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Objective: Vaping rates among college students have been increasing significantly in recent years, due in large part to the diffusion of pod vaping devices (i.e., JUUL, Suorin) on American college campuses. In this study, we explore the ecological system of knowledge, attitudes, and practices in regards to this trend. Participants: Participants were 26 undergraduate students at the University of Minnesota. Method: Following a KAP (knowledge, attitudes, practices) approach, 8 focus groups were conducted in April/ May 2019. Results: Knowledge themes include awareness of the addictiveness of the devices and uncertainty regarding the health risks. Attitudinal themes include a dual perspective, wherein social use is acceptable, but everyday use is stigmatized. Practice themes included three evident stages: social connection, wherein the devices were used to achieve social advantage with peers; addiction, characterized by solitary, habitual use; and detachment, sometimes marked by a dramatic, public action filmed for social media. Conclusions: As we consider intervention points on college campuses, an understanding of knowledge, attitude, and practice themes can guide our approach. Recommendations for college vaping campaigns are discussed.

Health halo effects are a form of biased processing, wherein a particular product claim bleeds over to other categories of analysis or to an overall healthier impression. This study tests whether the term tobacco-free nicotine triggers a health halo effect. Through an experiment with middle school youth (n = 599), we vary the flavor (tobacco vs. fruit) and nicotine source information (nicotine/tobacco-free nicotine/nicotine from tobacco) on the warning label of the vaping product participants viewed. We evaluate product measures (nicotine content beliefs, nicotine source beliefs, and risk perceptions) and comparative nicotine source misperceptions (addictiveness, safety, and risk). Findings show that the term tobacco-free nicotine triggers inaccurate nicotine content beliefs, nicotine source beliefs, and misperceptions associated with addictiveness, safety, and risk. We conclude with theoretical and regulatory implications. [ABSTRACT FROM AUTHOR]

Introduction Whether novelty-flavored vaping devices should be available in the marketplace has been a hotly contested debate. From one perspective, the variety of different flavors, such as fruit and mint, may help adult cigarette smokers who are seeking to switch to reduced-harm nicotine products. However, these flavors are also wildly popular among youth, creating concerns about new nicotine product use among minors. Aims and Methods This experiment (n = 176) tests whether vaping flavors (tobacco vs fruit) and flavor representations on packages (flavor color, flavor image) influence how middle school youth perceive vaping products. Results While results show no difference in risk perceptions based on condition, novelty perceptions (eg, how fun, interesting) and susceptibility to vaping are highest among those who view the fruit-flavored vaping product with flavor color and flavor image. Those who viewed this condition reported higher novelty perceptions and susceptibility than those who viewed the fruit-flavored vaping product with no flavor color and no flavor image. Additionally, they reported higher novelty perceptions than those who viewed the tobacco-flavored vaping product with flavor color and flavor image. A post-hoc analysis in supplemental data shows that youth who report lower risk perceptions and higher susceptibility have higher behavioral intentions to vape in the next year. Conclusion Findings suggest that restricting flavor representation on packaging might reduce how fun and interesting youth perceive these products to be and how susceptible they are to using them. [ABSTRACT FROM AUTHOR]

This paper tests how certainty conveyed through language can be harnessed to enhance the effectiveness of health risk messages. We conducted experiments with low-income, adult smokers (n = 317) and middle schoolers (n = 321) on pictorial cigarette warning labels. We manipulated hypotheticality of risk through verb modality: present tense, may, can, and will. For adult smokers, present tense led to greater health risk beliefs, compared to hypothetical, among adult males but not females. For youth, contrary to what might seem intuitive, the hypothetical may verb was more effective than the present tense language in promoting health risk beliefs, which was associated with reduced susceptibility to use cigarettes. We discuss the findings in relation applications of construal level theory to health communication. [ABSTRACT FROM AUTHOR]

Three studies test several mechanisms of cognitive bridging, or how a strategic communication message functions to connect the abstract goal of an individual with the specific means to achieve the goal. Across all of the experiments (n = 276, n = 209, n = 145), it was demonstrated that participants who received an induced bridging mechanism were more likely to produce cognitive bridging outputs and report more abstract responses than participants who did not receive a bridging technique. We do not find the same pattern of results among participants who received an integrated bridging technique. Taken together, these studies provide evidence that how abstractly or concretely an individual is thinking can be influenced by abstraction cues planted within a strategic message, providing promise for messaging efforts at the moment of decision. In other words, the level of abstract thinking an individual is carrying into an exposure situation is possible to change using cues within the message itself. This is the first article to juxtapose the induced and integrated mechanisms of cognitive bridging. [ABSTRACT FROM AUTHOR]

This study tested theoretical relationships between key concepts in psychological reactance theory and construal level theory. Through a 3 × 2 × 2 experiment (n = 155), we manipulate (1) how abstractly or concretely participants are processing a message, (2) the psychological distance to the message, and (3) whether or not the message restricts choice. Dependent measures include perceptions of threat to freedom and message effectiveness. Results show that increasing abstraction and/or distance can mitigate the perception of threat to freedom that is experienced when a message restricts choice. Furthermore, this process has a subsequent influence on message effectiveness. As the first study to consider the perception of threat to freedom in the context of construal level theory, this experiment furthers understanding of key theoretical relationships. Strategies for the design of successful persuasive messages are discussed. [ABSTRACT FROM AUTHOR]

Three studies provide empirical, social scientific tests of alternatives to the originally proposed U.S. Food and Drug Administration (FDA) cigarette package warning labels on health risk beliefs, perceived fear, and effectiveness. Our research addresses questions at the root of the legal disputes surrounding FDA regulation of cigarette package warning labels. Specifically, we describe results from three studies that investigate the mediating role of health beliefs and perceived fear in shaping message effectiveness and intentions to quit. The first study featured nonsmoking young adults, while the second and third studies sampled adult daily smokers. Each study was a randomized experiment with five warning-label image conditions: full-color graphic warning labels, black-and-white graphic warning labels, warning text (no graphic image), Surgeon General’s warning labels, and no warning. Results consistently indicate that graphic warning labels (in both color and black-and-white) promote increased perceptions of fear, which in turn are associated with greater (perceived and actual) effectiveness. We conclude with a discussion of the results, highlighting implications, public policy considerations, and suggestions for future research. [ABSTRACT FROM PUBLISHER]

Parents often underestimate the degree to which their children engage in risky online activities such as cyberbullying, worrisome interactions with strangers, and exposure to sexual content. This study attempts to identify the underlying predictors of such parental misconceptions. A national sample survey (nonrandom) of 456 matched parent-child pairs revealed that a permissive parenting style, difficulty communicating about online risks, and household environmental variables such as having access to a private computing space play a role in parental underestimation of risky social interactions that their children encounter and experience online. Implications for scholars and caregivers are discussed. [ABSTRACT FROM AUTHOR]