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

• 批准号: 10480051
• 负责人: Bonnie L Halpern-Felsher
• 金额: $ 68.02万
• 依托单位: STANFORD UNIVERSITY
• 依托单位国家: 美国
• 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/10480051
• 关键词: Address; Adolescent; 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; Future Teacher; 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; Stress; Students; Surveys; Testing; Tobacco; Tobacco use; United States; United States National Institutes of Health; Wages; Youth; acceptability and feasibility; addiction liability; adolescent health; aged; base; cigarette smoking; combustible cigarette; community based participatory research; design; efficacy testing; electronic cigarette use; follow-up; future implementation; high school; improved; interest; intervention effect; junior high school; novel; peer; physical conditioning; pilot test; positive youth development; prevent; programs; random forest; skills; social media; theories; therapy development; tobacco prevention; tool; treatment arm; treatment effect; vaping

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，ENDS）是最广泛使用的烟草产品， 12-18岁的青少年。尽管电子烟使用、尼古丁成瘾和身体健康之间存在明显的联系， 和心理健康结果，青少年继续对电子烟抱有误解， 通过接触市场营销和口味，以及缺乏对它们的危害和成瘾特性的了解。 虽然学校历来是实施烟草预防计划的关键场所， 大多数以学校为基础的烟草预防计划只关注传统的吸烟， 结果喜忧参半，在电子烟的教育内容方面存在一些差距。此外，研究很少 确定是否有特定群体的电子烟预防和戒烟计划， 不是帮忙利用社区参与式研究方法，我们开发了“无蒸汽” 课程，一个免费的5节校本教育，预防和减少（降级）计划， 初中和高中学生。本课程是一部分，包括最有效的组成部分， 烟草预防工具包，一个免费的在线综合烟草预防计划，被成千上万的人使用， 美国各地的学校和教育工作者，已经达到170多万中，高 学校学生。与行为干预发展的NIH阶段模型一致，我们有 解决了充分开发、评估、完善和全面实施所需的6个阶段中的3个， 传播我们的无蒸汽课程。因此，本项目的具体目标是：（1）确定 Be Vape-Free课程是否有效地提高了初中和高中学生对 电子烟和抵制使用，并减少他们对使用电子烟的积极态度和意图， 香烟;（2）确定无蒸汽课程是否有效地改变了初中和高中 学生实际使用电子烟（包括防止开始，继续，升级;鼓励 减少使用和戒烟;以及与其他烟草和大麻产品一起使用电子烟）;和（3） 检查干预措施的异质性治疗效果（HTE），确定受益者和受益者。 大多数人和那些没有从课程中受益的人。我们将采用随机分组试验，逐步- 楔形设计，在加州的60所中学和60所高中（n= 10，800名学生）。学校将 随机分配至治疗组（无蒸汽课程）或延迟治疗组（即，标准健康 第一年的教育和第二年的无蒸汽课程），所有学生都接受了另外12年的随访 个月这项拟议研究的时间安排极其重要，因为我们有着出色的势头， 建立了广泛的学校和社区合作伙伴和利益相关者团队，拥有众多学校 已经对使用Be Vape-Free课程感兴趣，并获得了 加州教育部和学校。