Pilot and Feasibility Testing of a Peer-led Program to Prevent Youth Nicotine Vaping: The YES-CAN! Program

项目摘要/摘要 在过去的十年里，青少年中尼古丁挥发的流行率激增。汽化姿势清晰 对健康有危害，极易上瘾，并导致使用可燃香烟。我们的多学科团队， 其中包括青年参与性方法、药物使用预防、尼古丁使用和 戒烟和统计开发了一种创新的以学校为基础的方法，促进积极的健康 行为，同时也涉及学术标准，因此纳入了 学校和青年健康。是的，可以！(改变青少年规范的青年参与战略)整合了 遵循循证战略：青年-成人合作；青年开发的叙事视频以传达 健康信息；作为变革推动者的同行领袖；以及持续实施，以改变规范 环境。它建立在青少年更有可能改变态度、规范和行为的证据之上 当接触到由同龄人榜样而不是老师、家长或 其他成年人。 在这项试点/可行性研究中，两个初中/高中社区将接受干预。在每一个中 学校社区，我们将实施一个学分创收的高中班级，由一名训练有素的教师讲授 这项为期一年的课堂教学计划面向25-30名高中生，他们将制作6-8个短视频 旨在提高拒绝技巧；促进压力管理和积极应对；改变社会规范； 防止汽化启动；并在当前用户中促进汽化停止。视频将使用叙事 探讨和整合汽化的已知决定因素。高中生将与老师合作 和研究人员根据以下方面的最佳做法制定讨论指南和技能培养活动 物质使用预防。在6-8个环节中，高中生将向所有学生提供他们的视频 联合中学。一个短信组件将加强和提高 课堂教学。 我们最重要的假设是，这种涉及初中和高中的密集学习方法 同一社区的学生将产生一个新的规范环境，减少青年蒸发。 这项试验/可行性研究的目的是：1)确定实施 是的，可以！计划；以及2)确定研究方案的可行性和接受性 在未来的疗效试验中使用。主要疗效结果包括曾经使用汽化，过去一个月使用，日常使用， 易感性、行为意图和蒸发相关知识、态度、感知规范、抵抗力 技能和自我效能感。此外，对于参与干预发展的高中生， 在交付方面，成果包括积极的青年发展。结果将在13个月内进行衡量 句号。

PROJECT SUMMARY/ABSTRACT Nicotine vaping among adolescents has surged in prevalence over the past decade. Vaping poses clear health risks, is highly addictive, and leads to the use of combustible cigarettes. Our multi-disciplinary team, which includes expertise in youth participatory approaches, substance use prevention, nicotine use and cessation, and statistics, has developed an innovative school-based approach that promotes positive health behavior while also addressing academic standards, and thus incorporates both the academic mission of schools and youth health. YES-CAN! (Youth Engaged Strategies to Change Adolescent Norms) integrates the following evidence-based strategies: youth-adult collaboration; youth-developed narrative videos to convey health messages; peer leaders as change agents; and sustained implementation to change the normative environment. It rests on evidence that adolescents are more likely to change attitudes, norms, and behaviors when exposed to messages developed and delivered by peer role models rather than teachers, parents, or other adults. For this pilot/feasibility study, two middle/high school communities will receive the intervention. In each school community, we will implement a credit-earning high school class in which a trained teacher will deliver the one-year classroom-based program to 25-30 high school students, who will produce 6-8 short videos intended to increase refusal skills; promote stress management and positive coping; change social norms; prevent vaping initiation; and promote vaping cessation among current users. Videos will use a narrative approach and integrate known determinants of vaping. High school students will collaborate with the teacher and researchers to develop discussion guides and skills-building activities based on best practices for substance use prevention. In 6-8 eight sessions, high school students will deliver their videos to all students in the associated middle school. A text messaging component will reinforce and boost the effectiveness of the classroom sessions. Our overarching hypothesis is that this intensive approach that involves both middle and high school students in the same community will result in a new normative environment and a reduction in youth vaping. Aims for this pilot/feasibility study are to: 1) Determine the feasibility and acceptability of implementing the YES-CAN! program; and 2) Determine the feasibility and acceptability of the research protocols that will be used in a future efficacy trial. Primary efficacy outcomes include vaping ever use, past month use, daily use, susceptibility, behavioral intentions, and vaping-related knowledge, attitudes, perceived norms, resistance skills, and self-efficacy. Additionally, for high school students who participate in the intervention development and delivery, outcomes include positive youth development. Outcomes will be measured over a 13 month period.