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A Study of Hookah Café Customers in the Atlanta Area

Wake Forest University (WFU) logo

Wake Forest University (WFU)

Status

Completed

Conditions

Waterpipe Tobacco Smoking

Treatments

Behavioral: No Warnings
Behavioral: Health Warnings

Study type

Interventional

Funder types

Other
NIH

Identifiers

NCT05916170
R01CA241420 (U.S. NIH Grant/Contract)
IRB00095123

Details and patient eligibility

About

The purpose of the study is to assess the effectiveness of health warnings on waterpipe smoking behavior in a real-world setting. The primary hypothesis is that hookah café customers who are in the intervention (warning) arm will smoke less than customers who are in the control (no warning) arm, determined by differences in the boost in expired carbon monoxide from café entry to after café exit.

Full description

Expired carbon monoxide is an objective biological marker of combustible tobacco smoking and is strongly correlated with the amount of smoke inhaled. In the intervention arm, warning messages will be displayed at various agreed-upon locations in the café, such as on hookah pipes, tables, countertops, walls, and menus. The goal is to maximize the potential for customers to be exposed to warnings. Participants will be patrons of the café and will be recruited before entering the café. Participants will complete a brief survey and provide a breath sample to measure expired carbon monoxide. When leaving the café, they will complete another survey and provide a second breath sample.

Enrollment

977 patients

Sex

All

Ages

18 to 35 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  • Planning to enter the hookah café where study is being conducted
  • Age 18 or older
  • English speaking
  • Planning to smoke hookah inside
  • Not planning to smoke cigarettes, cigars, cigarillos or marijuana while at the hookah café
  • Had not previously entered the café earlier in the day on the same day/night as data collection
  • Has not been approached to participate in the study at another café or another day/night at the current café
  • Are not employees of the business
  • Have capacity to participate as determined by the staff member conducting eligibility screening

Exclusion criteria

  • Not planning to enter the hookah café where the study is being conducted
  • Age 17 and under
  • Non-English speaking
  • Not planning to smoke hookah in the café
  • Planning to smoke cigarettes, cigars, or marijuana while at the hookah café
  • Are employees of the business
  • Had previously entered the café on the same day/night as data collection
  • Has not been approached to participate in the study previously
  • Does not have capacity to participate as determined by the staff member conducting eligibility screening

Trial design

Primary purpose

Prevention

Allocation

Randomized

Interventional model

Crossover Assignment

Masking

None (Open label)

977 participants in 2 patient groups

Intervention - Health Warnings
Experimental group
Description:
Cafes will display text-only warning signs
Treatment:
Behavioral: Health Warnings
Control - No Warnings
Experimental group
Description:
No warnings posted in the hookah café
Treatment:
Behavioral: No Warnings

Trial documents
1

Trial contacts and locations

1

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Central trial contact

Alexandra Zizzi, MSPH; Erin Sutfin, PhD

Data sourced from clinicaltrials.gov

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