Testing Peer-led Network Intervention to Prevent Adolescent Vaping

测试同伴主导的网络干预措施以防止青少年吸电子烟

• 批准号: 10152572
• 负责人: Peter A Wyman
• 金额: $ 68.67万
• 依托单位: UNIVERSITY OF ROCHESTER
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-05-01 至 2025-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10152572
• 关键词: Address; Adherence; Adolescent; Adult; Alcohol abuse; Behavior; Collaborations; Communication; Communities; Community based prevention; Data; Drug usage; Education; Educational Intervention; Effectiveness; Elements; Enrollment; Esthesia; Friends; Funding; Future; Goals; Government Agencies; Health; High School Student; Hybrids; Intervention; Interview; Learning Skill; Logic; Mediating; Mediation; Mediator of activation protein; Mental Health; Mentors; Modeling; Moods; New York; Peer Group; Perception; Prevention; Prevention program; Prevention trial; Problem behavior; Randomized; Reporting; Research; Research Personnel; Respiratory Signs and Symptoms; Risk; Schools; Science; Services; Site; Statistical Data Interpretation; Structure; Students; Substance abuse problem; Surgeon; Testing; Time; Tobacco use; Training; Waiting Lists; Youth; addiction; base; cohort; cost; design; educational atmosphere; effectiveness testing; efficacy implementation trial; efficacy research; efficacy testing; eighth grade; electronic vape; epidemiologic data; experience; experimental study; falls; high risk; high risk population; implementation barriers; implementation facilitators; implementation strategy; improved; informant; insight; junior high school; nicotine exposure; ninth grade; peer; peer networks; personal narratives; prevent; preventive intervention; programs; recruit; sex; skills; social; tenth grade; vaping; vaping nicotine

ABSTRACT Rates of adolescent vaping are increasing rapidly. Current high school student use of electronic vaping products (EVPs) rose from 1.5% in 2011 to 20.8% in 2018 – an increase from 220,000 to 3.05 million adolescent users. Vaping is associated with respiratory symptoms, and exposure to nicotine can act as a `gateway' to other drug use. Effective, school-based interventions are urgently needed to protect adolescents from initiating or continuing use of EVPs. A recent US Surgeon General's report identified no school or community based prevention program that reduces vaping behaviors among youth. This proposal takes advantage of a state-supported prevention initiative to test the efficacy of Above the Influence of Vaping (ATI- V). ATI-V trains peer nominated 8th-9th grade Peer Leader, and adult advisors. Peer Leaders learn skills and implement school-wide prevention campaigns informed by communication science. Preliminary data show that after training approximately 15% of 8th graders as Peer Leaders, who implemented school-wide campaigns, students who were friends of Peer leader had reduced vaping intentions and vaping behaviors 2nd semester of 8th grade. New York State has provided funds to support schools to implement ATI-V but no funds for efficacy research. With support from New York State and a strong team of investigators, our project has three aims: Aim 1. Efficacy. The primary aim of this study is to determine ATI-V impact in preventing vaping use (past 30 days any vaping, nicotine vaping, and regular use). Using an RCT design, 20 schools will be assigned to (a) immediate ATI-V, or (b) wait-list for ATI-V training after 24 months. Approximately 3,800 8th graders will be enrolled and followed for assessments in fall 8th grade, spring 8th grade, spring 9th grade, and mid-year 10th grade. We will test for which students ATI-V is most effective and in what school contexts (school climate). Aim 2. Mechanism. The second aim of this study to test the hypothesized mechanisms of ATI-V impact. To accomplish this aim we will conduct statistical analyses of a mediation model to determine (a) whether ATI-V improves students' perceptions that vaping is unacceptable to their peers (anti-vaping norms), connections to supportive adults to address EVP concerns, and social influence of non-vaping students; and (b) whether the impact of ATI-V on reduced vaping behavior is mediated by these improvements. Aim 3. Implementation (Exploratory). Our exploratory aim is to identify implementation barriers and facilitators by gathering qualitative data (observations, semi-structured interviews) from staff and students from a subset of high and low implementing schools. The purpose is to identify what implementation strategies and supports are needed for future schools to be successful in implementing ATI-V, if warranted by the study findings. If study hypotheses are supported, this study will provide, to our knowledge, the first evidence of a school-based prevention intervention that reduces adolescent vaping behaviors.

抽象的 青少年蒸发率正在迅速增加。当前的高中生使用电子蒸发 产品（EVP）从2011年的1.5％上升到2018年的20.8％ - 从220,000增加到305万 青少年用户。烟与呼吸道症状有关，暴露于尼古丁可以充当 其他药物使用的“网关”。迫切需要有效的，基于学校的干预措施来保护青少年 通过启动或继续使用EVP。美国最近的一份美国外科医生报告没有确定任何学校或 基于社区的预防计划，可减少青年的烟行为。该提议采取了 一项受国家支持的预防计划的优势，以测试高于vaping的影响的效率（ati- v）。 ATI-V火车同行提名8至9年级的同伴领导者和成人顾问。同伴领导者学习技能和 传播科学告知的学校范围内的预防运动。初步数据显示 在培训了大约15％的8年级学生作为同伴领导人的培训之后，他们实施了全校运动， 成为同伴领袖的朋友的学生减少了烟气的意图和烟行为第二学期 八年级。纽约州已提供资金来支持学校实施ATI-V，但没有效率的资金 研究。在纽约州和一个强大的调查人员团队的支持下，我们的项目有三个目标： 目标1。功效。这项研究的主要目的是确定ATI-V在防止使用蒸发时的影响（过去 30天的烟，尼古丁蒸发和定期使用）。使用RCT设计，将有20所学校分配给（a） 立即进行ATI-V，或（B）等待列表24个月后进行ATI-V培训。大约3,800个八年级学生 参加并随后进行秋季八年级，春季八年级，春季9年级和10年级的评估 年级。我们将测试哪个学生ATI-V最有效，以及在哪些学校环境中（学校气氛）。 目标2。机制。这项研究的第二个目的是测试ATI-V影响的假设机制。到 实现这一目标，我们将对调解模型进行统计分析，以确定（a）ATI-V是否是否 改善学生对同行（反蒸发规范）不可接受的烟的看法，与 支持成年人，以解决无烟学生的担忧和社会影响； （b）是否 ATI-V对减少蒸气行为的影响是由这些改进介导的。 目标3。实施（探索）。我们的探索目的是确定实施障碍，并 通过收集定性数据（观察，半结构化访谈），从工作人员和学生那里收集促进者 从高和低实施学校的子集中。目的是确定什么实施 如果有必要，则需要策略和支持才能成功实施ATI-V 研究结果。如果支持研究假设，据我们所知，这项研究将为我们提供第一个 基于学校的预防干预措施的证据，可减少青少年蒸发行为。