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Measuring perceptions related to e-cigarettes: Important principles and next steps to enhance study validity.

Laura A Gibson1, MeLisa R Creamer2, Alison B Breland3

  • 1University of Pennsylvania, Philadelphia, PA, USA.

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|November 28, 2017
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Summary

This study offers guidance for researchers measuring perceptions of electronic cigarette (e-cigarette) use. It categorizes existing survey items and suggests best practices for validly assessing e-cigarette perceptions.

Keywords:
BeliefsE-cigaretteElectronic cigaretteMeasurementPerceptionsVaping

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Area of Science:

  • Tobacco Regulatory Science
  • Behavioral Science
  • Public Health Research

Background:

  • Measuring perceptions of e-cigarette use is crucial for understanding initiation and continuation behaviors in youth and adults.
  • Existing measures of e-cigarette perceptions are highly variable due to device complexity and rapid product evolution.

Purpose of the Study:

  • To provide guidance to researchers developing surveys on e-cigarette perceptions.
  • To identify effective measurement approaches and those to avoid for assessing e-cigarette perceptions.

Main Methods:

  • Surveyed 14 Tobacco Centers of Regulatory Science (TCORS) sites.
  • Received and reviewed 371 e-cigarette perception items from seven sites.
  • Categorized items by perception type and identified measurement strategies.

Main Results:

  • Suggestions provided for four key areas: perceptions of benefits, harm, addiction, and social norms.
  • Appropriate assessment methods depend on study aims, respondent experience, device type, and age.
  • Continuous formative work is essential to capture perceptions in the evolving e-cigarette market.

Conclusions:

  • Researchers should adapt existing conventional cigarette perception measures for e-cigarettes, rather than relying on them without adjustment.
  • Tailoring measurement approaches to specific contexts and populations is critical for valid e-cigarette perception assessment.