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Impact of e-cigarette prevention messages on adolescents

电子烟预防信息对青少年的影响

基本信息

批准号：
10172883
负责人：
SETH Michael NOAR
金额：
$ 68.67万
依托单位：
UNIV OF NORTH CAROLINA CHAPEL HILL
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-06-01 至 2025-05-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10172883
关键词：
Address Adolescence Adolescent Adult Advertisements Age Attention Behavior Belief Car Phone Centers for Disease Control and Prevention (U.S.)Cigarette Cognitive Communication Devices Effectiveness Electronic cigarette Epidemic Focus Groups Foundations Funding Harm Reduction Industry Intervention Interview Knowledge Lead Learning Literature Measures Moods Multimedia Nicotine Nicotine Dependence Outcome Participant Pilot Projects Population Prevention Prevention Research Probability Probability Samples Protocols documentation Randomized Controlled Trials Research Research Priority Risk Sampling Science Services Smoker Social Desirability Social Interaction Surgeon Teenagers Testing Text Messaging Tobacco Tobacco Control Research Tobacco use United States Food and Drug Administration Vulnerable Populations Work Youth addiction aged arm attentional control base cigarette smoke cigarette smoking cognitive interview electronic cigarette use electronic vape evidence base experimental study follow up assessment follow-up health communication negative affect nicotine exposure population based prevent primary outcome reduce tobacco use response secondary outcome social norm tobacco products tool vaping willingness

项目摘要

Project Summary/Abstract While significant progress has been made in reducing cigarette smoking among adolescents, the advent of electronic cigarettes and vaping devices threatens to undo this progress. While e-cigarettes have potential as harm reduction tools for adult smokers, they have become the most commonly-used tobacco product among adolescents. In 2018, the Food and Drug Administration (FDA) declared e-cigarette use among adolescents an “epidemic” after observing dramatic increases in usage among this population since 2017. Evidence-based health communication approaches can strengthen young people’s commitment to avoid vaping, and thus prevent e-cigarette use and nicotine addiction. However, little research exists to provide a basis for effective communication efforts for e-cigarette prevention. We propose 3 Aims to significantly advance the science of how to communicate about e-cigarettes in ways that prevent use. For Aim 1, we will identify promising ways to communicate with adolescents to prevent e-cigarette use. We will achieve this by: 1) identifying promising prevention message themes (i.e., industry targeting, social norms, addiction) targeted to adolescents (ages 13- 17); 2) vetting these themes with the study team, expert consultants, and a teen advisory panel; and 3) conducting focus groups to examine adolescents’ responses to the e-cigarette prevention message themes. For Aim 2, we will develop a set of e-cigarette prevention messages that reduce adolescents’ inclination to try or use e-cigarettes. We will achieve this by: 1) developing 10 e-cigarette prevention messages based on the chosen theme(s) from Aim 1 and conducting 30 cognitive interviews to refine the messages; and 2) conducting a nationally representative study to examine the perceived effectiveness of the e-cigarette prevention messages in discouraging e-cigarette use. Based on the results, we will select 5 messages to carry forward to Aim 3’s randomized controlled trial (RCT). For Aim 3, we will evaluate whether evidence-based e-cigarette prevention messages reduce at-risk adolescents’ willingness to use e-cigarettes (primary outcome) and e- cigarette use behavior (secondary outcome). We will conduct a 2-arm (intervention, attention control), 3-week RCT with 506 adolescents, with a 3-month follow up. Study participants will receive daily messages sent to their mobile phones via text message (i.e., multimedia message service) for 20 days. Other secondary outcomes are cognitive elaboration, negative affect, e-cigarette beliefs, and social interactions. We will also examine whether e-cigarette prevention messages have unintended consequences (i.e., increasing willingness to smoke cigarettes). This research is responsive to funding announcement PAR-18-847, which seeks population-based, applied prevention research on e-cigarettes among vulnerable populations (e.g., youth). Our work will address a critical gap in tobacco control research by developing effective communications that strengthen adolescents’ commitment to avoid e-cigarettes and reduce e-cigarette use, thereby informing local, state, and national efforts to prevent e-cigarette use and nicotine addiction among adolescents.

项目概要/摘要尽管在减少青少年吸烟方面取得了重大进展，但电子烟和电子烟设备有可能抵消这一进步。虽然电子烟有潜力成年吸烟者的减害工具，它们已成为最常用的烟草产品青少年。 2018年，美国食品和药物管理局（FDA）宣布青少年使用电子烟为严重危害健康的行为。自 2017 年以来观察到该人群的使用量急剧增加后，我们将其称为“流行病”。基于证据健康沟通方法可以加强年轻人避免电子烟的承诺，从而防止电子烟使用和尼古丁成瘾。然而，很少有研究为有效的提供基础预防电子烟的沟通工作。我们提出了 3 个目标来显着推进科学如何以阻止使用的方式交流电子烟。对于目标 1，我们将确定有希望的方法与青少年沟通以防止电子烟的使用。我们将通过以下方式实现这一目标：1）识别有前途的针对青少年（13 岁至 13 岁）的预防信息主题（即行业目标、社会规范、成瘾） 17); 2) 与研究团队、专家顾问和青少年顾问小组一起审查这些主题；和 3) 开展焦点小组研究青少年对电子烟预防信息主题的反应。对于目标 2，我们将制定一套电子烟预防信息，以减少青少年尝试电子烟的倾向或使用电子烟。我们将通过以下方式实现这一目标：1) 根据以下内容制定 10 条电子烟预防信息：从目标 1 中选择主题并进行 30 次认知访谈以完善信息； 2) 进行一项具有全国代表性的研究，旨在检验电子烟预防的感知有效性劝阻电子烟使用的信息。根据结果，我们将选择 5 条消息转发至 Aim 3 的随机对照试验 (RCT)。对于目标 3，我们将评估基于证据的电子烟是否预防信息降低了高危青少年使用电子烟的意愿（主要结果）和电子烟吸烟行为（次要结果）。我们将进行为期 3 周的 2 组（干预、注意力控制）对 506 名青少年进行的随机对照试验，并进行 3 个月的随访。研究参与者每天都会收到发送至通过短信（即彩信服务）使用他们的手机，为期 20 天。其他中学结果是认知阐述、负面影响、电子烟信念和社会互动。我们还将检查电子烟预防信息是否会产生意想不到的后果（即增加意愿）抽烟）。这项研究是对资助公告 PAR-18-847 的回应，该公告寻求针对弱势群体（例如青年）进行基于人群的电子烟应用预防研究。我们的工作将通过建立有效的沟通来解决烟草控制研究中的一个关键差距加强青少年避免电子烟和减少电子烟使用的承诺，从而通报地方、州和国家为防止青少年使用电子烟和尼古丁成瘾所做的努力。