Trial Outcomes & Findings for Responses to E-Cigarette Advertising (NCT NCT04249219)

NCT ID: NCT04249219

Last Updated: 2023-09-08

Results Overview

Heart rate was measured to assess the cognitive resources allocated to the message. Using three sensors applied to participants' fingers, electrocardiogram (ECG) signals were recorded with a Shimmer 3 EXG module, while viewing the advertisements and were sampled at 512 Hz. Heart change scores were computed using beats per minute (BPM) and subtracting the first second of the stimuli (participant had seen a black screen just prior) from scores for each second of message exposure for each participant. Then, scores were averaged across each advertisement. Lesser values indicated greater deceleration in heart rate, signaling more cognitive resources allocated to the message.

Recruitment status

COMPLETED

Study phase

EARLY_PHASE1

Target enrollment

62 participants

Primary outcome timeframe

Change from the first second of viewing to each subsequent second of the intervention (10 seconds per ad), averaged for each participant.

Results posted on

2023-09-08

Participant Flow

All enrolled participants were assigned to the one arm of the study.

Participant milestones

Participant milestones
Measure
E-Cigarette Ads
All individuals in the study will see the same e-cigarette advertisements presented in a random order.
Overall Study
STARTED
62
Overall Study
COMPLETED
62
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Responses to E-Cigarette Advertising

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
E-Cigarette Ads
n=62 Participants
All individuals in the study will see the same e-cigarette advertisements presented in a random order. Viewing e-cigarette ads: All participants will see the same e-cigarette ads presented in a random order.
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
62 Participants
n=99 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
Age, Continuous
22.5 years
STANDARD_DEVIATION 2.31 • n=99 Participants
Sex: Female, Male
Female
49 Participants
n=99 Participants
Sex: Female, Male
Male
13 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
Race (NIH/OMB)
Asian
14 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=99 Participants
Race (NIH/OMB)
White
38 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
5 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=99 Participants
Region of Enrollment
United States
62 participants
n=99 Participants

PRIMARY outcome

Timeframe: Change from the first second of viewing to each subsequent second of the intervention (10 seconds per ad), averaged for each participant.

Population: All individuals in the study saw the same advertisements.

Heart rate was measured to assess the cognitive resources allocated to the message. Using three sensors applied to participants' fingers, electrocardiogram (ECG) signals were recorded with a Shimmer 3 EXG module, while viewing the advertisements and were sampled at 512 Hz. Heart change scores were computed using beats per minute (BPM) and subtracting the first second of the stimuli (participant had seen a black screen just prior) from scores for each second of message exposure for each participant. Then, scores were averaged across each advertisement. Lesser values indicated greater deceleration in heart rate, signaling more cognitive resources allocated to the message.

Outcome measures

Outcome measures
Measure
E-Cigarette Ads
n=62 Participants
All individuals in the study will see the same e-cigarette advertisements presented in a random order. Viewing e-cigarette ads: All participants will see the same e-cigarette ads presented in a random order.
Attention to Specific ad Feature
Blu ads
-1.7062 Beats per minute
Standard Deviation 1.318833535
Attention to Specific ad Feature
Juul ads
-0.9676 Beats per minute
Standard Deviation 0.918885902
Attention to Specific ad Feature
MarkTen ads
-1.8238 Beats per minute
Standard Deviation 1.209606837

PRIMARY outcome

Timeframe: The average amplitude of skin conductance peaks over the 10 second viewing window for each ad brand.

Population: All individuals in the study saw the same e-cigarette advertisements.

Skin conductance or galvanic skin response was measured using three sensors applied to participants' fingers. Skin conductance measured if there was an emotional response and the intensity of the emotional response. A "peak" is a biological indicator that something happened, and the participant had an emotional response to it. The amplitude of each peak for each participant was measured and averaged per ad.

Outcome measures

Outcome measures
Measure
E-Cigarette Ads
n=62 Participants
All individuals in the study will see the same e-cigarette advertisements presented in a random order. Viewing e-cigarette ads: All participants will see the same e-cigarette ads presented in a random order.
Arousal
Blu ads
0.094441599 microSiemens
Standard Deviation 0.039786446
Arousal
Juul ads
0.080156704 microSiemens
Standard Deviation 0.014821968
Arousal
MarkTen ads
0.107337121 microSiemens
Standard Deviation 0.047972698

PRIMARY outcome

Timeframe: Duration of seconds spent on all areas of interest during 10 second viewing window for each ad brand

Population: All individuals in the study saw the same e-cigarette advertisements.

Visual attention was assessed using an eye-tracker connected to the base of the computer screen. For each message, four areas of interest (AOI) were identified: 1) brand, 2) descriptor, 3) modeling, and 4) warning. All four AOIs were summed for a total number of milliseconds that a participant viewed the AOIs.

Outcome measures

Outcome measures
Measure
E-Cigarette Ads
n=62 Participants
All individuals in the study will see the same e-cigarette advertisements presented in a random order. Viewing e-cigarette ads: All participants will see the same e-cigarette ads presented in a random order.
Attention to Specific ad Feature
Blu ads
5464.656 milliseconds
Standard Deviation 557.5287713
Attention to Specific ad Feature
Juul ads
5963.704 milliseconds
Standard Deviation 676.8965371
Attention to Specific ad Feature
MarkTen ads
5107.014 milliseconds
Standard Deviation 394.2662056

SECONDARY outcome

Timeframe: Immediately after viewing each ad

Population: All individuals in the study saw the same e-cigarette advertisements.

Self-report Please rate on a scale from 0 (not at all) to 10 (very much). "How important is it to avoid e-cigarettes in the future?" "How confident are in avoiding e-cigarettes in the future?" "How ready are you to avoid e-cigarettes in the future?" "How committed are you to avoid e-cigarettes in the future?" Scores were averaged for each ad for each participant. Then, an overall average was taken among all participants for each ad. Higher values indicate greater motivation to avoid e-cigarettes.

Outcome measures

Outcome measures
Measure
E-Cigarette Ads
n=62 Participants
All individuals in the study will see the same e-cigarette advertisements presented in a random order. Viewing e-cigarette ads: All participants will see the same e-cigarette ads presented in a random order.
Motivations to Avoid E-cigarettes
Blu ads
8.618 score on a scale
Standard Deviation 0.027748874
Motivations to Avoid E-cigarettes
Juul ads
8.62 score on a scale
Standard Deviation 0.051961524
Motivations to Avoid E-cigarettes
MarkTen ads
8.61 score on a scale
Standard Deviation 0

Adverse Events

E-Cigarette Ads

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Elise Stevens

University of Massachusetts Chan Medical School

Phone: (774) 455-6684

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place