ABSTRACTObjective To understand the relative effectiveness oftelevision advertisements that differ in their thematicfocus and portrayals of negative emotions and/or graphicimages in promoting calls to a smokers’ quitline.Methods Regression analysis is used to explain variationin quarterly media market-level per smoker calls to theNew York State Smokers’ Quitline from 2001 to 2009.The primary independent variable is quarterly marketleveldelivery of television advertisements measured bytarget audience rating points (TARPs). Advertisementswere characterised by their overall objectivedpromotingcessation, highlighting the dangers of secondhand smoke(SHS) or otherdand by their portrayals of strongnegative emotions and graphic images.Results Per smoker call volume is positivelycorrelated with total TARPs (p<0.001), andcessation advertisements are more effective thanSHS advertisements in promoting quitline call volume.Advertisements with graphic images only or neitherstrong negative emotions nor graphic images areassociated with higher call volume with similar effectsizes. Call volume was not significantly associated withthe number of TARPs for advertisements with strongnegative emotions only (p¼0.71) or with both graphicimages and strong emotions (p¼0.09).Conclusions Exposure to television advertisements isstrongly associated with quitline call volume, and bothcessation and SHS advertisements can be effective. Theuse of strong negative emotions in advertisements maybe effective in promoting smoking cessation in thepopulation but does not appear to influence quitline callvolume. Further research is needed to understand therole of negative emotions in promoting calls to quitlinesand cessation more broadly among the majority ofsmokers who do not call quitlines.
http://tobaccocontrol.bmj.com/content/20/4/279.full.html
2 Feb 2011
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