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N/A N=2,589 Randomized Single-blind Other

Reactions to Warnings on Hookah Ads

Reactions to Warnings · Hookah Smoking

Enrolled (actual)
2,589
Serious AEs
0.0%
Results posted
Dec 2025
Primary outcome: Primary: Emotional Reactions to Ads — 2.81; 3.46; 3.74; 2.83 score on a scale

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Ads Only (Behavioral); Ads with text-only health warning labels (HWLs) (Behavioral); Ads with text + graphic health warning labels (HWLs) (Behavioral)
Age
Adult · 18+ yrs
Sex
All
Sponsor
Duke University
Primary completion
Mar 2021

Outcome Measures

OutcomeResultp-value
PRIMARY
Emotional Reactions to Ads
2.81; 3.46; 3.74; 2.83; 3.60; 4.03
PRIMARY
Attitudes Toward Waterpipe Tobacco Smoking (WTS) as Measured by Questionnaire
3.79; 4.59; 4.84; 3.87; 4.88; 5.31
PRIMARY
Reactance to Ads
3.87; 3.99; 3.91; 3.47; 3.79; 3.82
PRIMARY
Perceived Effectiveness of Health Warnings
2.89; 3.88; 4.13; 3.09; 4.15; 4.46
PRIMARY
Ad Effect on Desire to Smoke
4.37; 4.07; 3.89; 4.70; 4.03; 3.79
PRIMARY
Ad Effect on Event Participation
3.58; 3.52; 3.43
PRIMARY
Ad Effect on Product Purchase
4.04; 3.51; 3.38
SECONDARY
Perceived Risk as Measured by Questionnaire
4.71; 4.93; 5.03; 4.73; 4.98; 4.90
SECONDARY
Global Attitude on Waterpipe Tobacco Smoking (WTS)
4.14; 3.83; 3.61; 4.39; 3.85; 3.79
SECONDARY
Urge to Smoke
3.34; 3.28; 3.06; 3.82; 3.29; 3.27
SECONDARY
Avoidance / Acceptance of Health Warnings as Measured by Eye Tracking

Summary

The purpose of this study is to help us better understand what kinds of waterpipe tobacco advertisements appeal to young adults as well as to help evaluate and create health warnings that can be placed on waterpipe tobacco advertisements to inform young adults of the risks associated with smoking hookah tobacco.

Eligibility Criteria

Inclusion Criteria

  • Young adults who are susceptible to or who are current tobacco smokers (which is defined as at least once in the past month, and using hookah tobacco on at least a monthly basis).
  • Must have Internet access for Phase 1 and Phase 2 and have a Turkprime account.
  • English speaker

Exclusion Criteria

  • Anyone who is not susceptible to waterpipe tobacco smoking or is not a current waterpipe tobacco smoker
  • Anyone who does not have Internet access or a Turkprime account
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03723616). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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