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（e-香烟、电子烟、vapes、ENDS）是最广泛使用的烟草产品 青少年，12-18岁。尽管电子烟的使用、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， 由于接触营销和口味，以及对其危害和成瘾特性缺乏了解。 虽然学校历来是实施烟草预防计划的重要场所， 大多数以学校为基础的烟草预防计划仅关注传统吸烟， 结果好坏参半，并且其电子烟教育内容存在一些差距。此外，研究很少 确定是否存在电子烟预防和戒烟计划针对的特定群体 不，帮忙。采用基于社区的参与式研究方法，我们开发了“Be Vape-Free” 课程，一个为期 5 节的免费校本教育、预防和减少（降级）计划 初中和高中学生。本课程是该课程的一部分，并包含该课程最有效的组成部分 烟草预防工具包，一个免费的在线综合烟草预防计划，数千人使用 美国各地的学校和教育工作者，已覆盖超过 170 万初中和高中 学校学生。与 NIH 行为干预发展阶段模型相一致，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 个阶段 传播我们的“无电子烟”课程。因此，该项目的具体目标是： (1) 确定 Be Vape Free 课程是否能有效提高中学生的电子烟知识 电子烟和对使用电子烟的抵制，并降低了他们对电子烟的积极态度和使用电子烟的意图 香烟； (2) 判断Be Vape Free课程对于改变初高中是否有效 学生实际使用电子烟的情况（包括防止开始、继续、升级；鼓励 减少使用和停止；以及将电子烟与其他烟草和大麻产品一起使用）；和（3） 检查干预措施的异质治疗效果 (HTE)，确定受益者 大多数和那些没有从课程中受益的人。我们将采用整群随机试验，逐步进行 楔形设计，加利福尼亚州有 60 所初中和 60 所高中（n=10,800 名学生）。学校将 随机分配到治疗组（无电子烟课程）或延迟治疗组（即标准健康组） 第一年的教育和第二年的 Be Vape-Free 课程），所有学生都接受了另外 12 个课程 几个月。这项拟议研究的时机极其重要，因为我们拥有出色的势头， 建立了一个由学校和社区合作伙伴及利益相关者组成的广泛团队，拥有众多学校 已经对使用 Be Vape-Free 课程感兴趣，并获得了来自 加州教育部和学校。