Middle School Cluster RCT to Evaluate E-Cigarette Prevention Program: CATCH My Breath

评估电子烟预防计划的中学集群随机对照试验：CATCH My Breath

• 批准号: 10395478
• 负责人: Steven Harold Kelder
• 金额: $ 61.92万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-05-08 至 2024-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10395478
• 关键词: 20 year old; Acute Disease; Administrator; Adolescent; Agreement; Auditory; Behavioral; Behavioral Sciences; Brain; Candy; Chemicals; Child; Chronic Disease; Cigarette; Cues; Custom; Development; Devices; Dose; Education; Electronic cigarette; European Union; Evaluation; Exhibits; Exposure to; FBXW7 gene; Feedback; Foundations; Fruit; Future; Generations; Goals; Health; Health education; Human; Incidence; Intervention; JUUL; Literature; Marketing; Mediating; Meta-Analysis; Middle School Faculty; Middle School Student; Monitor; Motivation; Neuronal Plasticity; Nicotine; Nicotine Dependence; Outcome; Parents; Persons; Physiological; Play; Predisposition; Prevalence; Prevention program; Primary Prevention; Public Health; Randomized; Randomized Controlled Trials; Reporting; Research; Research Design; Resistance; Role; Schools; Self Efficacy; Smoker; Smoking; Solid; Student recruitment; Students; Symptoms; Teacher Professional Development; Teenagers; Testing; Texas; Time; Tobacco; Tobacco use; Visual; Weight; Work; Youth; addiction; aged; base; cohort; combustible cigarette; combustible tobacco; cost; design; digital; e-cigarette smoke; eighth grade; electronic cigarette use; expectation; experience; experimental study; fetal; health organization; improved; junior high school; literacy; nicotine exposure; non-smoker; non-smoking; pilot test; prevention evaluation; programs; school health; seventh grade; sixth grade; skills; social; teacher; theories; therapy development; tobacco control; tobacco prevention; treatment as usual; vulnerable adolescent

PROJECT SUMMARY / ABSTRACT The goal of this research is to empirically assess the three year effects of the ‘CATCH My Breath’ (CMB) program on delaying the onset of e-cigarette use with a 6th–8th grade cohort, using a 20-school group randomized controlled trial (RCT), with 1,400 students. E-cigarettes have grown in popularity and are the most commonly used tobacco product by US youth. Based on 2017 Monitoring the Future estimates, we project that 1.6 million middle school students will have ever tried an e-cigarette. Flavors such as candy and fruit are appealing to youth and play an important role in encouraging nonsmokers (and smokers) to try them. Although e-cigarettes are less harmful compared to combustible tobacco use, they contain nicotine, which is highly addictive. Recent research, including a 2017 meta analysis, strongly suggests that youth who only smoke e-cigarettes exhibit symptoms of addiction, and over time, are more likely to experiment with and use combustible tobacco. To avoid the possibility of nicotine addiction, nonsmoking youth should be educated about this health threat and discouraged from experimenting with e-cigarettes. Unfortunately, few e-cigarette prevention programs exist, and none tested for long-term efficacy. In addition, although some tobacco prevention programs have included an e-cigarette component, to our knowledge, none of these revised programs have been formally evaluated. The lack of e-cigarette specific program content, and rigorous evaluation, warrants the proposed project. CMB was developed and custom built with input from school administrators, health education coordinators, tobacco prevention educators, classroom teachers, students, and parents. CMB has been formatively evaluated and pilot tested at 59 middle schools in 7 states, resulting in positive feedback from over 100 middle school teachers and 9,578 6th–8th grade students. Our second pilot test was a pretest-posttest controlled experiment (2017-2018), and resulted in an treatment-control difference of 3.8% in ever smoking over a 16-month period. Finally, the research team, with the CATCH Global Foundation, have developed a digital school-health program distribution framework which includes in-person or on-line teacher training (https://catchinfo.org/modules/e- cigarettes/). Using this framework, CMB can be delivered to teachers at very low cost, eliminating cost and access to program materials as major barriers to program implementation. Given CMB’s current popularity with schools as a ‘best practice’ program, and with initial positive results, a full scale randomized control trial is needed to determine longer term, 6th-8th grade efficacy.

项目总结/摘要 本研究的目的是实证评估三年的影响'赶上我的呼吸'（CMB）计划 使用20所学校的随机分组，在6 - 8年级队列中延迟电子烟使用的发作 对照试验（RCT），1,400名学生。电子烟越来越受欢迎，是最常见的 美国青少年使用的烟草产品。根据2017年监测未来的估计，我们预计， 中学生们都尝试过电子烟。糖果和水果等口味对年轻人很有吸引力 并在鼓励非吸烟者（和吸烟者）尝试吸烟方面发挥重要作用。 虽然电子烟与可燃烟草相比危害较小，但它们含有尼古丁， 很容易上瘾最近的研究，包括2017年的Meta分析，强烈表明，只吸烟的年轻人 电子烟表现出成瘾的症状，随着时间的推移，更有可能尝试和使用 可燃烟草为了避免尼古丁成瘾的可能性，应该教育不吸烟的年轻人 这种健康威胁，并劝阻尝试电子烟。 不幸的是，几乎没有电子烟预防计划存在，也没有长期有效性测试。此外，本发明还提供了一种方法， 尽管一些烟草预防计划包括电子烟成分，但据我们所知， 这些修订方案已得到正式评估。缺乏电子烟的具体方案内容，以及 严格的评估，保证了拟议的项目。 CMB是在学校管理人员、健康教育协调员、 烟草预防教育工作者、课堂教师、学生和家长。CMB已经过形成性评价 并在7个州的59所中学进行了试点测试，得到了100多所中学的积极反馈。 教师和9，578名6 - 8年级学生。我们的第二个试点测试是一个前测-后测控制实验 （2017-2018年），并导致16个月内吸烟者的治疗对照差异为3.8%。 最后，研究小组与CATCH全球基金会一起开发了一个数字化学校健康计划， 分发框架，包括面对面或在线教师培训（https：catchinfo.org/modules/e- 香烟/）。使用这个框架，CMB可以以非常低的成本交付给教师，消除了成本， 获取方案材料是方案实施的主要障碍。鉴于中巴现时在 学校作为“最佳实践”计划，并取得初步积极成果，需要进行全面的随机对照试验 以确定更长期的6 - 8级疗效。