Official websites use .gov

A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS

A lock ( 🔒 ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

Need Help

Communicating Waterpipe Tobacco Harms to Reduce Use among Young Adults

Award Number: R01CA241420
ORGANIZATION: NATIONAL CANCER INSTITUTE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 04/01/2020
PERIOD OF PERFORMANCE END DATE: 09/30/2025

Group Awards By:

View Award Description

Communicating Waterpipe Tobacco Harms to Reduce Use among Young Adults - Project Summary Young adults have the highest prevalence of waterpipe tobacco smoking (WTS) of any age group in the U.S. Extensive evidence shows that they consistently misperceive WTS as less harmful and less addictive than cigarette smoking, and these misperceptions are positively associated with WTS. Despite these widely held misperceptions, WTS is associated with serious acute and chronic harms, even among infrequent users. In addition, WTS is prospectively associated with cigarette smoking initiation putting young adults at greater risk for cancer. Considerable evidence shows that cigarette warnings effectively convey health information to consumers, resulting in increased motivation to quit and quit attempts. Waterpipe warnings have the potential to convey accurate information about health harms to consumers, but the currently-mandated text warning, focused solely on nicotine addiction, is likely to have limited impact. The goal of this project is to develop warnings to promote greater understanding of harms and to reduce WTS behavior among young adults. We will use a systematic, evidence-driven, rigorous approach to develop waterpipe warnings and test these newly- developed warnings in two contexts: (1) on waterpipe tobacco packaging; and (2) in an ecologically-valid waterpipe café setting. In Aim 1, we will develop text and pictorial waterpipe tobacco warnings to effectively communicate a broad range of health harms. We will first develop 30 text warnings based on the most robust science; then vet warnings with experts in WTS epidemiology, toxicity, and regulation. We will next conduct a national survey to determine the five most effective text warnings, which will then each be paired with three different images creating 15 pictorial warnings. We will conduct a second national survey to determine the most promising image for each of the five text warning statements, resulting in five text and five corresponding pictorial warnings to be carried forward to Aim 2. In Aim 2, we will evaluate the effect of text or pictorial warnings on waterpipe tobacco packaging on WTS intentions using a nationally representative sample of 1,500 young adults and will determine the two text and two corresponding pictorial warnings with the highest perceived effectiveness for use in Aim 3. In Aim 3, we will determine the impact of text and pictorial warnings displayed at waterpipe cafés on WTS behavior. We will conduct a three-arm (text, pictorial, no warning control) cluster randomized crossover trial in 18 waterpipe cafés to determine the effect of warning type on young adults' WTS behavior using an objective, biological marker of waterpipe tobacco consumption (expired carbon monoxide). This study will contribute to a growing body of research on how best to design health warnings to discourage WTS, and will identify important behavioral antecedents, which may include negative affect, cognitive elaboration, perceived risks, and knowledge. The proposed research has the potential to make a significant contribution towards cancer prevention by reducing WTS through the development and testing of warnings that could influence local, state, and federal policies.


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 = -$1,358 )
2026	2024	WAKE FOREST UNIVERSITY HEALTH SCIENCES	MEDICAL CENTER BLVD	WINSTON SALEM	NC	27157	FORSYTH	USA	Cancer Cause and Prevention Research	000	5	2/9/2026	NON-COMPETING CONTINUATION	-$1,358
														Subtotal = -$1,358

Issue Date FY: 2024 ( Subtotal = $458,760 )
2024	2024	WAKE FOREST UNIVERSITY HEALTH SCIENCES	MEDICAL CENTER BLVD	WINSTON SALEM	NC	27157	FORSYTH	USA	Cancer Cause and Prevention Research	001	5	4/29/2024	NON-COMPETING CONTINUATION	$24,146
2024	2024	WAKE FOREST UNIVERSITY HEALTH SCIENCES	MEDICAL CENTER BLVD	WINSTON SALEM	NC	27157	FORSYTH	USA	Cancer Cause and Prevention Research	000	5	3/20/2024	NON-COMPETING CONTINUATION	$434,614
														Subtotal = $458,760

Issue Date FY: 2023 ( Subtotal = $477,029 )
2023	2023	WAKE FOREST UNIVERSITY HEALTH SCIENCES	MEDICAL CENTER BLVD	WINSTON SALEM	NC	27157	FORSYTH	USA	Cancer Cause and Prevention Research	000	4	3/31/2023	NON-COMPETING CONTINUATION	$477,029
														Subtotal = $477,029

Issue Date FY: 2022 ( Subtotal = $496,329 )
2022	2022	WAKE FOREST UNIVERSITY HEALTH SCIENCES	MEDICAL CENTER BLVD	WINSTON SALEM	NC	27157	FORSYTH	USA	Cancer Cause and Prevention Research	000	3	4/6/2022	NON-COMPETING CONTINUATION	$496,329
														Subtotal = $496,329

Issue Date FY: 2021 ( Subtotal = $563,923 )
2021	2021	WAKE FOREST UNIVERSITY HEALTH SCIENCES	MEDICAL CENTER BLVD	WINSTON SALEM	NC	27157	FORSYTH	USA	Cancer Cause and Prevention Research	000	2	3/11/2021	NON-COMPETING CONTINUATION	$563,923
														Subtotal = $563,923

Issue Date FY: 2020 ( Subtotal = $589,886 )
2020	2020	WAKE FOREST UNIVERSITY HEALTH SCIENCES	MEDICAL CENTER BLVD	WINSTON SALEM	NC	27157	FORSYTH	USA	Cancer Cause and Prevention Research	000	1	2/28/2020	NEW	$589,886
														Subtotal = $589,886

Grand Total All Awards = $2,584,569

Top

All Categories

About

Search

Reports

Data Submission

Award Information

Communicating Waterpipe Tobacco Harms to Reduce Use among Young Adults

Award Number: R01CA241420

ORGANIZATION: NATIONAL CANCER INSTITUTE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

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

PERIOD OF PERFORMANCE START DATE: 04/01/2020

PERIOD OF PERFORMANCE END DATE: 09/30/2025

Federal Websites

Department of Health & Human Services

HHS Operating Divisions

HHS Staff Divisions

Download A Document Viewer