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: 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
• 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

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.

项目概要/摘要 本研究的目的是根据经验评估“CATCH My Breath”(CMB) 计划的三年效果 对 6 至 8 年级队列延迟使用电子烟的研究，使用 20 所学校随机分组 对照试验（RCT），有 1,400 名学生。电子烟越来越受欢迎，并且是最常见的 美国年轻人使用的烟草产品。根据 2017 年监测未来的估计，我们预计 160 万 中学生应该都尝试过电子烟。糖果、水果等口味吸引年轻人 并在鼓励非吸烟者（和吸烟者）尝试方面发挥重要作用。 尽管与使用可燃烟草相比，电子烟的危害较小，但它们含有尼古丁， 很容易上瘾。最近的研究（包括 2017 年的荟萃分析）强烈表明，只吸烟的年轻人 电子烟表现出成瘾症状，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，应该对不吸烟的青少年进行以下教育： 这种健康威胁并劝阻尝试电子烟。 不幸的是，目前很少有电子烟预防计划，也没有经过长期有效性测试。此外， 尽管一些烟草预防计划包含电子烟成分，但据我们所知，没有一个计划 其中一些修订后的计划已经过正式评估。缺乏电子烟具体节目内容，以及 严格的评估，保证了所提议的项目。 CMB 是根据学校管理人员、健康教育协调员、 烟草预防教育者、课堂教师、学生和家长。 CMB已进行形成性评估 并在7个州的59所中学进行了试点测试，得到了超过100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预测-后测对照实验 （2017-2018 年），结果显示 16 个月内吸烟史的治疗组与对照组之间的差异为 3.8%。 最后，研究团队与 CATCH 全球基金会合作开发了数字学校健康计划 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，从而消除成本和 获取计划材料是计划实施的主要障碍。鉴于 CMB 目前的受欢迎程度 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 确定长期、6-8 级疗效。