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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：
9812474
负责人：
Steven Harold Kelder
金额：
$ 62.37万
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/9812474
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 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