Testing alcohol container warning labels among alcohol consumers in the field over a 4-week period: a protocol for a randomized field trial.

IF 2.4 3区 医学 Q2 PSYCHOLOGY
Erin Hobin, Anmol Bains, Theresa Poon, Samantha Forbes, David Hammond, Tim Naimi, Brendan Smith, Adam Sherk, Tim Stockwell, Lana Vanderlee, Kara Thompson, Lennon Li, Samantha Meyer
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Abstract

Objective: Online and lab-based experiments examining the impact of alcohol labels typically test a one-time exposure to labels and assess short-term, non-behavioural outcomes. These studies do not simulate a real-world label dose or assess actual alcohol use. This pilot aimed to develop a new protocol for testing alcohol labels that better reflects real-world exposure by presenting labels on consumers' own alcohol products over time and assessing effects on several outcomes, including alcohol use.

Method: Forty alcohol consumers in Canada completed an online baseline survey, were randomized to one of two label conditions (Control: recycle label; Intervention: cancer warning label), mailed labels according to their assigned condition, and asked to affix one label to all alcohol containers in their home over the 29 days in February 2024. Online surveys assessed label effects at three follow-up points, and SMS texts were used to promote protocol adherence.

Results: The protocol had high adherence and retention, with no differences between conditions. Survey response rates remained high at follow-ups, ranging between 80%-100%. All participants (100%) said they were satisfied with the study and 94% would recommend to a friend. Preliminary label effectiveness results were promising - between baseline and Day 29, the mean number of standard drinks (SD) consumed in the past 7 days decreased in the intervention condition by -4.2SD (45%), and in the control by -0.3SD (3%).

Conclusions: Findings suggest this proof-of-principle protocol affixing labels on consumers' own alcohol products offers the potential for greater experimental control and real-world label dose than online or lab-based experiments.

在现场对酒精消费者进行为期四周的酒精容器警告标签测试:随机现场试验方案。
目的:研究酒精标签影响的在线和实验室实验通常测试一次性接触标签的情况,并评估短期、非行为结果。这些研究并未模拟真实世界中的标签剂量或评估实际酒精使用情况。这项试验旨在开发一种新的酒精标签测试方案,通过在消费者自己的酒类产品上长期展示标签,评估对包括酒精使用在内的几种结果的影响,从而更好地反映真实世界的接触情况:加拿大的 40 名酒精消费者完成了一项在线基线调查,被随机分配到两种标签条件(对照组:回收标签;干预组:癌症警告标签)中的一种,根据分配的条件邮寄标签,并被要求在 2024 年 2 月的 29 天内将一个标签贴在家中的所有酒精容器上。在线调查对三个随访点的标签效果进行了评估,并使用短信促进对方案的遵守:结果:方案的依从性和保持率都很高,不同条件下没有差异。随访时的调查回复率仍然很高,在 80%-100% 之间。所有参与者(100%)都表示对研究感到满意,94%的人愿意向朋友推荐。初步标签效果结果令人鼓舞--从基线到第 29 天,干预条件下过去 7 天饮用标准饮料的平均数量减少了 -4.2SD (45%),对照组减少了 -0.3SD (3%):研究结果表明,与在线或实验室实验相比,在消费者自己的酒类产品上粘贴标签的这一原理验证方案具有更强的实验控制和实际标签剂量的潜力。
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来源期刊
CiteScore
4.80
自引率
5.90%
发文量
224
审稿时长
3 months
期刊介绍: The Journal of Studies on Alcohol and Drugs began in 1940 as the Quarterly Journal of Studies on Alcohol. It was founded by Howard W. Haggard, M.D., director of Yale University’s Laboratory of Applied Physiology. Dr. Haggard was a physiologist studying the effects of alcohol on the body, and he started the Journal as a way to publish the increasing amount of research on alcohol use, abuse, and treatment that emerged from Yale and other institutions in the years following the repeal of Prohibition in 1933. In addition to original research, the Journal also published abstracts summarizing other published documents dealing with alcohol. At Yale, Dr. Haggard built a large team of alcohol researchers within the Laboratory of Applied Physiology—including E.M. Jellinek, who became managing editor of the Journal in 1941. In 1943, to bring together the various alcohol research projects conducted by the Laboratory, Dr. Haggard formed the Section of Studies on Alcohol, which also became home to the Journal and its editorial staff. In 1950, the Section was renamed the Center of Alcohol Studies.
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