Roll-your-own loose tobacco packaging warning labels: a qualitative study using a novel elicitation method

摘要: Background Many countries have seen roll-your-own (RYO) loose tobacco use increase, despite policies to reduce smoking prevalence. On-pack pictorial warning labels (PWLs) typically feature general warnings about smoking, and no jurisdictions link these specific types of (ie, RYO or tailor made cigarettes). We explored the narratives a sample smokers created when given an opportunity create their own PWL. Methods conducted 20 in-depth interviews with New Zealand aged between 18 67 years. Participants used novel elicitation method—a ‘construct-a-pouch’ exercise—to develop on-pouch they regarded as effective. qualitative descriptive approach interpret transcripts. Results engaged emotive content images text messages, constructed PWLs that drew on themes regret, sadness loss. perceived highly credible emotionally salient. These contrasted sharply existing pouches, which rationalised tired, uninteresting unlikely prompt cessation. Conclusions Our findings reinforce importance high-affect arousing suggest involving in formative creation may result markedly more impactful warnings. Linking type smoked also rationalisations employ discount warnings, engagement personal reflection.