MedPath

Impact of Smoking Information on Concerns About Radon

Not Applicable
Completed
Conditions
Radon Exposure
Lung Neoplasms
Intention
Risk Reduction Behavior
Smoking
Interventions
Behavioral: Radon and Smoking Isolated
Behavioral: Radon & Smoking Synergistic
Behavioral: Radon Only
Behavioral: Idaho
Behavioral: EPA
Registration Number
NCT03499535
Lead Sponsor
Paul Windschitl
Brief Summary

Despite a push for tailored messages, health communications are often aimed at, and viewed by, people with varying levels of risk. This project examined-in the context of radon risk messages-whether information relevant to high-risk individuals can have an unintended influence on lower-risk individuals. Specifically, the investigators assessed whether information about lung-cancer risk from smoking reduced concerns about lung-cancer risk from radon among nonsmokers. The investigators hypothesized that non-smokers who read a message that included smoking-relevant information would express less concern about the effects of radon exposure and less interest in testing their home compared to those who read a version in which smoking-relevant information was excluded. Two studies were conducted. Although the investigators did not exclude smokers, the focus was on participants self-identifying as nonsmokers (including never smokers and former smokers).

Detailed Description

Despite a push for tailored messages, health communications are often aimed at, and viewed by, people with varying levels of risk. This project examined-in the context of radon risk messages-whether information relevant to high-risk individuals can have an unintended influence on lower-risk individuals. Specifically, the investigators assessed whether information about lung-cancer risk from smoking reduced concerns about lung-cancer risk from radon among nonsmokers. The investigators hypothesized that non-smokers who read a message that included smoking-relevant information would express less concern about the effects of radon exposure and less interest in testing their home compared to those who read a version in which smoking-relevant information was excluded. Two studies were conducted. Although the investigators did not exclude smokers, the focus was on participants self-identifying as nonsmokers (including never smokers and former smokers). Participants in both studies were recruited through Amazon's Mechanical Turk (MTurk). Participants viewed radon messages that varied in the information they communicated about smoking's effect on lung cancer. In Study 1, smoking information was included or excluded from messages assembled from existing radon pamphlets. In Study 2, versions of a new radon message either excluded smoking information, described smoking as a major cause of lung cancer, or also described smoking's synergistic effect with radon on lung cancer risk. After viewing a radon health message, participants completed a variety of measures. Primary measures assessed respondents' anticipated sense of concern and related reactions if they learned that they/their home had been exposed to elevated levels of radon. Other key measures included questions about participants' interest and intention to test their home for radon.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1390
Inclusion Criteria
  • Live within the US
  • Have an Amazon Mechanical Turk account (website where online study was posted)
Exclusion Criteria
  • None

Study & Design

Study Type
INTERVENTIONAL
Study Design
FACTORIAL
Arm && Interventions
GroupInterventionDescription
Study 1: Radon Only / IdahoIdahoParticipants viewed only radon risk information taken from Idaho's Department of Health and Human Welfare's pamphlet on the dangers of radon gas exposure.
Study 2: Radon and Smoking IsolatedRadon and Smoking IsolatedParticipants viewed a radon-and-smoking-isolated message that covered the individual effects of radon and of smoking on lung cancer, but without mentioning their synergistic effect.
Study 1: Radon&Smoking Synergistic/IdahoRadon & Smoking SynergisticParticipants viewed radon and smoking risk information taken from Idaho's Department of Health and Human Welfare's pamphlet on the dangers of radon gas exposure.
Study 2: Radon OnlyRadon OnlyParticipants viewed a radon-only message that focused only on the effect of radon on lung-cancer risk.
Study 1: Radon&Smoking Synergistic/EPARadon & Smoking SynergisticParticipants viewed radon and smoking risk information taken from the EPA's pamphlet on the dangers of radon gas exposure.
Study 1: Radon Only / IdahoRadon OnlyParticipants viewed only radon risk information taken from Idaho's Department of Health and Human Welfare's pamphlet on the dangers of radon gas exposure.
Study 1: Radon&Smoking Synergistic/EPAEPAParticipants viewed radon and smoking risk information taken from the EPA's pamphlet on the dangers of radon gas exposure.
Study 1: Radon&Smoking Synergistic/IdahoIdahoParticipants viewed radon and smoking risk information taken from Idaho's Department of Health and Human Welfare's pamphlet on the dangers of radon gas exposure.
Study 1: Radon Only / EPARadon OnlyParticipants viewed only radon risk information taken from the EPA's pamphlet on the dangers of radon gas exposure.
Study 1: Radon Only / EPAEPAParticipants viewed only radon risk information taken from the EPA's pamphlet on the dangers of radon gas exposure.
Study 2: Radon & Smoking SynergisticRadon & Smoking SynergisticParticipants viewed a radon-and-smoking-synergistic message that covered the individual effects of radon and of smoking but that also included information about their synergistic effect.
Primary Outcome Measures
NameTimeMethod
Conditional Concern CompositeImmediately post-intervention (approx. 1 minute)

Composite formed from 4 conditional questions assessing concern, perceived impact on risk and comparative risk, and threat--if exposed to radon

Interest in Testing CompositeImmediately post-intervention (approx. 2 minutes)

Composite formed from 2 questions assessing importance and intention to test home for radon

Secondary Outcome Measures
NameTimeMethod
Likelihood Judgments about Lung CancerImmediately post-intervention (approx. 4 minutes)

Three items assessing perceived likelihood of developing lung cancer

Worry Elicited by Health MessageImmediately post-intervention (approx. 2 minutes)

Single question assessing worry elicited by the health communication material

Concern about Loved Ones If Exposed to RadonImmediately post-intervention (approx. 4 minutes)

Rated how concerned they would be about loved ones if they learned their home had high radon (Study 2)

Elect to Read MoreImmediately post-intervention (approx. 4 minutes)

Participants given option to be presented with more information at the end of the session about testing for radon (Study 2).

Elect to Leave Email for RaffleImmediately post-intervention (approx. 4 minutes)

Participants given option to leave email address in case they won one of the 20 radon kits being raffled (Study 2).

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