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Table 1 Median and Mean rank for the Initial Health messages on all 3 constructs combined Accuracy, Persuasiveness and Clarity

From: Development and testing of relative risk-based health messages for electronic cigarette products

Relative risk health messages

Percentiles 50th median [25th-75th]

Mean rank

RRM1. [EC]a are likely to be 95% less harmful than smoking

3.83 [2.58–4.67]

13.83

RRM2. [EC] reduce smoking related health risks by 95%

3.83 [2.83–4.08]

11.33

RRM3. Smoking is 95% more harmful than vaping

2.5 [1.58–3.67]

3.92

RRM4. No product is completely safe but use of this product is much less harmful than smoking

3.67 [3–4.17]

12.92

RRM5. Use of this product is much less harmful than smoking1

4.17 [3–4.75]

16.92

RRM6. No tobacco related product is safe but this product presents substantially lower risks to health than cigarettes

3.33 [3–3.75]

9.58

RRM7. This product presents substantially lower risks to health than cigarettes5

4.17 [3.58–4.33]

18.08

RRM8. [Completely] switching to [EC] reduces your health risks2

4 [3.5–4.33]

15.42

RRM9. [Completely] switching to [EC] reduces your cancer risk

3.83 [3.5–4.42]

15.33

RRM10. Switching to e-cigarettes improves your health

3.17 [2.5–3.67]

5

RRM11. [Completely] switching to [EC] lowers your risk of smoking related diseases6

4.17 [3.67–4.33]

17.42

RRM12. This product is a safer alternative to smoking3

4.33 [3.33–5]

20.33

RRM13. This product is a safer alternative for smokers

4.33 [3.33–5]

20.33

RRM14. Switching to [EC] reduces damage to your lungs

3.33 [3–4.5]

13.67

RRM15. Switching to [EC] reduces your chances of developing cancer

3.83 [3.58–4]

12.92

RRM16. [EC] contain no tar, the toxic component of smoke

4 [3.42–4.33]

14.92

RRM17. [EC] contain far fewer toxins than tobacco cigarettes

3.67 [3.5–4.33]

13.17

RRM18. [EC] reduce harmful toxin exposure to those around you

3.67 [3.33–3.75]

12.17

RRM19. [EC] reduce exposure to second-hand smoke

3.67 [3–4]

11.75

RRM20 Completely switching to [EC] is a healthier alternative to smoking7

3.5 [2.5–4.42]

19.75

RRM21 It is recommended that smokers should switch to [EC] 8

3.5 [2.5–4.42]

11.08

RRM22 Many smokers who switch to e-cigarettes report improved health8

3.67 [2.92–4.17]

12.75

RRM23 Like other smokers, if you switch to e-cigarettes you will experience improved health

3.67 [2–4]

9

RRM24 Using an e-cigarette improves your chances of quitting4

3.83 [3.25–4.33]

14.33

RRM25. Using an [EC] doubles your chances of quitting smoking8

3.33 [3.17–4.17]

11.50

RRM26. Using an [EC] reduces cravings for cigarettes

3.67 [3.25–4.08]

13.58

  1. a[EC] e-cigarettes featured in full; Bold font indicate selected messages (n = 8) further evaluated in this second phase study (N = 983); Friedman test x2(25, n = 6) = 44.02, p = .011 found a significant difference on all 3 constructs combined; Friedman test x2(25, n = 8) = 43.89 p = .011 also revealed the top 8 most recommended messages indicated by lower case superscript numbered 1–8; For messages to abandon, Friedman test x2(25, n = 8) = 35.14, p = .086 found not significant differences but individual experts’ comments and advice on messages to “abandon” vis-à-vis the complexity and length of messages were taken into consideration during the selection process