Pilot and Feasibility Testing of a Peer-led Program to Prevent Youth Nicotine Vaping: The YES-CAN! Program

同行主导的预防青少年尼古丁电子烟计划的试点和可行性测试：YES-CAN！

基本信息

批准号：
10808757
负责人：
Nancy Asdigian
金额：
$ 23.4万
依托单位：
UNIVERSITY OF COLORADO DENVER
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-15 至 2026-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10808757
关键词：
Address Administrator Adolescent Adoption Adult Attitude Behavior Behavior Therapy Behavioral Benchmarking Cardiovascular system Cluster randomized trial Collaborations Colorado Communication Communities Coping Skills Data Collection Development Disease Educational Curriculum Effectiveness Environment Exposure to Feasibility Studies Foundations Funding Future Goals Health Health Promotion Health behavior High School Student Intervention Knowledge Measures Methods Middle School Student Mission Nature Outcome Parents Pilot Projects Positioning Attribute Predisposition Preparation Prevalence Prevention Prevention program Protocols documentation Qualifying Random Allocation Randomized Randomized, Controlled Trials Research Research Personnel Resistance Rest Risk School Teachers Schools Secondary Schools Self Efficacy Social Change Specific qualifier value Statistical Data Interpretation Student Selections Students Teacher Professional Development Testing Text Messaging Treatment Efficacy Work Youth academic standard acceptability and feasibility adolescent health age group cancer risk combustible cigarette community based participatory research coping design efficacy outcomes efficacy testing efficacy trial evidence base feasibility testing high school innovation intervention delivery junior high school multidisciplinary nicotine cessation nicotine use peer pilot test positive youth development pressure prevent programs randomized trial role model skill acquisition skills skin cancer prevention social norm statistics stress management substance use substance use prevention teacher theories therapy development vaping vaping nicotine

Address Administrator Adolescent Adoption Adult Attitude Behavior Behavior Therapy Behavioral Benchmarking Cardiovascular system Cluster randomized trial Collaborations Colorado Communication Communities Coping Skills Data Collection Development Disease Educational Curriculum Effectiveness Environment Exposure to Feasibility Studies Foundations Funding Future Goals Health Health Promotion Health behavior High School Student Intervention Knowledge Measures Methods Middle School Student Mission Nature Outcome Parents Pilot Projects Positioning Attribute Predisposition Preparation Prevalence Prevention Prevention program Protocols documentation Qualifying Random Allocation Randomized Randomized, Controlled Trials Research Research Personnel Resistance Rest Risk School Teachers Schools Secondary Schools Self Efficacy Social Change Specific qualifier value Statistical Data Interpretation Student Selections Students Teacher Professional Development Testing Text Messaging Treatment Efficacy Work Youth academic standard acceptability and feasibility adolescent health age group cancer risk combustible cigarette community based participatory research coping design efficacy outcomes efficacy testing efficacy trial evidence base feasibility testing high school innovation intervention delivery junior high school multidisciplinary nicotine cessation nicotine use peer pilot test positive youth development pressure prevent programs randomized trial role model skill acquisition skills skin cancer prevention social norm statistics stress management substance use substance use prevention teacher theories therapy development vaping vaping nicotine

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项目摘要

PROJECT SUMMARY/ABSTRACT Nicotine vaping among adolescents has surged in prevalence over the past decade. Vaping poses clear health risks, is highly addictive, and leads to the use of combustible cigarettes. Our multi-disciplinary team, which includes expertise in youth participatory approaches, substance use prevention, nicotine use and cessation, and statistics, has developed an innovative school-based approach that promotes positive health behavior while also addressing academic standards, and thus incorporates both the academic mission of schools and youth health. YES-CAN! (Youth Engaged Strategies to Change Adolescent Norms) integrates the following evidence-based strategies: youth-adult collaboration; youth-developed narrative videos to convey health messages; peer leaders as change agents; and sustained implementation to change the normative environment. It rests on evidence that adolescents are more likely to change attitudes, norms, and behaviors when exposed to messages developed and delivered by peer role models rather than teachers, parents, or other adults. For this pilot/feasibility study, two middle/high school communities will receive the intervention. In each school community, we will implement a credit-earning high school class in which a trained teacher will deliver the one-year classroom-based program to 25-30 high school students, who will produce 6-8 short videos intended to increase refusal skills; promote stress management and positive coping; change social norms; prevent vaping initiation; and promote vaping cessation among current users. Videos will use a narrative approach and integrate known determinants of vaping. High school students will collaborate with the teacher and researchers to develop discussion guides and skills-building activities based on best practices for substance use prevention. In 6-8 eight sessions, high school students will deliver their videos to all students in the associated middle school. A text messaging component will reinforce and boost the effectiveness of the classroom sessions. Our overarching hypothesis is that this intensive approach that involves both middle and high school students in the same community will result in a new normative environment and a reduction in youth vaping. Aims for this pilot/feasibility study are to: 1) Determine the feasibility and acceptability of implementing the YES-CAN! program; and 2) Determine the feasibility and acceptability of the research protocols that will be used in a future efficacy trial. Primary efficacy outcomes include vaping ever use, past month use, daily use, susceptibility, behavioral intentions, and vaping-related knowledge, attitudes, perceived norms, resistance skills, and self-efficacy. Additionally, for high school students who participate in the intervention development and delivery, outcomes include positive youth development. Outcomes will be measured over a 13 month period.

项目摘要/摘要在过去的十年中，青少年中的尼古丁蒸发率激增。烟姿势清晰健康风险高度上瘾，并导致使用可燃香烟。我们的多学科团队，其中包括青年参与式方法的专业知识，预防药物使用，尼古丁使用和停止和统计数据已经开发了一种创新的基于学校的方法，可以促进积极的健康行为同时还解决了学术标准，从而结合了学校和青年健康。是的！（青年参与改变青少年规范的策略）以下基于证据的策略：青少年合作；青年开发的叙事视频传达健康消息；同伴领导者是变革推动者；并持续实施以改变规范环境。它基于证据表明青少年更有可能改变态度，规范和行为接触到同伴榜样开发和传递的消息时，而不是教师，父母或其他成年人。对于这项试点/可行性研究，两个中学社区将接受干预。每个学校社区，我们将实施一个学分的高中课程，训练有素的老师将交付为25-30名高中学生提供的为期一年的课堂课程，他们将制作6-8个简短视频旨在提高拒绝技能；促进压力管理和积极应对；改变社会规范；防止蒸发启动；并促进当前用户的戒烟。视频将使用叙述方法和整合已知的烟决定因素。高中生将与老师合作研究人员根据最佳实践开发讨论指南和技能建设活动药物使用预防。在6-8个八个课程中，高中生将向所有学生传递视频相关的中学。文本消息传递组件将增强和提高课堂会议。我们的总体假设是这种涉及中学和高中的密集方法同一社区中的学生将带来新的规范环境，并减少青年烟。该试点/可行性研究的目的是：1）确定实施的可行性和可接受性是的！程序; 2）确定研究方案的可行性和可接受性用于将来的功效试验。主要功效结果包括蒸发，过去一个月使用，日常使用，敏感性，行为意图和与烟有关的知识，态度，感知规范，抵抗力技能和自我效能。此外，对于参加干预开发的高中生和交付，结果包括积极的青年发展。结果将在13个月内衡量时期。