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

项目总结/摘要 在过去十年中，青少年中的尼古丁vaping流行率激增。Vaping构成明确 健康风险，高度上瘾，并导致使用可燃香烟。我们的多学科团队， 其中包括青年参与方法、预防药物使用、尼古丁使用和 戒烟和统计，制定了一个创新的学校为基础的方法，促进积极的健康， 行为，同时也解决学术标准，从而结合了学术使命， 学校和青年健康。好的《改变青少年规范的青年战略》纳入了 以下循证战略：青年-成人合作;青年制作的叙事视频， 健康信息;同侪领导人作为变革推动者;以及持续执行， 环境它基于青少年更容易改变态度、规范和行为的证据 当接触到由同龄人榜样而不是教师、父母或 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。在每个 学校社区，我们将实施一个学分赚取高中班，其中一名训练有素的教师将提供 为期一年的课堂教学计划，25-30名高中生，谁将产生6-8个短视频 旨在提高拒绝技能;促进压力管理和积极应对;改变社会规范; 防止开始使用电子烟;并促进当前用户停止使用电子烟。视频将使用叙事 接近并整合已知的vaping决定因素。高中生将与老师合作 根据最佳做法， 物质使用预防。在6-8八节课中，高中生将向所有学生提供他们的视频， 联合中学。短信部分将加强和提高 教室会议。 我们的总体假设是，这种涉及初中和高中的强化方法 同一社区的学生将创造一个新的规范环境，减少青年吸电子烟。 本试点/可行性研究的目的是：1）确定实施 好的方案; 2）确定研究方案的可行性和可接受性， 用于未来的疗效试验。主要疗效结果包括曾经使用过的vaping，过去一个月的使用，日常使用， 易感性，行为意图，和vaping相关的知识，态度，感知规范，阻力 技能和自我效能。此外，对于参与干预开发的高中生， 成果包括积极的青年发展。将在13个月内衡量结果 期

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.