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

基本信息

批准号：
9927611
负责人：
Steven Harold Kelder
金额：
$ 62.87万
依托单位：
UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
依托单位国家：
美国
项目类别：
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/9927611
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 Smoke 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 control trial cost design digital eighth grade electronic cigarette use expectation experience experimental study fetal health organization improved junior high school literacy nicotine exposure non-smoker non-smoking prevention evaluation programs school health seventh grade sixth grade skills social teacher theories therapy development tobacco control tobacco prevention tobacco products treatment as usual vulnerable adolescent

项目摘要

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.

项目摘要 /摘要这项研究的目的是从经验上评估“呼吸呼吸”（CMB）计划的三年效果在使用20校友组随机延迟使用6 - 8年级队列的电子烟的发作时对照试验（RCT），有1400名学生。电子烟已经越来越受欢迎，是最常见的美国青年使用烟草产品。基于2017年监控未来的估计，我们预测160万中学生将尝试过电子烟。糖果和水果等口味吸引了青年并在鼓励非吸烟者（和吸烟者）尝试时发挥重要作用。尽管与混合烟草的使用相比，电子烟的危害较小，但它们含有尼古丁，高度添加剂。最近的研究，包括2017年的元分析，强烈表明只吸烟的年轻人电子烟表现出成瘾的症状，随着时间的流逝，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，应教育不吸烟的青年这种健康威胁，不愿尝试电子烟。不幸的是，很少有电子烟预防计划，也没有测试长期效率。此外，尽管某些预防烟草计划包括电子烟组成部分，但据我们所知，在这些修订的计划中，已经进行了正式评估。缺乏电子烟特定程序内容，并且严格的评估，保证拟议的项目。 CMB是由学校管理员，健康教育协调员的投入开发和定制的，烟草预防教育，课堂老师，学生和父母。 CMB已被形成评估并在7个州的59所中学进行了试点测试，从而产生了100多名中学的积极反馈老师和9,578个六年级学生。我们的第二次试点测试是一个预测试的受控实验（2017-2018），在16个月内吸烟中的治疗控制差异为3.8％。最后，研究小组与Catch Global Foundation一起制定了数字学校健康计划分销框架包括面对面或在线教师培训（https://catchinfo.org/modules/e-- 使用此框架，CMB可以以非常低的成本将CMB交付给教师，从而消除了成本和访问程序材料作为计划实施的主要障碍。考虑到CMB目前的流行学校作为“最佳实践”计划，并以最初的积极结果，需要进行全尺度的随机控制试验确定长期的6-8年级效率。