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：
10416011
负责人：
SETH Michael NOAR
金额：
$ 68.48万
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/10416011
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 Persons 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.

项目摘要/摘要尽管减少青少年吸烟方面取得了重大进展，但冒险电子卷烟和蒸气设备有可能撤消这一进展。电子烟有潜力减少成年吸烟者的损害工具，它们已成为最常用的烟草产品青少年。 2018年，食品药品监督管理局（FDA）宣布青少年的电子烟使用自2017年以来，该人群中使用急剧增加后，“流行病”。基于证据健康沟通方法可以加强年轻人避免烟的承诺，从而防止电子烟的使用和尼古丁成瘾。但是，很少有研究为有效提供基础电子烟预防的沟通努力。我们提出3旨在显着提高科学的旨在如何以阻止使用的方式对电子烟进行交流。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：1）确定诺言预防信息主题（即行业目标，社会规范，成瘾）针对青少年（13岁 17）; 2）与研究团队，专家顾问和青少年咨询小组一起审查这些主题； 3）进行焦点小组检查青少年对电子烟预防信息主题的反应。对于AIM 2，我们将开发一系列电子烟预防信息，以减少青少年尝试尝试的倾向或使用电子烟。我们将通过：1）基于从AIM 1中选择主题，并进行30次认知访谈以完善信息； 2）进行一项全国代表性的研究，以检查电子烟预防的感知有效性劝阻电子烟的消息中的消息。根据结果，我们将选择5条消息来继续 AIM 3的随机对照试验（RCT）。对于AIM 3，我们将评估是否基于证据的电子烟预防信息减少了高危青少年使用电子烟（主要结果）和电子烟的意愿香烟使用行为（次要结果）。我们将进行2臂（干预，注意控制），3周 RCT有506名青少年，随访了3个月。研究参与者将收到每日发送给的消息他们的手机通过短信（即多媒体消息服务）长达20天。其他次要结果是认知阐述，负面影响，电子烟和社会互动。我们也会检查电子烟预防消息是否具有意想不到的后果（即增加意愿这项研究对寻求资金公告的资金公告敏感基于人群的，预防易受伤害人群（例如青年）中电子烟的应用研究。我们的工作将通过开发有效的沟通来解决烟草控制研究的关键差距这加强了青少年避免电子烟和减少电子烟的承诺，从而告知当地，州和国家为防止青少年使用电子烟和尼古丁添加的努力。