The goal was to determine the effects of bilingual cigarette warning labels on the recall performance and attention of young bilingual Lebanese college students. Forty-eight students were shown English-only, Arabic-only, or bilingual cigarette warning labels in 2020. Participants recalled as many of the labels as they could after the experiment and then two weeks later. Eye tracking was used to determine attention to the label and subjective data were collected. Results showed that bilingual labels did not lead to better recall; participants needed more time to extract data from bilingual labels and first looked at them later in time, although bilingual labels were revisited more. However, participants believed that bilingual labels were better. It appeared that bilingual labels led to clutter rather than helped recall.
BachaN. N.BahousR. (2011). Foreign language education in Lebanon: A context of cultural and curricular complexities. Journal of Language Teaching and Research, 2(6), 1320. https://doi.org/10.4304/jltr.2.6.1320-1328
2.
BelaziH. M. (1993). Multilingualism in Tunisia and French/Arabic code-switching among educated Tunisian bilinguals.
3.
BialkovaS.GrunertK. G.van TrijpH. (2013). Standing out in the crowd: The effect of information clutter on consumer attention for front-of-pack nutrition labels. Food Policy, 41(1), 65–74. https://doi.org/10.1016/j.foodpol.2013.04.010
4.
CummingsK. M.HylandA.GiovinoG. A.HastrupJ. L.BauerJ. E.BansalM. A. (2004). Are smokers adequately informed about the health risks of smoking and medicinal nicotine?Nicotine & Tobacco Research, 6(Suppl_3), S333–S340. https://doi.org/10.1080/14622200412331320734
5.
DropeJ. (2018). Tobacco Atlas. American Cancer Society, Incorporated.
6.
EsseiliF. (2011). English in Lebanon: Implications for national identity and language policy.
HallM. G.MendelJ. R.NoarS. M.BrewerN. T. (2018). Why smokers avoid cigarette pack risk messages: Two randomized clinical trials in the United States. Social Science & Medicine, 213(1), 165–172. https://doi.org/10.1016/j.socscimed.2018.07.049
9.
HammondD.FongG. T.McNeillA.BorlandR.CummingsK. M. (2006). Effectiveness of cigarette warning labels in informing smokers about the risks of smoking: Findings from the International Tobacco Control (ITC) Four Country Survey. Tobacco Control, 15(suppl 3), iii19–iii25. https://doi.org/10.1136/tc.2005.012294
10.
HammondD.ReidJ. L.DriezenP.ThrasherJ. F.GuptaP. C.NargisN.LiQ.YuanJ.BoudreauC.FongG. T. (2018). Are the same health warnings effective across different countries? An experimental study in seven countries. Nicotine & Tobacco Research, 21(7), 887–895. https://doi.org/10.1093/ntr/nty248
11.
HoughtonF.O’DohertyD.McInerneyD.DuncanB. (2019). Anti-tobacco text warnings in Italy: Geography, language and South Tyrol. South Eastern European Journal of Public Health (SEEJPH), 12(1), 1–4. https://doi.org/10.56801/seejph.vi.147
12.
KesselsL. T.RuiterR. A. (2012). Eye movement responses to health messages on cigarette packages. BMC public Health, 12(1), 352. https://doi.org/10.1186/1471-2458-12-352
13.
KleinE. G.QuisenberryA. J.ShobenA. B.CooperS.FerketichA. K.BermanM.PetersE.WewersM. E. (2017). Health warning labels for smokeless tobacco: The impact of graphic images on attention, recall, and craving. Nicotine & Tobacco Research, 19(10), 1172–1177. https://doi.org/10.1093/ntr/ntx021
14.
LimR. W.WogalterM. S. (2003). Beliefs about bilingual labels on consumer products. Proceedings of the Human Factors and Ergonomics Society Annual Meeting.
15.
LimR. W.WogalterM. S. (2006). Perceived effectiveness of bilingual label designs by English and Spanish language users. Proceedings of the XVIth Triennial International Ergonomics Association, 6541–6546.
16.
MeernikC.JarmanK.WrightS. T.KleinE. G.GoldsteinA. O.RanneyL. (2016). Eye tracking outcomes in tobacco control regulation and communication: A systematic review. Tobacco Regulatory Science, 2(4), 377–403. https://doi.org/10.18001/TRS.2.4.9
17.
MoacdiehN.SarterN. (2015). Display clutter: A review of definitions and measurement techniques. Human Factors, 57(1), 61–100. https://doi.org/10.1177/0018720814541145
18.
MunafòM. R.RobertsN.BauldL.LeonardsU. (2011). Plain packaging increases visual attention to health warnings on cigarette packs in non-smokers and weekly smokers but not daily smokers. Addiction, 106(8), 1505–1510. https://doi.org/10.1111/j.1360-0443.2011.03430.x
19.
NakkashR.LeeK. (2009). The tobacco industry’s thwarting of marketing restrictions and health warnings in Lebanon. Tobacco Control, 18(4), 310–316. https://doi.org/10.1136/tc.2008.029405
20.
NakkashR.TorossianL.El HajjT.KhalilJ.AfifiR. (2018). The passage of tobacco control law 174 in Lebanon: Reflections on the problem, policies and politics. Health Policy and Planning, 33(5), 633–644. https://doi.org/10.1093/heapol/czy023
21.
PachmanM.ArguelA.LockyerL.KennedyG.LodgeJ. (2016). Eye tracking and early detection of confusion in digital learning environments: Proof of concept. Australasian Journal of Educational Technology, 32(6). https://doi.org/10.14742/ajet.3060
22.
PooleA.BallL. J. (2006). Eye tracking in HCI and usability research. In Encyclopedia of human computer interaction (pp. 211–219). IGI Global.
23.
RaynerK. (1998). Eye movements in Reading and information processing: 20 years of research. Psychological Bulletin, 124(3), 372. https://doi.org/10.1037/0033-2909.124.3.372
24.
ShaabanK. (2017). The ongoing rivalry between English and French in Lebanon. In GebrilA. (Ed.), Applied linguistics in the Middle East and North Africa: Current practices and future directions (pp. 162–182). John Benjamins Publishing Co.
25.
SkurkaC.KempD.DavydovaJ.ThrasherJ. F.ByrneS.SafiA. G.AveryR. J.DorfM. C.MathiosA. D.ScolereL. (2018). Effects of 30% and 50% cigarette pack graphic warning labels on visual attention, negative affect, quit intentions, and smoking susceptibility among disadvantaged populations in the United States. Nicotine and Tobacco Research, 20(7), 859–866. https://doi.org/10.1093/ntr/ntx244
26.
StrasserA. A.TangK. Z.RomerD.JepsonC.CappellaJ. N. (2012). Graphic warning labels in cigarette advertisements: Recall and viewing patterns. American Journal of Preventive Medicine, 43(1), 41–47. https://doi.org/10.1016/j.amepre.2012.02.026
WedelM.PietersR. (2000). Eye fixations on advertisements and memory for brands: A model and findings. Marketing Science, 19(4), 297–312. https://doi.org/10.1287/mksc.19.4.297.11794
29.
WogalterM. S.RashidR.ClarkeS. W.KalsherM. J. (1991). Evaluating the behavioral effectiveness of a multi-modal voice warning sign in a visually cluttered environment. Proceedings of the Human Factors Society Annual Meeting.
30.
World Health Organization (2019a). WHO report on the global tobacco epidemic 2019: offer help to quit tobacco use (ISBN: 978 92 4 151620 4).
31.
World Health Organization (2019b). WHO report on the global tobacco epidemic, 2019, Country Profile: Lebanon.
World Health Organization., & Control, R. f. I. T. (2008). WHO report on the global tobacco epidemic, 2008: the MPOWER package. World Health Organization.
