A novel approach to training educators to conduct school-based adolescent e-cigarette education and prevention: Using the Tobacco Prevention Toolkit

Lazaro, Adrienne; Ceballos, Richard; Fischer, Molly; Smuin, Stephen; Halpern‐Felsher, Bonnie

doi:10.1016/j.addbeh.2021.106858

Cited by 15 publications

(9 citation statements)

References 29 publications

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“…This corroborates findings from a review of e‐cigarette prevention and treatment programs for youth that found that there are more evidence‐based prevention programs available than treatment programs 43 . The heterogeneity of responses regarding desired treatment resources suggests that school‐based cessation programs should be tailored in collaboration with each school district, supporting existing research on the importance of providing tailored training for tobacco prevention curricula to school administrators 44 …”

Section: Discussionsupporting

confidence: 80%

“…43 The heterogeneity of responses regarding desired treatment resources suggests that school-based cessation programs should be tailored in collaboration with each school district, supporting existing research on the importance of providing tailored training for tobacco prevention curricula to school administrators. 44 Our study has multiple limitations. First, we sampled school personnel regarding their perceptions of student tobacco use rather than directly surveying high school students.…”

Section: Discussionmentioning

confidence: 93%

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The First State Tobacco Flavor Ban: High School Tobacco Control Needs in a Changing Landscape

Liu

Reynolds

Hartman

et al. 2022

Journal of School Health

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BACKGROUND: Despite recent tobacco control efforts, adolescent vaping remains an epidemic in the United States. The purpose of our study was to understand high school student vaping behaviors using the perceptions of Massachusetts school personnel during the critical window from when the Massachusetts statewide flavor ban legislation was passed in November 2019 through the first year of the COVID-19 pandemic. METHODS:High school personnel throughout Massachusetts were invited to complete a cross-sectional survey. Analysis of survey responses was conducted in R. RESULTS:A total of 162 respondents completed the survey representing 137 schools that draw enrollments from 216 (61%) of the 352 cities and towns in Massachusetts. The most popular products that respondents believed their students were using were JUULs (95.7%), other e-cigarettes (85.3%), and disposable vapes (79.6%). Following the flavor ban, the majority (90.7%) did not report an increase in combusted tobacco product use. All participants (100%) reported wanting more access to prevention and treatment resources.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionmentioning

confidence: 93%

The First State Tobacco Flavor Ban: High School Tobacco Control Needs in a Changing Landscape

Liu

Reynolds

Hartman

et al. 2022

Journal of School Health

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“…": five-point scale 'Very unconcerned' to 'Very concerned'; "What are your biggest concerns with students' use of e-cigarettes? ": nine response options 19 ); students' motivations for using e-cigarettes ("Why do you think students at your school use e-cigarettes? ": 25 response options [20][21][22] ); observed changes in students' moods, behaviours, and school performance (two items: Which of the following moods/behaviours have you noticed among students after they vape?…”

Section: Survey Instrumentmentioning

confidence: 99%

“…": 25 response options [20][21][22] ); observed changes in students' moods, behaviours, and school performance (two items: Which of the following moods/behaviours have you noticed among students after they vape? : 12 and nine response options, respectively 19 ); times ("At your school, at what time of day do students vape?") and locations ("In which areas of your school do students vape?"…”

Section: Survey Instrumentmentioning

confidence: 99%

School staff perceptions of the nature and consequences of students’ use of e‐cigarettes

Pettigrew

Miller

Kannan

et al. 2022

Australian and New Zealand Journal of Public Health

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Objective: The aim of this study was to assess the nature and consequences of student vaping in Australian primary and secondary schools by consulting staff working in these settings. Methods: A national sample of 196 school staff was accessed via a web panel provider and administered an online survey about students’ e‐cigarette use. Three‐quarters of the survey respondents were teachers/teacher aides, with the remainder divided between those in other student‐facing roles and office staff. Results: A majority (78%) of respondents expressed concern about current levels of vaping in schools. Around half reported negative outcomes relating to mental well‐being, social/peer interactions, and school performance. Only one‐third of respondents reported a vaping policy (35%) or vaping‐prevention education (31%) being in place at their schools. Conclusions: E‐cigarette use in schools is an area of concern for school staff, yet relevant policies and education programs appear to be lacking. Implications for public health: Schools represent a key context for encouraging health promoting behaviours and discouraging harmful behaviours, including vaping. These results highlight the need to monitor and address student e‐cigarette use in schools and provide staff with greater support to prevent the negative consequences associated with vaping by children at school and beyond.

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“…School policies prohibiting tobacco, including e-cigarettes, are associated with reduced tobacco use among students; however research suggests school policies targeted at combustible cigarettes have varied greatly in terms of their comprehensiveness, clarity of rules, policy enforcement, availability of education, and prevention efforts–all of which are associated with policy impacts on tobacco use prevalence [ 28 , 29 ]. Additionally, research indicates that training school staff on e-cigarette prevention and other school health interventions may improve staff knowledge and implementation of such interventions [ 30 – 33 ].…”

Section: Introductionmentioning

confidence: 99%

E-cigarette school policy and staff training: Knowledge and school policy experiences with e-cigarette products among a national sample of US middle and high school staff

et al. 2022

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Background As youth e-cigarette use has surged in the last several years, teachers and school administrators have reported challenges addressing student use of emerging e-cigarette products on school property. While federal policy prohibits smoking in U.S. schools that receive federal funding, school e-cigarette bans only exist where states or localities have acted. Little is known about school staff experiences with implementing these relatively new policies; this study examines associations between school e-cigarette policies and trainings on school staff awareness and intervention on student e-cigarette use. Methods A national convenience sample of 1,526 U.S. middle- and high-school teachers and administrators was surveyed in November-December 2018. Among respondents who provided their job title and indicated that they worked in a school rather than a district (n = 1,480, response rate = 97.0%), separate logistic regressions examine associations of school policies and policy training with e-cigarette awareness and intervention on student e-cigarette use. Results Despite being the most popular e-cigarette at the time, fewer than half (47.5%) of respondents identified an image of a JUUL device as an e-cigarette. However, respondents reporting the presence of e-cigarette policies in their schools had higher odds of recognizing e-cigarettes (OR = 3.85, p<0.01), including photo recognition of JUUL (OR = 1.90, p<0.001). Respondents reporting e-cigarette policies also had higher odds of reporting intervention on student e-cigarette use (communicating with students about e-cigarette avoidance: OR = 2.32, p<0.001; reporting students had been caught using e-cigarettes at school: OR = 1.54, p<0.05). Among respondents reporting a school e-cigarette policy, those trained on the policy had higher odds of JUUL photo recognition (OR = 1.54, p<0.01). Respondents trained on e-cigarette policies also had higher odds of reporting intervention (communicating: OR = 3.89, p<0.001; students caught using e-cigarettes: OR = 2.71, p<0.001). Conclusions As new tobacco products enter the market, school policies may be important tools to raise school personnel awareness of and intervention on emerging e-cigarette product use. However, policy adoption alone is not sufficient; policy training may further aid in recognition and intervention upon student use of e-cigarettes at school.

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A novel approach to training educators to conduct school-based adolescent e-cigarette education and prevention: Using the Tobacco Prevention Toolkit

Cited by 15 publications

References 29 publications

The First State Tobacco Flavor Ban: High School Tobacco Control Needs in a Changing Landscape

The First State Tobacco Flavor Ban: High School Tobacco Control Needs in a Changing Landscape

School staff perceptions of the nature and consequences of students’ use of e‐cigarettes

E-cigarette school policy and staff training: Knowledge and school policy experiences with e-cigarette products among a national sample of US middle and high school staff

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