Memish, KE and Schuz, N and Frandsen, M and Ferguson, SG and Schuz, B, Using self-affirmation to increase the effects of emotive health warnings on smoking: A randomised exploratory trial, Nicotine & Tobacco Research, 19, (10) pp. 1238-1242. ISSN 1469-994X (2016) [Refereed Article]
Copyright 2016 The Author
Aims: This study tests whether enhancing a currently used emotive graphic smoking health warning with a self-affirmation component reduces cigarette consumption, and whether potential effects are stronger in heavier smokers, as suggested by previous research.
Methods: Participants (n = 265) were randomly allocated to a self-affirmation (reflecting on personal values and positive traits using a questionnaire) or matched control condition before viewing an emotive graphic health message from a current Australian government public health campaign. The primary outcome (cigarettes per day [CPD]) was assessed both before, and a week following, the intervention.
Results: No main effect of self-affirmation on smoking, but as hypothesised, a significant interaction between baseline smoking and self-affirmation was found that showed that heavier smokers (> 21 CPD) who self-affirmed significantly reduced CPD compared to non-affirmed smokers.
Conclusions: These findings support the use of self-affirmation to enhance smoking awareness campaigns in heavier smokers.
Implications: This study shows that enhancing emotive graphic smoking health messages with self-affirmation (the act of reflecting on positive aspects of oneself), increases their effectiveness in heavier smokers. This suggests that self-affirmation might be a particularly useful tool for health promotion targeting heavier smokers. This study adds to previous research in that it is the first to test the add-on effects of self-affirmation to current graphic health messages on smoking rather than smoking-related cognitions.
|Item Type:||Refereed Article|
|Keywords:||smoking, smoking cessation, health warnings, cigarettes, continuing professional development|
|Research Division:||Medical and Health Sciences|
|Research Group:||Public Health and Health Services|
|Research Field:||Preventive Medicine|
|Objective Group:||Public Health (excl. Specific Population Health)|
|Objective Field:||Substance Abuse|
|Author:||Memish, KE (Miss Kate Memish)|
|Author:||Schuz, N (Dr Natalie Schuez)|
|Author:||Frandsen, M (Dr Mai Frandsen)|
|Author:||Ferguson, SG (Associate Professor Stuart Ferguson)|
|Author:||Schuz, B (Dr Benjamin Schuez)|
|Web of Science® Times Cited:||1|
|Deposited By:||Medicine (Discipline)|
|Downloads:||1 View Download Statistics|
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