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N/A N=1,369 Randomized Prevention

Impact of E-cigarette Device Warnings

Vaping Behaviors

Enrolled (actual)
1,369
Serious AEs
0.0%
Results posted
Sep 2025
Primary outcome: Primary: Mean Vaping Quit Intentions Score — 2.5; 2.5; 2.2 score on a scale — p=<.001

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Label with text health warning (Other); Label with pictorial health warning (Other); Label with neutral statements about vaping (Other)
Age
Adult, Older Adult · 21+ yrs
Sex
All
Sponsor
UNC Lineberger Comprehensive Cancer Center
Primary completion
Jul 2024

Outcome Measures

OutcomeResultp-value
PRIMARY
Mean Vaping Quit Intentions Score
2.5; 2.5; 2.2 <.001 sig
SECONDARY
Mean Knowledge Score
0.6; 0.6; 0.4 <.001 sig
SECONDARY
Mean Cognitive Elaboration Score
2.7; 2.9; 2.0 <.001 sig
SECONDARY
Mean Perceived Likelihood of Illness Score
3.1; 3.1; 2.9 .001 sig
SECONDARY
Mean Negative Affect Score
2.1; 2.3; 1.4 <.001 sig
SECONDARY
Mean Attention Score
3.1; 3.3; 2.8 <.0001 sig
SECONDARY
Mean Information Seeking Score
1.3; 1.4; 0.8 <.001 sig
SECONDARY
Mean Number of Conversations in Past Week
1.5; 1.7; 1.2 .03 sig
SECONDARY
Mean Vaping Reinforcement Attitudes Score
4.1; 4.1; 4.2 .61
SECONDARY
Mean Uncontrolled Vaping Score
2.4; 2.4; 2.3 .4
SECONDARY
Mean Number of Times Forgoing a Vape in Past Week
1.7; 1.7; 1.3 .001 sig
SECONDARY
Percent of Participants Who Made a Vaping Quit Attempt in Past 4 Weeks
217; 204; 211
SECONDARY
Percent of Participants Who Successfully Quit Vaping
7.2; 7.4; 3.7
SECONDARY
Mean Inaccurate Risk Perception Score
0.42; 0.44; 0.48 .02 sig
SECONDARY
Mean Stigma Score
1.9; 2.0; 1.6 <.001 sig
SECONDARY
Mean Smoking Quit Intentions Score
2.4; 2.5; 2.3 0.3
SECONDARY
Percent of Participants Who Made a Smoking Quit Attempt in Past 4 Weeks
54.3; 67.9; 63.1

Summary

The purpose of this randomized clinical trial is to determine whether e-cigarette warnings increase intentions to quit vaping without the unintended consequence of pushing users toward smoking. This trial addresses these issues by evaluating the impact of e-cigarette warnings by randomly assigning vapers to have their devices and refills labeled with control messages, text warnings, or pictorial warnings. Participants will be US adult (ages 21+) vapers. The trial expects ~1,200 participants to complete Visits 1, 3, and 5.

Eligibility Criteria

Inclusion Criteria

  • Be 21 years or older
  • Currently vape every day or some days
  • Use an e-cigarette that contains nicotine
  • Be able to attend 2 in-person appointments
  • Be able to bring in e-cigarette device and 2 weeks' worth or refills to 2 in-person appointments
  • Be willing to let us apply a sticker to the device and refill materials
  • Be willing to use only the labeled e-cigarette during the study
  • Be able to complete 3 surveys online at home
  • Be able to read and speak English
  • Be able to complete a survey on a computer without help

Exclusion Criteria

  • Pregnant people
  • If e-cigarette device cannot be labeled
  • Vapers concurrently enrolled in any research studies about vaping or using other tobacco products
  • Vapers who live in the same household as someone who has enrolled in the study
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05714982). 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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