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The Impact of Standardized Tobacco Product Packaging on Young Adults in the Retail Environment

The Impact of Standardized Tobacco Product Packaging on Young Adults in the Retail Environment

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05973981
Enrollment
433
Registered
2023-08-03
Start date
2023-05-15
Completion date
2025-05-14
Last updated
2025-10-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Smoking, Cigarette

Brief summary

The overall aim of this research is to experimentally evaluate the extent to which partially standardizing the color of tobacco packaging influences tobacco use intentions among young adults who have varying levels of tobacco use experience.

Interventions

BEHAVIORALPackage standardization

Conditions vary in terms of amount of cigarette packages that are subject to standardization

Sponsors

RAND
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
21 Years to 34 Years
Healthy volunteers
Yes

Inclusion criteria

* Ages 21-34 * Past month cigarette smoker

Exclusion criteria

* None.

Design outcomes

Primary

MeasureTime frameDescription
Quit Smoking MotivationImmediately after shopping in the RAND StoreLabMotivation to quit smoking as assessed by the Motivation to Stop Scale (MTSS; Kotz et al., 2013; Drug and Alcohol Dependence) participants endorsing one of 7 items: 1. = I don't want to stop smoking. 2. = I think I should stop smoking but don't really want to. 3. = I want to stop smoking but haven't thought about when. 4. = I REALLY want to stop smoking but I don't know when I will. 5. = I want to stop smoking and hope to soon. 6. = I REALLY want to stop smoking and intend to in the next 3 months. 7. = I REALLY want to stop smoking and intend to in the next month.

Countries

United States

Participant flow

Participants by arm

ArmCount
Status Quo Packages
Cigarette packages appear as they normally do - no standardization
143
Partial Standardization
Cigarette packages appear with half of the package using a standardized color
143
Full Standardization
Cigarette packages appear with all of the packages fully standardized (by color and font)
147
Total433

Baseline characteristics

CharacteristicStatus Quo PackagesPartial StandardizationFull StandardizationTotal
Age, Customized
Age group
21-25
85 Participants79 Participants79 Participants243 Participants
Age, Customized
Age group
26-34
57 Participants63 Participants68 Participants188 Participants
Age, Customized
Age group
missing
1 Participants1 Participants0 Participants2 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
9 Participants6 Participants9 Participants24 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
134 Participants136 Participants138 Participants408 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants1 Participants0 Participants1 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
52 Participants48 Participants46 Participants146 Participants
Race (NIH/OMB)
Black or African American
15 Participants19 Participants25 Participants59 Participants
Race (NIH/OMB)
More than one race
13 Participants9 Participants11 Participants33 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
9 Participants5 Participants10 Participants24 Participants
Race (NIH/OMB)
White
54 Participants62 Participants55 Participants171 Participants
Sex/Gender, Customized
Female
68 Participants62 Participants68 Participants198 Participants
Sex/Gender, Customized
Male
59 Participants67 Participants62 Participants188 Participants
Sex/Gender, Customized
other endorsed
16 Participants14 Participants17 Participants47 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
0 / 1430 / 1430 / 147
other
Total, other adverse events
0 / 1430 / 1430 / 147
serious
Total, serious adverse events
0 / 1430 / 1430 / 147

Outcome results

Primary

Quit Smoking Motivation

Motivation to quit smoking as assessed by the Motivation to Stop Scale (MTSS; Kotz et al., 2013; Drug and Alcohol Dependence) participants endorsing one of 7 items: 1. = I don't want to stop smoking. 2. = I think I should stop smoking but don't really want to. 3. = I want to stop smoking but haven't thought about when. 4. = I REALLY want to stop smoking but I don't know when I will. 5. = I want to stop smoking and hope to soon. 6. = I REALLY want to stop smoking and intend to in the next 3 months. 7. = I REALLY want to stop smoking and intend to in the next month.

Time frame: Immediately after shopping in the RAND StoreLab

Population: Two participants are missing data on the outcome - they declined to respond to the item.

ArmMeasureValue (MEAN)
Status Quo PackagesQuit Smoking Motivation3.7 score on a scale
Partial StandardizationQuit Smoking Motivation3.9 score on a scale
Full StandardizationQuit Smoking Motivation3.7 score on a scale
95% CI: [-0.25, 0.63]
95% CI: [-0.41, 0.46]

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026