Monday, December 22, 2025 12/22/2025

Graphic and text-based waterpipe warning labels to combat harm misperceptions

Award Number: R01CA229306
ORGANIZATION: NATIONAL CANCER INSTITUTE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 06/07/2018
PERIOD OF PERFORMANCE END DATE: 05/31/2023

Group Awards By:

View Award Description

Graphic and text-based waterpipe warning labels to combat harm misperceptions - Abstract Over 40% of US young adults, ages 18-24 years, have ever tried waterpipe (WP) smoking and many users are unaware of its harmful effects and addictive potential. Health warning labels have been found to increase knowledge about the harmful effects of other tobacco products that must carry such warnings. The Food and Drug Administration (FDA) took regulatory authority over WP products in August 2016 and will require all WP tobacco sold in the US to carry a standard warning about nicotine by 2018. Our research will focus on WPs rather than WP tobacco because the majority of young adults smoke a WP in a café and order the flavored tobacco from a menu, and thus never see the tobacco pack. Moreover, we will compare no health warning label to both a text only condition and a text/graphic condition. Little research to date has focused on graphic warning labels for WPs. The aims of our proposal are the following: 1) Determine the optimal placement of the health warning label on a WP to attract attention; 2) Using the FDA nicotine warning label, determine the effect of the presence of the text vs. text/graphic vs. no health warning label on a carbon monoxide biomarker, WP puffing, and other behaviors, including perceptions of risk as measured by the social interaction among participants during the WP smoking session; and, 3) Explore the impact of the presence of a health warning label (any label and text vs. text/graphic) on smoking behavior at 3 and 6 months post-experiment. For Aim 1, we will determine the optimal placement of heath warning labels on different WPs using focus group methods and eye tracking research. Aim 2 will measure the effect of the FDA nicotine warning label, in text-only and text/graphic formats vs. no health warning label on WP smoking behavior in a controlled laboratory setting. Participants will be recruited as dyads and randomized to text vs. text/graphic vs. no warning label. Control participants will complete two laboratory sessions and participants in the other two arms will complete three sessions, all separated by one week. Each session will be audio- and videotaped. Outcomes will include waterpipe puffing topography measures; subjective ratings of nicotine dependence, craving, and liking/disliking; exhaled carbon monoxide; and conversation topics related to fear, health risks, and the health warning label. This proposal addresses the FDA research priority area of Communications by providing the evidence needed to inform rule-making surrounding the use of effective warning labels that will correct the public misperception that WP tobacco smoking is a safe or less harmful form of tobacco use.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $0 )
2026	2020	OHIO STATE UNIVERSITY, THE	1960 KENNY RD	COLUMBUS	OH	43210	FRANKLIN	USA	Family Smoking Prevention and Tobacco Control Act Regulatory Research	000	3	10/1/2025	SUPPLEMENT FOR EXPANSION	$0
														Subtotal = $0

Issue Date FY: 2024 ( Subtotal = -$22,140 )
2024	2020	OHIO STATE UNIVERSITY, THE	1960 KENNY RD	COLUMBUS	OH	43210	FRANKLIN	USA	Family Smoking Prevention and Tobacco Control Act Regulatory Research	001	3	2/1/2024	SUPPLEMENT FOR EXPANSION	-$3,680
2024	2020	OHIO STATE UNIVERSITY, THE	1960 KENNY RD	COLUMBUS	OH	43210	FRANKLIN	USA	Family Smoking Prevention and Tobacco Control Act Regulatory Research	000	3	2/1/2024	NON-COMPETING CONTINUATION	-$18,460
														Subtotal = -$22,140

Issue Date FY: 2022 ( Subtotal = $0 )
2022	2020	OHIO STATE UNIVERSITY, THE	1960 KENNY RD	COLUMBUS	OH	43210	FRANKLIN	USA	Family Smoking Prevention and Tobacco Control Act Regulatory Research	000	3	6/16/2022	NON-COMPETING CONTINUATION	$0
2022	2020	OHIO STATE UNIVERSITY, THE	1960 KENNY RD	COLUMBUS	OH	43210	FRANKLIN	USA	Family Smoking Prevention and Tobacco Control Act Regulatory Research	001	3	6/16/2022	SUPPLEMENT FOR EXPANSION	$0
														Subtotal = $0

Issue Date FY: 2021 ( Subtotal = $0 )
2021	2020	OHIO STATE UNIVERSITY, THE	1960 KENNY RD	COLUMBUS	OH	43210	FRANKLIN	USA	Family Smoking Prevention and Tobacco Control Act Regulatory Research	000	3	7/1/2021	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2020 ( Subtotal = $737,718 )
2020	2020	OHIO STATE UNIVERSITY, THE	1960 KENNY RD	COLUMBUS	OH	43210	FRANKLIN	USA	Family Smoking Prevention and Tobacco Control Act Regulatory Research	002	3	5/28/2020	NON-COMPETING CONTINUATION	$615,094
2020	2020	OHIO STATE UNIVERSITY, THE	1960 KENNY RD	COLUMBUS	OH	43210	FRANKLIN	USA	Family Smoking Prevention and Tobacco Control Act Regulatory Research	003	3	6/1/2020	SUPPLEMENT FOR EXPANSION	$122,624
2020	2019	OHIO STATE UNIVERSITY, THE	1960 KENNY RD	COLUMBUS	OH	43210	FRANKLIN	USA	Family Smoking Prevention and Tobacco Control Act Regulatory Research	001	2	4/15/2020	SUPPLEMENT FOR EXPANSION	$0
2020	2019	OHIO STATE UNIVERSITY, THE	1960 KENNY RD	COLUMBUS	OH	43210	FRANKLIN	USA	Family Smoking Prevention and Tobacco Control Act Regulatory Research	000	2	12/3/2019	NON-COMPETING CONTINUATION	$0
														Subtotal = $737,718

Issue Date FY: 2019 ( Subtotal = $682,961 )
2019	2019	OHIO STATE UNIVERSITY, THE	1960 KENNY RD	COLUMBUS	OH	43210	FRANKLIN	USA	Family Smoking Prevention and Tobacco Control Act Regulatory Research	003	2	9/13/2019	SUPPLEMENT FOR EXPANSION	$0
2019	2019	OHIO STATE UNIVERSITY, THE	1960 KENNY RD	COLUMBUS	OH	43210	FRANKLIN	USA	Family Smoking Prevention and Tobacco Control Act Regulatory Research	001	2	9/11/2019	SUPPLEMENT FOR EXPANSION	$58,724
2019	2019	OHIO STATE UNIVERSITY, THE	1960 KENNY RD	COLUMBUS	OH	43210	FRANKLIN	USA	Family Smoking Prevention and Tobacco Control Act Regulatory Research	000	2	5/20/2019	NON-COMPETING CONTINUATION	$528,397
2019	2019	OHIO STATE UNIVERSITY, THE	1960 KENNY RD	COLUMBUS	OH	43210	FRANKLIN	USA	Family Smoking Prevention and Tobacco Control Act Regulatory Research	002	2	9/12/2019	SUPPLEMENT FOR EXPANSION	$95,840
														Subtotal = $682,961

Issue Date FY: 2018 ( Subtotal = $488,452 )
2018	2018	OHIO STATE UNIVERSITY, THE	1960 KENNY RD	COLUMBUS	OH	43210	FRANKLIN	USA	Family Smoking Prevention and Tobacco Control Act Regulatory Research	000	1	6/7/2018	NEW	$488,452
														Subtotal = $488,452

Grand Total All Awards = $1,886,991

Top

All Categories

About

Search

Reports

Data Submission

Award Information

Graphic and text-based waterpipe warning labels to combat harm misperceptions

Award Number: R01CA229306

ORGANIZATION: NATIONAL CANCER INSTITUTE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 06/07/2018

PERIOD OF PERFORMANCE END DATE: 05/31/2023

Federal Websites

Department of Health & Human Services

HHS Operating Divisions

HHS Staff Divisions

Download A Document Viewer