Naturalistic Topography Assessment in a Randomized Clinical Trial of Smoking Unfiltered Cigarettes: Challenges, Opportunities, and Recommendations

Devan R. Romero, Kim Pulvers, Erika Carter, Casey Barber, Nora Satybaldiyeva, Thomas E. Novotny and Eyal Oren
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Devan R. Romero: Department of Kinesiology and Psychology, California State University San Marcos, San Marcos, CA 92096, USA
Kim Pulvers: Department of Kinesiology and Psychology, California State University San Marcos, San Marcos, CA 92096, USA
Erika Carter: Department of Kinesiology and Psychology, California State University San Marcos, San Marcos, CA 92096, USA
Casey Barber: School of Public Health, University of Nevada, Las Vegas, NV 89154, USA
Nora Satybaldiyeva: School of Public Health, San Diego State University, San Diego, CA 91282, USA
Thomas E. Novotny: School of Public Health, San Diego State University, San Diego, CA 91282, USA
Eyal Oren: School of Public Health, San Diego State University, San Diego, CA 91282, USA

IJERPH, 2021, vol. 18, issue 22, 1-8

Abstract: Smoking topography (ST) is a set of measures profiling the behavioral characteristics of smoking in various settings. The CReSS portable device can measure ST in the natural environment. No standard protocol exists for measuring ST longitudinally with the CReSS. This study examined the utilization of the CReSS to measure ST and highlights challenges and opportunities in a naturalistic setting. This study is part of a randomized cross-over clinical trial of smoking filtered or unfiltered cigarettes. Participants ( n = 43) smoked in each study condition for two weeks using the CReSS device for five days in their naturalistic smoking setting. The devices were calibrated and cleaned during the washout period, and data were downloaded every visit. Five test puffs were administered to calibrate each device. Moderate compliance rates (74.1%) were found with device usage, and the issues encountered were overheating/clogging, incorrectly registered date/time-stamped data, and device repair/replacement. Routine inspection/cleaning and training in device usage were instrumental in mitigating device malfunctioning. The CReSS device proved to be a feasible tool to examine naturalistic smoking topography and the potential impact of changes in tobacco product design on smoking unfiltered cigarettes. This is the first study to examine ST variables longitudinally, measured at multiple time points, and using unfiltered cigarettes.

Keywords: nicotine; tobacco; topography; exposure; policy; environmental (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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