Robert Wood Johnson Foundation, Princeton, New Jersey, USA.
Am J Prev Med. 2010 Mar;38(3 Suppl):S403-13. doi: 10.1016/j.amepre.2009.11.020.
Tobacco-cessation product packaging and instruction materials may not be appropriate for some smokers and may contribute to the underuse and misuse of evidence-based treatments. The dual goals of this project are to analyze literacy levels of Food and Drug Administration (FDA)-approved and non-approved tobacco-cessation product packaging, directions, and claims, and to identify and categorize claims found on product packaging. The Campaign for Tobacco Free Kids (CTFK) maintains the Quitting and Reducing Tobacco Use Inventory of Products (QuiTIP) database, which catalogs products marketed and sold to consumers to reduce or quit use of tobacco products. It also includes all medications approved by the FDA for tobacco cessation as well as a sample of non-approved products such as homeopathic, herbal, nutritional, or dietary supplements commonly marketed as either cessation aids or alternative tobacco/nicotine products. This paper assesses the reading levels required to understand product packaging, labeling, and instructions using the Simple Measure of Gobbledygook (SMOG) and identifies claims on the product package labels using standard qualitative methods. Key findings show that the average reading levels needed to understand instructions for both FDA-approved and non-approved cessation products are above the reading levels recommended to ensure maximum comprehension. Improving the packaging and directions of evidence-based tobacco-cessation products so that they are preferably at or below a fifth-grade reading level, along with using consumer-based design principles to develop packaging, may help smokers take advantage of and correctly use products that will greatly increase their chances of successful quitting.
烟草戒烟产品的包装和使用说明可能不适合某些吸烟者，并且可能导致这些产品使用不足或使用不当。本项目的双重目标是分析食品和药物管理局 (FDA) 批准和未批准的烟草戒烟产品包装、说明和声明的识字水平，并确定和分类产品包装上的声明。反对烟草青少年营销运动（CTFK）维护着《戒烟和减少烟草使用产品清单》（QuiTIP）数据库，该数据库对向消费者推销和销售的产品进行分类，以减少或停止使用烟草产品。它还包括 FDA 批准用于戒烟的所有药物，以及一些未经批准的产品，如顺势疗法、草药、营养或膳食补充剂，这些产品通常被宣传为戒烟辅助工具或替代烟草/尼古丁产品。本文使用简单测语法（SMOG）评估理解产品包装、标签和说明所需的阅读水平，并使用标准定性方法识别产品包装标签上的声明。主要发现表明，理解 FDA 批准和未批准的戒烟产品说明书所需的平均阅读水平高于建议的最大限度理解所需的阅读水平。改进基于证据的烟草戒烟产品的包装和说明，使其最好达到或低于五年级阅读水平，并使用基于消费者的设计原则来开发包装，可能有助于吸烟者利用和正确使用这些产品，从而大大增加他们成功戒烟的机会。
