Introduction

Role

Principal Investigator

Timeline

February 2024 - May 2024

Team

Personal Project

Tools & Methods

Eye-tracker,

Facial Expression Analysis,

Quantitative Research,

Qualitative Research,

SPSS.

Cannabis labels have a lot of information on them which can make them difficult to notice important information and to interpret it.

Optimizing User Interaction and Information Processing on Drug Labels

Given the potential for negative effects from cannabis consumption, it is vital that appropriate packaging and labeling regulations are developed that will encourage consumers to notice important information pertaining to potency and warnings, and also ensure that they are be able to understand the information the label is trying to convey.


Thus, this study was interested in understanding how varying the presentation of information on cannabis labels can impact attention and comprehension.


Process

Phase 1: Eye-tracking &

Facial Expression Analysis

Statistical Analysis (SPSS)

Data Synthesis

Presentation

Recruitment

Phase 2: Comprehension

Test + Subjective Opinions

Setup & Apparatus

Phase 1: Eye-tracking & Facial Expression Analysis

Phase 1 of the study was a 3 x 3 factorial within-subjects full factorial design study where each participant experienced 9 conditions. Each condition involved a participant viewing a specific combination of:

This table demonstrates the layout of for this phase of the experiment. There were 9 conditions in total which each participant experienced.

Dependent variables

a) Eye tracking metrics:

Saccade count, well time, and average fixation duration.

b) Facial expressions and behaviors:

Confusion, contempt, engagement, negative, brow furrow, inner brow raise, neutral.


Independent variables:

a) Presentation of Potency information
    (i) MG, (ii) THC %, (iii) Traffic light indication;


b) Presentation of Cannabis Warning Label (CWL)
    (i) Bullet Points  (ii) Original %, (iii) Symbols.

Presentation of Cannabis Warning Label

Presentation of Potency Information

MG

HIGH

HIGH

HIGH

LOW

LOW

LOW

MG x Original

x HIGH

MG x Original

x LOW

MG x Bullet Points x HIGH

MG x Bullet Points x LOW

MG x Symbols x HIGH

MG x Symbols x LOW

THC % x Original x

HIGH

THC % x Original x

LOW

THC % x Bullet Points x

HIGH

THC % x Bullet Points x

LOW

THC % x Symbols

x HIGH

THC % x Symbols

x LOW

Traffic Light x Original x HIGH

Traffic Light x Original x LOW

Traffic Light x Bullet Points x HIGH

Traffic Light x Bullet Points x LOW

Traffic Light x Symbols x

HIGH

Traffic Light x Symbols x

LOW

Original

Bullet Points

Symbols

THC %

Traffic Light

Setup & Apparatus

The stimuli images were presented on an 28” monitor with a screen resolution of 1920 x 1980 pixels and a refresh rate of 60 Hz. Eye tracking responses were measured using a Gazepoint GP3HD V2 Eye tracker.

The facial responses were measured using a Cisco Precision HD F1.7/50 Degree View Camera. iMotions eye tracking software was used to present and record the eye-movement.

Eye Tracking and Facial Expression Analysis were two objective measures used in the study.

Examples of sample Cannabis Package labels viewed by participants in both Phase 1 and Phase 2.

Phase 2: Comprehension Accuracy Test

Phase 2 of the study was a 3 x 3 x 2 factorial within-subjects full factorial design study where each participant experienced 18 conditions each.


The accuracy of the responses collected from the participants in the quiz section were coded with either a ‘1’ which indicated a correct response or ‘0’ which indicated an incorrect response.

Independent variables:

Cannabis label warning presentation (Original, bullet points, symbols)

Potency presentation (Traffic light, THC %, or MG)

Potency indicated on the label (high or low) 

Each image of a label they viewed was followed by two questions: 

“Is this a low, medium, or high dose?”

Low

Medium

High

“The Cannabis Government Warning Label (the bottom section of the packaging) is easy to understand”

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

Phase 2: Comprehension Accuracy Test

Phase 2 of the study was a 3 x 3 x 2 factorial within-subjects full factorial design study where each participant experienced 18 conditions each.


The accuracy of the responses collected from the participants in the quiz section were coded with either a ‘1’ which indicated a correct response or ‘0’ which indicated an incorrect response.

Independent variables:

Cannabis label warning presentation (Original, bullet points, symbols)

Potency presentation (Traffic light, THC %, or MG)

Potency indicated on the label (high or low) 

Each image of a label they viewed was followed by two questions: 

“Is this a low, medium, or high dose?”

Low

Medium

High

“The Cannabis Government Warning Label (the bottom section of the packaging) is easy to understand”

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

This table demonstrates the layout of for this phase of the experiment. There were 9 conditions in total which each participant experienced.

Presentation of Potency Information

Presentation of Cannabis Warning Label

MG

HIGH

HIGH

HIGH

LOW

LOW

LOW

MG x Original

MG x Bullet Points

MG x Symbols

THC % x Original

THC % x Bullet Points

THC % x Symbols

Traffic Light x Original

Traffic Light x Bullet Points

Traffic Light x Symbols

Original

Bullet Points

Symbols

THC %

Traffic Light

Analysis

Facial Expression Processing


The following emotions and facial expressions were investigated and were flagged for every instance of any of the emotions being detected while participants were looking at the cannabis warning label: confusion, contempt, engagement, negative, brow furrow, inner brow raise, neutral.

Using iMotions, a threshold cutoff of 50 was set for each emotion, if the value ever exceeded 50 the algorithm classified the presentation of an emotion/facial expression.

Eye-tracking Analysis


Two separate Areas of Interest (AOI’s) were manually defined by using the iMotions tool to draw a rectangle around the desired area. The AOI’s were defined as the Potency AOI and the CWL AOI.


The following eye-tracking metrics were compared across each of the 9 different conditions for each of the 29 participants for each of the two AOI’s: saccade count, dwell count, average saccade duration, dwell time (fixation %), dwell time (gaze %).


The Eye-tracking metrics were exported via iMotions into an .xls format after which a repeated measures ANOVA was conducted.

Quiz Accuracy


A three way repeated measures ANOVA was performed to compare the effects that different variations of the Potency presentations and the CWL presentations had on participants' accuracy when determining the potency indicated on cannabis labels.


The binary responses were coded whereby a ‘1’ indicated that participants had correctly identified the potency and ‘0’ indicated that they were unable to correctly identify the potency.


CWL Ratings


A repeated measures ANOVA was performed to compare the effects that different variations of the CWL presentations had on participants' subjective ratings of the CWL.

Original

Bullet Points

Symbols

Different presentations of Cannabis Warning Label (CWL) at the bottom of the packaging which were being tested and compared.

Results

For the sake of brevity, I will just be mentioning the X main findings. You can find the link to the entire report at the end of the

case-study.

SUBJECTIVE OPINIONS ON CWL PRESENTATION

Symbols were more visual and easier to see

People wouldn’t have to spend time reading text

Symbols feel easier to understand.

Results

Participant’s Opinions

Symbols can be easily misinterpreted

Novices may not understand what the symbols mean

Symbols feel lazy

Symbols are not not easy to understand

13/24

PREFERRED TEXT

OVER SYMBOL

11/24

PREFERRED SYMBOL

OVER TEXT

“[Symbols are] easier and faster to comprehend instead of having to read everything out. I think others would agree with me because most of the time we consume cannabis, we don't often look at the warning labels. Having symbols/signs on the warning labels encourages me to actually look at them more.”

People were most used to identifying THC

potency using MG.

Traffic light notation is a subjective grading system - high potency for one person could be another person’s low potency.

Participants found it difficult to understand

THC%.

14/24

PREFERRED MG

5/24

PREFERRED THC%

5/24

PREFERRED TRAFFIC LIGHT

SUBJECTIVE OPINIONS ON POTENCY PRESENTATION

Different presentations of Cannabis Warning Label (CWL) at the bottom of the packaging which were being tested and compared.

MG

Traffic Light

THC %

POTENCY PRESENTATION


The comprehension phase of the study demonstrated that presentation styles can have an effect on the way cannabis users interpret potency.


Participants were more accurate when judging potencies when the potency was shown with a Traffic light presentation compared to when it was shown with the THC %.


This is an important finding as current California requirements ask potencies to be indicated in THC % which was least preferred by participants alongside the symbol representation.

CWL PRESENTATION


Participants preferred the Bullet Point presentation significantly more than both the Original Presentation and the Symbol presentation.


This is another important finding as current California cannabis label requirements involve displaying the Cannabis Warning Label as a paragraph (the Original condition) which participants felt was difficult to read and made it less likely for them to want to read it.

Making a warning label that includes pertinent information regarding cannabis consumption more salient and easy readable and accessible is vital and is something that policy makers need to prioritize in order to help decrease the negative risks that are associated with cannabis consumption.


Although this study may not be able to definitively suggest an ideal set of requirements
for cannabis labels, it hopes to at least open up the discussion into conducting more studies and
delving deeper into this area of research to better understand how to best represent important
potency and warning label information that will encourage consumers to notice and understand
important information to allow for safe cannabis consumption.

Final Thoughts

Full Study

Thank you for reading through this case-study, I was very proud and excited to have been able to learn more about the way people would interpret information presented in different formats when it came to cannabis labels.


If you are interested in seeing the complete study, please click HERE.