Evaluation of the Be Vape Free Curriculum of the Tobacco Prevention Toolkit

烟草预防工具包的 Be Vape Free 课程评估

• 批准号: 10480051
• 负责人: Bonnie L Halpern-Felsher
• 金额: $ 68.02万
• 依托单位: STANFORD UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-02 至 2026-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10480051
• 关键词: Address; Adolescent; Attitude; Behavior; Behavioral Model; Brain; California; Cluster randomized trial; Communities; Data; Dissemination and Implementation; Education; Educational Curriculum; Effectiveness; Electronic cigarette; Ethnic Origin; Evaluation; Exposure to; Future Teacher; Happiness; Health; Health education; Heart; High School Student; Interview; Knowledge; Link; Lung; Marijuana; Marketing; Mental Depression; Mental Health; Middle School Student; Modeling; Nicotine Dependence; Outcome; Participant; Persons; Planning Theory; Prevention; Prevention program; Property; Race; Randomized; Reporting; Research; Resistance; Resources; Schools; Socioeconomic Status; Stress; Students; Surveys; Testing; Tobacco; Tobacco use; United States; United States National Institutes of Health; Wages; Youth; acceptability and feasibility; addiction liability; adolescent health; aged; base; cigarette smoking; combustible cigarette; community based participatory research; design; efficacy testing; electronic cigarette use; follow-up; future implementation; high school; improved; interest; intervention effect; junior high school; novel; peer; physical conditioning; pilot test; positive youth development; prevent; programs; random forest; skills; social media; theories; therapy development; tobacco prevention; tool; treatment arm; treatment effect; vaping

Electronic cigarettes (e-cigarettes, e-cigs, vapes, ENDS) are the most widely used tobacco product among adolescents, aged 12-18. Despite clear connections between e-cigarette use, nicotine addiction, and physical and mental health outcomes, adolescents continue to harbor misperceptions about e-cigarettes, perpetuated by exposure to marketing and flavors, and a lack of understanding about their harms and addictive properties. While schools have historically provided a key venue in which to implement tobacco prevention programs, most school-based tobacco prevention programs focus on conventional cigarette smoking only, have had mixed results, and have several gaps in their educational content on e-cigarettes. Further, studies have rarely determined if there are specific groups for whom e-cigarette prevention and cessation programs are, and are not, helping. Using a community-based participatory research approach, we developed the “Be Vape-Free” Curriculum, a free 5-session school-based education, prevention, and reduction (de-escalation) program for middle and high school students. This curriculum is part of and includes the most effective components of the Tobacco Prevention Toolkit, a free online comprehensive tobacco prevention program used by thousands of schools and educators across the United States, having reached more than 1.7 million middle and high schools students. Aligning with the NIH Stage Model for Behavioral Intervention Development, we have addressed 3 of the 6 stages needed to adequately develop, evaluate, refine, and fully implement and disseminate our Be Vape-Free Curriculum. Thus, the Specific Aims of this project are to: (1) Determine whether the Be Vape-Free Curriculum is effective in increasing middle and high school students’ knowledge of e-cigarettes and resistance to using, and decreasing their positive attitudes towards and intentions to use e- cigarettes; (2) Determine whether the Be Vape-Free Curriculum is effective in changing middle and high school students’ actual use of e-cigarettes (including preventing initiation, continuation, escalation; encouraging decreased use and cessation; and use of e-cigarettes with other tobacco and marijuana products); and (3) Examine the heterogenous treatment effects (HTE) of the intervention, identifying both those who benefit the most and those who do not benefit from the curriculum. We will employ a cluster-randomized trial, stepped- wedge design, with 60 middle and 60 high schools in California (n=10,800 students). Schools will be randomized to either the treatment (Be Vape-Free Curriculum) or delay-in-treatment arm (i.e., standard health education first year and Be Vape-Free curriculum in second year), with all students followed for another 12 months. The timing of this proposed research is extremely important as we have outstanding momentum, have established an extensive team of school and community partners and stakeholders, have numerous schools already interested in using the Be Vape-Free Curriculum, and have garnered tremendous support from the California Department of Education and schools.

电子烟（电子烟，电子烟，vapes，末端）是使用最广泛的烟草产品 青少年，年龄12-18岁。尽管使用电子烟，尼古丁成瘾和物理 和心理健康成果，青少年继续对电子烟的误解，永久存在 通过接触营销和口味，以及对其危害和添加特性的了解不足。 尽管学校历史上提供了实施预防烟草计划的关键场所，但 大多数以学校为基础的烟草预防计划仅着眼于传统的吸烟， 结果混杂，并且在电子烟方面的教育内容有几个差距。此外，研究很少 确定是否有针对预防电子烟和戒烟计划的特定组 没有，帮助。使用基于社区的参与研究方法，我们开发了“无vape” 课程是一项免费的5条课程的基于学校的教育，预防和减少和减少（降级）计划 中学生和高中生。该课程是其中的一部分，包括该课程的一部分 烟草预防工具包，这是一项免费的在线综合烟草预防计划 美国各地的学校和教育工作者，中间和高170万 学校学生。与行为干预开发的NIH阶段模型保持一致，我们有 解决了充分开发，评估，完整实施和完全实施的6个阶段中的3个阶段中的3个 传播我们的无vape课程。那个项目的具体目的是：（1）确定 无VAPE课程是否有效地增加了中学生的了解 电子烟和对使用和降低其对使用E-的积极态度的抵抗力 香烟； （2）确定是否为无vape课程有效改变中学和高中 学生实际使用电子烟（包括防止主动，延续，升级；鼓励 减少使用和停止；并将电子烟与其他烟草和大麻产品一起使用）； （3） 检查干预措施的异源治疗效应（HTE），识别那些受益的人 大多数人和不从课程中受益的人。我们将采用群集随机试验，步进 - 楔形设计，加利福尼亚州有60个中学和60个中学（n = 10,800名学生）。学校会 随机分配给治疗（无Vape fire Carriculum）或延迟治疗组（即标准健康 第一年的教育，第二年是无Vape课程），所有学生都遵循了另外12个 月份。这项拟议研究的时机非常重要，因为我们拥有出色的动力， 建立了一支由学校和社区伙伴和利益相关者组成的广泛团队，有许多学校 已经有兴趣使用无Vape课程，并获得了巨大的支持 加利福尼亚州教育和学校部。