Recency Versus Repetition Priming Effects of Cigarette Warnings on Nonsmoking Teenagers: The Moderating Effects of Cigarette-Brand Familiarity

This study focuses on the interactive effects of antismoking warnings and cigarette-brand familiarity on teenagers' smoking intent, attitudes toward the website, and sponsoring brand when exposed to entertainment websites sponsored by cigarette brands. Findings from a 3 (Warning Type) × 2 (Level of Cigarette-Brand Familiarity) factorial design experiment with nonsmoking teenagers demonstrated that text and picture warnings significantly reduced attitudes toward cigarette brands, compared to text-only or no warning. Warnings had assimilation effects on attitudes (toward brand and website) and on smoking intent in the case of familiar brands; and marginally significant contrast effects in the case of unfamiliar brands, which better reflects the repetition priming paradigm than the recency priming paradigm, and calls for attention to cigarette brands' familiarity.     

Can cigarette warnings counterbalance effects of smoking scenes in movies?

Scenes in movies where smoking occurs have been empirically shown to influence teenagers to smoke cigarettes. The capacity of a Canadian warning label on cigarette packages to decrease the effects of smoking scenes in popular movies has been investigated. A 2 x 3 factorial design was used to test the effects of the same movie scene with or without electronic manipulation of all elements related to smoking, and cigarette pack warnings, i.e., no warning, text-only warning, and text+picture warning. Smoking-related stereotypes and intent to smoke of teenagers were measured. It was found that, in the absence of warning, and in the presence of smoking scenes, teenagers showed positive smoking-related stereotypes. However, these effects were not observed if the teenagers were first exposed to a picture and text warning. Also, smoking-related stereotypes mediated the relationship of the combined presentation of a text and picture warning and a smoking scene on teenagers' intent to smoke. Effectiveness of Canadian warning labels to prevent or to decrease cigarette smoking among teenagers is discussed, and areas of research are proposed.     

Effects of and attention to graphic warning labels on cigarette packages

Objective: The present study investigates the effects of graphic cigarette warnings compared to text-only cigarette warnings on smokers’ explicit (i.e. ratings of the packages, cognitions about smoking, perceived health risk, quit intentions) and implicit attitudes. In addition, participants’ visual attention towards the graphic warnings was recorded using eye-tracking methodology.Design and methods: Sixty-three smokers participated in the present study and either viewed graphic cigarette warnings with aversive and non-aversive images or text-only warnings. Data were analysed using analysis of variance and correlation analysis.Results: Especially, graphic cigarette warnings with aversive content drew attention and elicited high threat. However, whereas attention directed to the textual information of the graphic warnings predicted smokers’ risk perceptions, attention directed to the images of the graphic warnings did not. Moreover, smokers’ in the graphic warning condition reported more positive cognitions about smoking, thus revealing cognitive dissonance.Conclusion: Smokers employ defensive psychological mechanisms when confronted with threatening warnings. Although aversive images attract attention, they do not promote health knowledge. Implications for graphic health warnings and the importance of taking their content (i.e. aversive vs. non-aversive images) into account are discussed.     

Exposure to graphic warning labels on cigarette packages: Effects on implicit and explicit attitudes towards smoking among young adults

Objective: To test the effect of exposure to the US Food and Drug Administration’s proposed graphic images with text warning statements for cigarette packages on implicit and explicit attitudes towards smoking.

Design and methods: A two-session web-based study was conducted with 2192 young adults 18–25-years-old. During session one, demographics, smoking behaviour, and baseline implicit and explicit attitudes were assessed. Session two, completed on average 18 days later, contained random assignment to viewing one of three sets of cigarette packages, graphic images with text warnings, text warnings only, or current US Surgeon General’s text warnings. Participants then completed post-exposure measures of implicit and explicit attitudes. ANCOVAs tested the effect of condition on the outcomes, controlling for baseline attitudes.

Results: Smokers who viewed packages with graphic images plus text warnings demonstrated more negative implicit attitudes compared to smokers in the other conditions (p = .004). For the entire sample, explicit attitudes were more negative for those who viewed graphic images plus text warnings compared to those who viewed current US Surgeon General’s text warnings (p = .014), but there was no difference compared to those who viewed text-only warnings.

Conclusion: Graphic health warnings on cigarette packages can influence young adult smokers’ implicit attitudes towards smoking.     

The effect of in-vehicle warning systems on speed compliance in work zones

The purpose of this research was to evaluate the effectiveness of augmented in-vehicle speed warnings on driver behavior in work zones. The influence of three device configurations were examined as the drivers entered a work zone which was presented in a simulated driving environment. The first configuration was a control condition which used only traditional signage. The second condition had the addition of a visual in-vehicle warning while the final condition had the addition of an auditory in-vehicle warning. Results indicated that adding in-vehicle warnings did affect driver compliance to the work zone speed limit. Participants in the audio warning condition responded more quickly to the warning than those in the visual condition. Both augmented warning configurations differed significantly and were each respectively different from the drivers in the control condition. Based on these results we suggest a combination of in-vehicle warnings. Upon entry of the work zone we suggest a combined audio and visual warning message. However, after the initial entry phase, a visual warning message shows greater promise for the on-going modulation of driver speed transit.     

Warning! The following packet contains shocking images: The impact of mortality salience on the effectiveness of graphic cigarette warning labels

This research looks at a recent initiative to encourage smokers to quit smoking and to discourage nonsmokers from starting to smoke. Evidence has shown that text‐based warning labels are ineffective in drawing attention to the dangers of tobacco consumption; therefore, some governments are looking to draw current smokers and potential smokers away from cigarettes by displaying graphic images of various smoking ailments. This research draws on Terror Management Theory as a means of understanding the effects of graphic visual images in cigarette packaging and offers implications for public health researchers, social marketers, and antismoking campaigners to help smokers to quit and reduce the likelihood of potential smokers becoming smokers. Copyright © 2012 John Wiley & Sons, Ltd.     

Play it safe or go for the gold? A terror management perspective on self-enhancement and self-protective motives in risky decision making

Terror management theory (TMT) posits that bolstering self-esteem buffers mortality concerns; accordingly, in past research, heightening mortality salience (MS) increases self-enhancement. However, risky self-esteem-relevant decisions often present a choice between enhancing self-esteem by striving for excellence and protecting self-esteem by avoiding potential failure. Which strategy is preferred under MS? Combining TMT with insights from Steele, Spencer, and Lynch's (1993) resource model, the authors hypothesized and found that MS leads high, but not low, self-esteem participants faced with a risky decision to pursue opportunities for excellence despite substantial risk of failure (Studies 1 and 2); in Study 3, using a more impactful decision, this effect was replicated and it was furthermore found that mortality-salient low-self-esteem participants become more risk-averse. Furthermore, in Study 2, a self-affirmation prime, previously shown to reduce MS-induced defenses, eliminated the self-enhancement effect among high-self-esteem participants. Implications for understanding self-esteem, TMT, and risky decision making are briefly discussed.     

Effects of Exposure to Cigarette Advertisements on Adolescents' Attitudes Toward Smoking1

One hundred seventy-eight adolescents viewed a magazine that either contained or did not contain 4 cigarette advertisements. Adolescents who have tried smoking reported more positive attitudes toward smoking. Of the adolescents who have tried smoking, those in the cigarette-advertisement-present condition expressed more positive attitudes toward smoking than did those in the cigarette-advertisement-absent condition. Consistent with the prediction that adolescents who have tried (vs. never tried) smoking would attend more to cigarette advertisements, adolescents in the cigarette-advertisement-present condition who have tried (vs. never tried) smoking correctly recognized more cigarette advertisements. Taken together, these results suggest that adolescents who have tried smoking are attending to cigarette advertisements and are impacted by cigarette advertisements; specifically, cigarette advertisements bolster these adolescents' attitudes toward smoking.     

Cigarette graphic warning labels increase both risk perceptions and smoking myth endorsement

Objective: Cigarette graphic warning labels elicit negative emotion, which increases risk perceptions through multiple processes. We examined whether this emotion simultaneously affects motivated cognitions like smoking myth endorsement (e.g. ‘exercise can undo the negative effects of smoking’) and perceptions of cigarette danger versus other products.

Design: 736 adult and 469 teen smokers/vulnerable smokers viewed one of three warning label types (text-only, low emotion graphic or high emotion graphic) four times over two weeks.

Main outcome measures: Emotional reactions to the warnings were reported during the first and fourth exposures. Participants reported how often they considered the warnings, smoking myth endorsement, risk perceptions and perceptions of cigarette danger relative to smokeless tobacco and electronic cigarettes.

Results: In structural equation models, emotional reactions influenced risk perceptions and smoking myth endorsement through two processes. Emotion acted as information about risk, directly increasing smoking risk perceptions and decreasing smoking myth endorsement. Emotion also acted as a spotlight, motivating consideration of the warning information. Warning consideration increased risk perceptions, but also increased smoking myth endorsement. Emotional reactions to warnings decreased perceptions of cigarette danger relative to other products.

Conclusions: Emotional reactions to cigarette warnings increase smoking risk perceptions, but also smoking myth endorsement and misperceptions that cigarettes are less dangerous than potentially harm-reducing tobacco products.     

Proximal and distal effects of mortality salience on willingness to engage in health promoting behavior along the life span

The current studies examine proximal and distal mortality salience effects on the willingness to engage in health-promoting activities and explore the roles of age and self-esteem. In Study 1, 164 participants completed a self-esteem scale, were assigned to a mortality salience or a neutral condition, and then completed a scale, tapping their willingness to engage in health promoting activities. Findings revealed that in the proximal mode, mortality salience led the young and middle-aged adults to report higher willingness to promote health behaviors, whereas older adults tended to show a lower willingness to promote their health compared to the control condition. In Study 2, a total of 251 participants completed the same series of questionnaires, including a distracting task immediately after the mortality salience manipulation. Findings revealed that, in the distal mode, whereas death reminders did not affect young adults, mortality salience led middle-aged participants to express higher willingness to conduct health-promoting behaviors than in a control condition. The mortality salience induction did not affect older adults with high self-esteem, but led low self-esteem individuals to report higher willingness to promote their health. The differences between the reactions of the different age groups in both the defense modes are discussed in view of the terror management theory.     

Lies and bullshit: The negative effects of misinformation grow stronger over time

In a world where exposure to untrustworthy communicators is common, trust has become more important than ever for effective marketing. Nevertheless, we know very little about the long-term consequences of exposure to untrustworthy sources, such bullshitters. This research examines how untrustworthy sources—liars and bullshitters—influence consumer attitudes toward a product. Frankfurt's (1986) insidious bullshit hypothesis (i.e., bullshitting is evaluated less negatively than lying but bullshit can be more harmful than are lies) is examined within a traditional sleeper effect—a persuasive influence that increases, rather than decays over time. We obtained a sleeper effect after participants learned that the source of the message was either a liar or a bullshitter. However, compared to the liar source condition, the same message from a bullshitter resulted in more extreme immediate and delayed attitudes that were in line with an otherwise discounted persuasive message (i.e., an advertisement). Interestingly, attitudes returned to control condition levels when a bullshitter was the source of the message, suggesting that knowing an initially discounted message may be potentially accurate/inaccurate (as is true with bullshit, but not lies) does not result in the long-term discounting of that message. We discuss implications for marketing and other contexts of persuasion.     

Preventing smoking: evaluating the potential effectiveness of cigarette warnings.

We examined the potential effectiveness of U.S. government cigarette warnings in preventing adolescent smoking. In Study 1, 112 seventh graders rated the effectiveness of four currently required warnings and four possible other warnings and answered questions about the meaning of certain words in the warnings. In Study 2, 115 seventh graders attempted to recall the four current warnings; in Study 3, 103 eighth and ninth graders read all eight warnings one day and tried to recall them the next day. In Study 4, 25 seventh graders participated in a focus session in which they discussed the effectiveness of each of the eight warnings. The results of the studies showed that the four different evaluation strategies had convergent validity and that two current warnings and two proposed warnings are significantly more potentially effective than the other two current warnings. Our results also provided information about why some warnings are more potentially effective than others.     

Visual and Auditory Message Framing Effects on Tobacco Smoking1

Persuasive health messages can be framed to emphasize the benefits of adopting a health behavior (gains) or the risks of not adopting it (losses). This study examined the effects of message framing on beliefs, attitudes, and behaviors relevant to cigarette smoking. In video presentations about tobacco smoking, visual images and auditory voiceover content were framed either as gains or losses, yielding 4 message conditions. Undergraduates (N= 437) attending a public university in New England were assigned randomly to view one of these messages. Gain‐framed messages about smoking in visual and auditory modalities shifted smoking‐related beliefs, attitudes, and behaviors in the direction of avoidance and cessation. Health‐communication experts, when promoting prevention behaviors like smoking avoidance or cessation, may wish to diverge from the tradition of using loss‐framed messages and fear appeals in this domain, and instead consider using gain‐framed appeals that present the advantages of not smoking.     

Evidence for the DTA hypothesis II: Threatening self-esteem increases death-thought accessibility

Three studies assessed the impact of self-esteem threat on death-thought accessibility (DTA). Increased DTA resulted from three distinct types of self-esteem threat. Studies 1 and 2 employed negative feedback procedures in which participants were told that they scored below average on an intelligence test (Study 1), or that their personality was incongruent for their desired career path (Study 2). In Study 3, participants were led to believe that they would give an ill prepared speech in front of their peers. In Studies 1 and 2 DTA was assessed via reaction times on a lexical decision task, while Study 3 employed a word-fragment completion task. Study 3 demonstrated the DTA buffering effect of fortifying self-esteem via self-affirmation. Discussion focused on general implications for TMT, self-esteem, and mental health.     

How do warnings influence cyclists' reaction to conflicts? Comparing acoustic and vibro-tactile warnings in different conflicts on a test track

An on-bike warning system has great potential to increase safety of cyclists. For an effective warning system, the implementation of warning signals is fundamental. However, more knowledge about the cyclist specific design of warnings and the influence of warnings on the cyclist is needed. To analyze the benefit of warnings in conflicts and the reaction pattern of cyclists we conducted a test-track experiment. We evaluated the data of 62 participants who were divided into three warning groups (between-subjects) and encountered different situations (within-subjects). The warning groups either received acoustic, vibro-tactile or no warnings. The situation variable consisted of three conflicts and two false warnings in the groups with warnings.We measured significantly shorter reaction times of persons who received acoustic and vibro-tactile warnings compared to the persons without warning. Furthermore, acoustic warnings led to shorter reaction times compared to vibro-tactile warnings. The reaction pattern was described by different bicycle dynamics variables. It was mostly influenced by the situation and rarely by the warning group. Based on the velocity curves and reaction times we identified learning effects describing how the warned participants adopted the warning system over the five situations.These findings indicate that a warning system offers great safety benefits to cyclists. Based on the current results, acoustic warnings are recommended when an urgent reaction is required.     

Source Credibility and Attitude Certainty: A Metacognitive Analysis of Resistance to Persuasion

Recent research (Tormala & Petty, 2002) has demonstrated that when people resist persuasion, they can perceive this resistance and become more certain of their initial attitudes. This research explores the role of source credibility in determining when this effect occurs. In two experiments, participants received a counterattitudinal persuasive message. When participants counterargued this message, they became more certain of their attitudes, but only when it came from a source with high expertise. When the message came from a source with low expertise, resisting it had no impact on attitude certainty. This effect was shown using both a traditional measure of attitude certainty (Experiment 1) and a well‐established consequence of certainty—the correspondence between attitudes and behavioral intentions (Experiment 2). In addition, the effect was confined to high elaboration conditions, and occurred even when participants were not explicitly instructed to counterargue. These results are consistent with a metacognitive framework proposed to understand resistance to persuasion.     

Ethnic pride and self-control related to protective and risk factors: test of the theoretical model for the strong African American families program.

OBJECTIVE: To test a theoretical model of how ethnic pride and self-control are related to risk and protective factors. DESIGN: A community sample of 670 African American youth (mean age = 11.2 years) were interviewed in households. MAIN OUTCOME MEASURES: Measures of cigarette smoking, alcohol use, and sexual behavior (lifetime to past month). RESULTS: Structural modeling analyses indicated parenting was related to self-control and self-esteem, and racial socialization was related to ethnic pride. Self-control and self-esteem variables were related to levels of deviance-prone attitudes and to perceptions of engagers in, or abstainers from, substance use and sexual behavior. The proximal factors (behavioral willingness, resistance efficacy, and peer behavior) had substantial relations to the criterion variables. Participant gender and parental education also had several paths in the model. Results were generally similar for the 2 outcome behaviors. CONCLUSIONS: In this population, self-esteem and self-control are related to parenting approaches and have pathways to attitudes and social perceptions that are significant factors for predisposing to, or protecting against, early involvement in substance use and sexual behavior.     

Health locus of control and self-esteem as related to adolescent health behavior and intentions

A health behavior and attitudes questionnaire was administered to 246 fifth-grade and 265 sixth-grade students during class time. The questions included 20 children's health locus of control (CHLC) items reported by Parcel and Meyer (1978), 17 children's self-esteem (CSE) items modified from those reported by Coopersmith (1967), and questions concerning past and current behavior and future intentions with respect to cigarette smoking, alcohol use, and marijuana use. The results indicate that the relationships between dimensions of children's health locus of control and self-esteem and their behaviors and intentions are not large enough to suggest that intervention programs directed at the prevention of detrimental health behaviors focus on the enhancement of self-esteem or the internal locus of control. An appropriate test of the efficacy of such an approach requires a longitudinal rather than a cross-sectional study, monitoring changes in the levels of self-esteem and health locus of control and associated changes in health behavior.     

Advice conditionals about tips and warnings: interpretations and inferences

Two experiments examine how people interpret and reason about advice conditionals, such as tips, for example, “if you study more your grades will improve”, and warnings, for example, “if you stop exercising you will gain weight”. Experiment 1 showed that when participants reason about whether a tip or warning could be true in different situations, their judgments correspond to a biconditional or conditional interpretation on about half of all trials, but to an enabling or tautology interpretation on many others. Experiment 2 showed that participants make few modus ponens and tollens inferences from tips and warnings, and more modus ponens inferences from tips than warnings. The implications for alternative theories are discussed.     

Cigarette smokers do more than just smoke cigarettes

In this study, we hypothesized that light and moderate-to-heavy cigarette smokers, when compared with nonsmokers, would exhibit significantly less healthy attitudes and behaviors on several dimensions relevant to the risk of coronary heart disease (CHD). A factor analysis of survey items measuring knowledge, attitudes, and behaviors in five CHD risk areas produced four major factors, which we labeled Attitudes (Factor 1), Health Consciousness (Factor 2), Knowledge (Factor 3), and Unhealthy Behaviors (Factor 4). Factor-based scales generated for each of these four factors were used in a one-way multivariate analysis of variance to examine differences between nonsmokers, light smokers, and moderate-to-heavy smokers. Cigarette smokers versus nonsmokers exhibited less positive attitudes toward CHD risk behaviors, whereas moderate-to-heavy cigarette smokers, as compared with the light smokers and the nonsmokers, exhibited lower levels of health consciousness and enacted unhealthy behaviors at a greater frequency. The moderate-to-heavy cigarette smokers also exhibited a lower commitment to enact healthy behavioral changes in the immediate future, even after corrections were introduced for their lower frequency of healthy behaviors during the past week. Overall, these results support our hypothesis that cigarette smokers, particularly as they become more involved with cigarette smoking, do more than just smoke cigarettes; they exhibit a less healthy lifestyle as shown by cognitive, behavioral, and motivational dimensions related to cardiovascular health.