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Little is known about differences between adolescents’ and adults’ exposure to e-cigarette advertising in various media channels, such as retail establishments, print, television, radio, and digital marketing. We examined the exposure to... more
Little is known about differences between adolescents’ and adults’ exposure to e-cigarette advertising in various media channels, such as retail establishments, print, television, radio, and digital marketing. We examined the exposure to e-cigarette advertising in these channels amongst adolescents (13–17), young adults (18–25), and older adults (26+). Adolescents (N = 1124), young adults (N = 809), and adults (N = 4186) were recruited through two nationally representative phone surveys from 2014–2015. Lifetime e-cigarette advertising exposure was prevalent (84.5%). Overall, older adult males and older adult cigarette smokers reported the highest exposure to e-cigarette advertising (p < 0.001). Television was the largest source of exposure for all age groups. Adolescents and young adults had higher odds than older adults of exposure through television and digital marketing. However, adolescents had lower odds than young adults and older adults of exposure through retailers and pr...
Guided by control theory, this study examines memorable messages that women on probation and parole receive from their probation and parole agents. Women interviewed for the study were asked to report a memorable message they received... more
Guided by control theory, this study examines memorable messages
that women on probation and parole receive from their probation
and parole agents. Women interviewed for the study were asked
to report a memorable message they received from an agent, and
to describe situations if/when the message came to mind in three
contexts likely to emerge from a control theory perspective: when
they did something of which they were proud, when they
stopped themselves from doing something they would later
regret, and when they did something of which they were not
proud. The types of memorable messages and the reactions to
these messages within the three contexts were coded, and
differences between women on probation versus parole were
examined. Overall, a greater proportion of women on parole
recalled memorable messages, and the most frequently reported
type of memorable message was behavioral advice. Women
reported that the message helped them do things of which they
were proud, such as engaging in routine activities and fulfilling
goals; helped them to not give into urges that could lead to
further negative sanctions or feelings of regret; and came to mind
when they relapsed. Practical implications of the findings for
training are presented.
Research Interests:
Use of hookah and little cigars/cigarillos (LCCs) is high among adolescents and young adults. Although these products have health effects similar to cigarettes, adolescents and young adults believe them to be safer. This study examined... more
Use of hookah and little cigars/cigarillos (LCCs) is high among adolescents and young adults. Although these products have health effects similar to cigarettes, adolescents and young adults believe them to be safer. This study examined adolescent and young adult perceptions of hookah and LCCs to develop risk messages aimed at discouraging use among users and at-risk nonusers. Ten focus groups with 77 adolescents and young adults were conducted to explore their perceptions about the perceived risks and benefits of hookah and LCC use. Participants were users of other (non-cigarette) tobacco products (n = 47) and susceptible nonusers (n = 30). Transcripts were coded for emergent themes on participants' perceptions of hookah and LCCs. Participants did not perceive health effects associated with hookah and LCC use to be serious or likely to happen given their infrequency of use and perceptions that they are less harmful than cigarettes. Participants generally had positive associations with smoking hookah and LCCs for several reasons, including that they are used in social gatherings, come in various flavors, and can be used to perform smoke tricks. Because adolescents and young adults underestimate and discount the long-term risks associated with hookah and LCC use, effective messages may be those that focus on the acute/immediate health and cosmetic effects.
This study extends research on psychological reactance theory by examining probation and parole officer (PO) communication style as an antecedent to female offenders' reactance and 2 indicators of subsequent drug and... more
This study extends research on psychological reactance theory by examining probation and parole officer (PO) communication style as an antecedent to female offenders' reactance and 2 indicators of subsequent drug and alcohol abuse while serving probation or parole sentences. Structural equation modeling was conducted to test a mediational path model, the results of which demonstrated that perceptions of PO conversational communication style were negatively associated with reactance but positively associated with self-efficacy to avoid drugs and alcohol. Conversely, women who perceived their POs as having a conformity communication style were more likely to report higher levels of reactance and lower self-efficacy to avoid drugs and alcohol. Psychological reactance led to desire to restore freedom, whereas self-efficacy to avoid drugs and alcohol did not. Desire to restore freedom was linked with reports of using drugs and alcohol and violations of parole or probation for using drugs and alcohol. These findings highlight the importance of communication style as an antecedent to reactance and in the relationship between POs and offenders.
Most studies have assessed use of "e-cigarettes" or "electronic cigarettes," potentially excluding new electronic nicotine delivery systems (ENDS), such as e-hookahs and vape pens. Little is known about... more
Most studies have assessed use of "e-cigarettes" or "electronic cigarettes," potentially excluding new electronic nicotine delivery systems (ENDS), such as e-hookahs and vape pens. Little is known about how adolescents and young adults perceive ENDS and if their perceptions vary by sub-type. We explored ENDS perceptions among these populations. Ten focus groups with 77 adolescents and young adults, ages 13-25, were conducted in spring 2014. Participants were users or susceptible nonusers of novel tobacco products. Focus group transcripts were coded for emergent themes. Participants reported positive ENDS attributes, including flavor variety; user control of nicotine content; and smoke trick facilitation. Negative attributes included different feel compared to combustible cigarettes, nicotine addiction potential, and no cue to stop use. Participants perceived less harm from ENDS compared to combustible cigarettes, perhaps due to marketing and lack of product regulation, but noted the uncertainty of ingredients in ENDS. Numerous terms were used to describe ENDS, including "e-cigarette," "e-hookah," "hookah pens," "tanks," and "vapes." Although no clear classification system emerged, participants used product characteristics like nicotine content and chargeability to attempt classification. Perceptions differed by product used. E-hookah users were perceived as young and trendy while e-cigarette users were perceived as old and addicted to nicotine. Young adults and adolescents report distinct ENDS sub-types with varying characteristics and social perceptions of users. Although they had more positive than negative perceptions of ENDS, prevention efforts should consider highlighting negative attributes as they may discourage use and product trial among young nonusers. Our study underscores the need for a standardized measurement system for ENDS sub-types and additional research on how ENDS sub-types are perceived among adolescents and young adults. In addition, our findings highlight negative product attributes reported by participants that may be useful in prevention and regulatory efforts to offset favorable marketing messages.
Novel tobacco products, such as little cigars, cigarillos, hookah, and e-cigarettes, and their smoke or aerosol contain chemicals which the FDA has determined to be Harmful or Potentially Harmful Constituents. We explored... more
Novel tobacco products, such as little cigars, cigarillos, hookah, and e-cigarettes, and their smoke or aerosol contain chemicals which the FDA has determined to be Harmful or Potentially Harmful Constituents. We explored adolescents' and young adults' knowledge and beliefs about constituents in novel tobacco products and their smoke or aerosol, in order to inform risk communication messages. 77 adolescents and young adults (ages 13-25) participated in 10 focus groups, including 47 NOVEL TOBACCO PRODUCT USERS AND 30 SUSCEPTIBLE NON-USERS PARTICIPANTS WERE ASKED TO DISCUSS 10 PRE-SELECTED CONSTITUENTS: found in novel tobacco products and their smoke or aerosol. The first author analyzed the discussion for emergent themes. Participants were GENERALLY: familiar with arsenic, carbon monoxide, formaldehyde, and nicotine, but unfamiliar with acetaldehyde, acrolein, 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanon (NNK), and N-nitrosonornicotine (NNN). ALL: participants had negative beliefs about most constituents, although users had positive beliefs about nicotine. Unfamiliar constituents were associated with similarly-sounding words (e.g., acetaldehyde sounds like acetaminophen), and SOME: participants recognized words in the chemical names of NNK/NNN (e.g., "nitro"). Familiar constituents were associated with negative health effects and other common products the constituents are found in. ALL: participants wanted more information about the constituents' health effects, toxicity, and other common products. Most participants were unaware the constituents discussed are in novel tobacco products and their smoke or aerosol. Risk communication messages could capitalize on negative associations with familiar constituents, or attempt to educate about unfamiliar constituents, to discourage novel tobacco product use among adolescents and young adults.
This manuscript details an investigation of memorable messages that help students navigate college life using a control theory framework. Researchers conducted face-to-face interviews with 61 undergraduate students who recalled a specific... more
This manuscript details an investigation of memorable messages that help students navigate college life using a control theory framework. Researchers conducted face-to-face interviews with 61 undergraduate students who recalled a specific memorable message that helped them as they navigated college. Results of this formative study show the majority of participants’ memorable messages were academic, and approximately 70% reported changing their behavior when recalling the message. Findings include categories of messages, challenges and topics, message sources, and changes in behavior and attitudes as a result of recalling the message. Additionally, the authors discuss responses to the study findings by college personnel that highlight the applicability of the research.
We examined 62 telehealth websites using four assessment criteria: design, literacy, information and telehealth content. The websites came from the member list of the American Telemedicine Association and the Office for the Advancement of... more
We examined 62 telehealth websites using four assessment criteria: design, literacy, information and telehealth content. The websites came from the member list of the American Telemedicine Association and the Office for the Advancement of Telehealth and partner sites, and were included if they were currently active and at least three clicks deep. Approximately 130 variables were examined for each website by two independent researchers. The websites reviewed contained most of the design variables (mean 74%, SD 6), but fewer of those relating to literacy (mean 26%, SD 6), website information (mean 35%, SD 16) and telehealth content (mean 37%, SD 18). Only 29% of websites encouraged users to ask about telehealth, and 19% contained information on overcoming telehealth barriers. Nonetheless, 84% promoted awareness of telehealth. All evaluation assessments were significantly correlated with each other except for literacy and information. The present study identified various matters that s...
This manuscript details an investigation of memorable messages that help students navigate college life using a control theory framework. Researchers conducted face-to-face interviews with 61 undergraduate students who recalled a specific... more
This manuscript details an investigation of memorable messages that help students navigate college life using a control theory framework. Researchers conducted face-to-face interviews with 61 undergraduate students who recalled a specific memorable message that helped ...
ABSTRACT Difficult conversations among family members can impact the health and structure of familial relationships. The reported study investigated potential antecedents and outcomes of difficult family conversations. Perceived... more
ABSTRACT Difficult conversations among family members can impact the health and structure of familial relationships. The reported study investigated potential antecedents and outcomes of difficult family conversations. Perceived consequences of, reasons behind, responses to, and results of difficult conversations were considered, and the family communication patterns (FCP) framework guided the examination. Although the majority of respondents feared negative consequences prior to conversations, most reported positive results. The type of response received from conversational partners was associated with the eventual result. Counter to predictions, data analysis found no relationships among the family communication styles proposed by FCP and the antecedents and outcomes of difficult family conversations. These results suggest that the need for engaging in difficult conversations may outweigh family communicative norms and potential family consequences. Practical implications of the findings, including how therapists or counselors might communicate the benefits of discussing difficult topics generally and of avoiding negative reactions during such conversations, are considered.