{"doi":"10.17615/tk9x-xe52","title":"The Development and Testing of a Point-of-Sale E-Cigarette Health Communication Campaign","abstract":"Adolescents and young adults continue to use e-cigarettes, and communication campaigns are needed to decrease use among these populations. We developed and tested a point-of-sale communication campaign focused on e-cigarette chemical exposure. We developed messages based on formative research and tested them (versus text-only messages) in a nationally-representative online survey among adolescents and young adults (16-25) (Phase 1). Based on survey findings, we selected a message focused on nicotine and brain development for the point-of-sale trial (Phase 2). We then conducted a cluster-randomized trial at six gas stations with convenience stores, randomly assigned to the intervention (messages displayed) or no message control condition. We conducted intercept surveys with repeated cross-sectional samples of 50 participants (ages 16-25) per store, at baseline and a four-week follow-up. Phase 1 included 1,636 participants in the online study. Intervention messages were rated as more attention grabbing than plain text messages (<em>p</em>&thinsp;&lt;&thinsp;.05), though were rated similarly on other outcomes. Exposure to intervention messages resulted in larger changes from pre- to posttest for beliefs about addiction and relative harms versus cigarettes (<em>p</em>&thinsp;&lt;&thinsp;.05). Phase 2 included 586 participants in the point-of-sale study. Real-world campaign exposure was low (31.8%), and no differences were found between conditions. E-cigarette prevention messages focused on nicotine's impact on brain development show promise. However, garnering attention for communication campaigns in saturated point-of-sale environments, often dominated by tobacco advertising, is challenging. Future efforts should utilize additional communication channels to directly target adolescents and young adults.","journal":"UNC Libraries","year":2025,"id":581251,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9574,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":282009,"name":"Allison J. Lazard","orcid":"0000-0002-2502-2850","position":1,"is_corresponding":false},{"id":1145110,"name":"Elizabeth Orlan","orcid":"0000-0002-3731-1078","position":2,"is_corresponding":false},{"id":403933,"name":"Jessica L. King","orcid":"0000-0002-6048-8277","position":3,"is_corresponding":false},{"id":274899,"name":"Seth M. Noar","orcid":"0000-0002-3453-5391","position":4,"is_corresponding":false},{"id":328458,"name":"Beth A. Reboussin","orcid":"0000-0002-7318-9081","position":5,"is_corresponding":false},{"id":659989,"name":"Cynthia K. Suerken","orcid":"0000-0002-8589-524X","position":6,"is_corresponding":false},{"id":423752,"name":"Mark Wolfson","orcid":"0000-0002-7901-774X","position":7,"is_corresponding":false},{"id":411791,"name":"Erin L. Sutfin","orcid":"0000-0003-2660-8383","position":8,"is_corresponding":false},{"id":479679,"name":"Kimberly D. Wiseman","orcid":"0000-0003-1497-8512","position":9,"is_corresponding":false},{"id":479680,"name":"Kimberly G. Wagoner","orcid":"0000-0001-5955-5148","position":10,"is_corresponding":false},{"id":282006,"name":"Jennifer Cornacchione Ross","orcid":"0000-0001-5173-3130","position":11,"is_corresponding":false},{"id":295972,"name":"David M. Reboussin","orcid":"0000-0003-1309-2189","position":0,"is_corresponding":true}],"reference_count":0,"raw_metadata":null,"created_at":"2026-07-19T02:58:47.357782Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}