Doing to Other People Rarely	176 Participants	309 Participants	122 Participants	201 Participants	312 Participants	285 Participants
Number of Participants Who Think About the Harm Their Smoking Might be Doing to Other People Sometimes	302 Participants	259 Participants	261 Participants	319 Participants	274 Participants	315 Participants
Number of Participants Who Think About the Harm Their Smoking Might be Doing to Other People Often	292 Participants	61 Participants	289 Participants	155 Participants	118 Participants	129 Participants
Number of Participants Who Think About the Harm Their Smoking Might be Doing to Other People Very often	108 Participants	22 Participants	109 Participants	86 Participants	37 Participants	36 Participants
Number of Participants Who Think About the Harm Their Smoking Might be Doing to Other People Refused	0 Participants	1 Participants	0 Participants	0 Participants	0 Participants	0 Participants
Number of Participants Who Think About the Harm Their Smoking Might be Doing to Other People Don't Know	2 Participants	3 Participants	1 Participants	0 Participants	0 Participants	11 Participants

SECONDARY outcome

Timeframe: Post-TPD

The following question ask you about how often you've had certain thoughts in the last 30 days. In the last 30 days, how often did you Think about the money you spend on smoking? 1. Never 2. Rarely 3. Sometimes 4. Often 5. Very often 8 Refused 9 Don't know

Outcome measures

Outcome measures
Measure	Greek Cohort n=949 Participants Participants recruited from Greece Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	German Cohort n=949 Participants Participants recruited from Germany Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Romanian Cohort n=918 Participants Participants recruited from Romania Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Spanish Cohort n=887 Participants Participants recruited from Spain Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Hungarian Cohort n=951 Participants Participants recruited from Hungary Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)	Polish Cohort n=950 Participants Participants recruited from Poland Questionnaire: Questionnaire: To evaluate the impact of the implementation of the EU Tobacco Products Directive (TPD) and Framework Convention on Tobacco Control (FCTC)
Number of Participants Who Think About The Money They Spend on Smoking Never	84 Participants	260 Participants	167 Participants	123 Participants	196 Participants	182 Participants
Number of Participants Who Think About The Money They Spend on Smoking Rarely	98 Participants	184 Participants	57 Participants	115 Participants	210 Participants	161 Participants
Number of Participants Who Think About The Money They Spend on Smoking Sometimes	198 Participants	238 Participants	201 Participants	326 Participants	265 Participants	283 Participants
Number of Participants Who Think About The Money They Spend on Smoking Often	289 Participants	169 Participants	238 Participants	176 Participants	218 Participants	213 Participants
Number of Participants Who Think About The Money They Spend on Smoking Very Often	280 Participants	97 Participants	255 Participants	146 Participants	62 Participants	107 Participants
Number of Participants Who Think About The Money They Spend on Smoking Refused	0 Participants	0 Participants	0 Participants	0 Participants	0 Participants	2 Participants
Number of Participants Who Think About The Money They Spend on Smoking Don't know	0 Participants	1 Participants	0 Participants	1 Participants	0 Participants	2 Participants

SECONDARY outcome

Timeframe: Post-TPD

The following question ask you about how often you've had certain thoughts in the last 30 days. In the last 30 days, how often did you Think about the harm your smoking might be doing to other people? 1. Never 2. Rarely 3. Sometimes 4. Often 5. Very often 8 Refused 9 Don't know