Impact of Little Cigars and Cigarillos Packaging Features on Product Preference.

BACKGROUND: We conducted a discrete choice experiment (DCE) among young adult cigarette smokers in the period July-August 2018 to examine their preference for cigarillos in response to various packaging-related attributes, including flavor, flavor description, quality descriptors, pack size, and prices. METHODS: A convenience sample of 566 US young adult cigarette smokers aged 18-34, among whom 296 were current little cigar and cigarillo (LCC) smokers, were recruited using Facebook ads and invited to participate in an online (Qualtrics) tobacco survey containing DCE and tobacco use questions. In the experiment, participants chose among two cigarillo products or "neither" (opt-out). RESULTS: We analyzed preferences for LCCs using multinomial, nested, random parameter logit models. Results showed that young adult cigarette smokers preferred grape over menthol, tobacco/regular, and wine flavors; "color only" and "color and text" flavor depictions over text only; "smooth" and "sweet" quality descriptors over "satisfying"; and larger pack sizes and lower prices. CONCLUSIONS: Regulating packaging-related features will impact LCC choices among US young adult smokers. FDA regulation over these packaging-related features may impact LCC use among young adult smokers.

Rehabilitation of a functionally limited, chronically ill older adult: a case study.

This case study presents MV, a 78-year-old woman who was being treated pharmacologically for several common chronic health problems and who presented with self-reported and observed limitations in her functional ability. After being screened for contraindications to exercise, MV participated in a 16-week rehabilitation program of regular exercise that included aerobic and resistance training. She maintained a high level of compliance with this rehabilitation training and showed improvements in her aerobic capacity, strength, ability to complete functional tasks, blood components, and lipid profile. She also reported decreased levels of pain and improved perceptions of functional ability. This case study indicates that older adults with chronic illness can benefit from participating in a program of regular exercise.