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Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Plain packaging of cigarettes and smoking behavior: study protocol for a randomized controlled study
Author(s): Maynard, Olivia M
Leonards, Ute
Attwood, Angela
Bauld, Linda
Hogarth, Lee
Munafo, Marcus
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Keywords: Smoking
Plain packaging
Standardized packaging
Randomized controlled trial
Health warnings
Smoking behavior
Issue Date: 25-Jun-2014
Date Deposited: 18-Aug-2014
Citation: Maynard OM, Leonards U, Attwood A, Bauld L, Hogarth L & Munafo M (2014) Plain packaging of cigarettes and smoking behavior: study protocol for a randomized controlled study. Trials, 15, Art. No.: 252.
Abstract: Background: Previous research on the effects of plain packaging has largely relied on self-report measures. Here we describe the protocol of a randomized controlled trial investigating the effect of the plain packaging of cigarettes on smoking behavior in a real-world setting. Methods/Design: In a parallel group randomization design, 128 daily cigarette smokers (50% male, 50% female) will attend an initial screening session and be assigned plain or branded packs of cigarettes to smoke for a full day. Plain packs will be those currently used in Australia where plain packaging has been introduced, while branded packs will be those currently used in the United Kingdom. Our primary study outcomes will be smoking behavior (self-reported number of cigarettes smoked and volume of smoke inhaled per cigarette as measured using a smoking topography device). Secondary outcomes measured pre- and post-intervention will be smoking urges, motivation to quit smoking, and perceived taste of the cigarettes. Secondary outcomes measured post-intervention only will be experience of smoking from the cigarette pack, overall experience of smoking, attributes of the cigarette pack, perceptions of the on-packet health warnings, behavior changes, views on plain packaging, and the rewarding value of smoking. Sex differences will be explored for all analyses. Discussion: This study is novel in its approach to assessing the impact of plain packaging on actual smoking behavior. This research will help inform policymakers about the effectiveness of plain packaging as a tobacco control measure.
DOI Link: 10.1186/1745-6215-15-252
Rights: © 2014 Maynard et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.
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