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

基本信息

批准号：
10685468
负责人：
Bonnie L Halpern-Felsher
金额：
$ 75.27万
依托单位：
STANFORD UNIVERSITY
依托单位国家：
美国
项目类别：
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/10685468
关键词：
Address Adolescent Age 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 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 Students Surveys Testing Tobacco Tobacco use United States United States National Institutes of Health Youth acceptability and feasibility addiction liability adolescent health aged cigarette smoking combustible cigarette community based participatory research design efficacy testing electronic cigarette use follow-up future implementation high school improved interest intervention effect novel optimism peer physical conditioning pilot test positive youth development prevent programs random forest skills social media stress reduction teacher theories therapy development tobacco prevention tool treatment arm treatment effect vaping

项目摘要

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。