School-based programs to prevent adolescent e-cigarette use: A report card

Liu, Jessica; Gaiha, Shivani Mathur; Halpern‐Felsher, Bonnie

doi:10.1016/j.cppeds.2022.101204

Cited by 13 publications

(5 citation statements)

References 67 publications

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“…These results support findings demonstrated by prior school-based evaluations ( Gaiha et al, 2021 ), while expanding documented benefits to include improved perceptions of e-cigarette health harms and increased skepticism of tobacco company truthfulness about their products, as well as improved refusal skills. Overall, the findings support the continued implementation of school-based e-cigarette prevention programs ( Liu et al, 2022 ).…”

Section: Discussionsupporting

confidence: 63%

“…High rates of adolescent e-cigarette use and established health harms stress the importance of developing and evaluating programs aimed at preventing e-cigarette initiation and use. Key strategies for such programs include improving adolescents’ knowledge of e-cigarette health risks, teaching refusal skills, and discussing marketing and social media tactics used by tobacco companies ( Gaiha and Halpern-Felsher, 2021 , Liu et al, 2022 ).…”

Section: Introductionmentioning

confidence: 99%

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Effects of a short school-based vaping prevention program for high school students

McCauley¹,

Baiocchi²,

Cruse³

et al. 2023

Preventive Medicine Reports

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Section: Discussionsupporting

confidence: 63%

Section: Introductionmentioning

confidence: 99%

Effects of a short school-based vaping prevention program for high school students

McCauley¹,

Baiocchi²,

Cruse³

et al. 2023

Preventive Medicine Reports

Self Cite

View full text Add to dashboard Cite

“…In India, the effectiveness of school health intervention for preventing and reducing tobacco use is well established [32] and similar interventions must be planned for e-cigarettes. Educational institutes can act as excellent settings [33] for knowledge transactions and building self-e cacy in children, as their social lives revolve around their peers and institute. The existing ongoing national programs like School health programmes under Ayushman Bharat [34], National Tobacco Control Programme [35] and Tobacco Free Educational Institute Guidelines (TOFEI) [36] provide opportunities for sustaining this effort.…”

Section: Discussionmentioning

confidence: 99%

Online sales and promotion of E-cigarettes in India: A Cross-sectional study

Bahl,

Bassi,

Thapliyal

et al. 2023

Preprint

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Introduction: India is one of the countries to have banned the production, manufacture, import, export, transport, sale, distribution, storage and advertisement of electronic cigarettes (e-cigarettes). With the advent of technology, e-cigarettes are being marketed extensively on the internet despite the ban Objective: To assess online sales and promotion of e-cigarettes on the internet, and social networking sites (SNS) to identify violations of the current restrictive policies by the e-cigarette industry, SNS platforms and influencers. Methodology: A survey with youth (18-24 years), along with a desk review was conducted to identify influencers promoting and e-stores selling e-cigarettes in India. Further, a content analysis of the identified influencers and online stores was conducted, along with a analysis of the policies banning online e-cigarette sales and advertisements. Results: 370 youth with a mean age of 21.1±1.7 years ,participated in the survey. 66.6% of participants reported being aware of e-cigarettes through social media. Instagram (46%) was identified as the most popular social networking platform for promoting e-cigarettes. A total of 189 influencers promoting e-cigarettes on Instagram were identified and their posts positively portrayed e-cigarettes (trendy/cool, flavours, hedonic value, features cessation aid and cost-effective). In addition, 83 e-stores (49 Indian and 34 international) were identified selling e-cigarettes in India. Findings from content analysis of both influencers and e-stores also highlighted the issue of cross-border marketing. Collected data showed a violation of the restrictive policies by the influencers and e-stores. Conclusion: To safeguard the youth and move towards Tobacco Endgame; there is a dire need for empowering youth and the community via sensitization programs on the detrimental effects and existing policies related to e-cigarettes in India. Furthermore, strengthening the enforcement of PECA 2019 is the need of the hour to address cross-border advertisements and sales of e-cigarettes, as well as establish strong reporting violation mechanisms.

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“… 37 A recent review of school-based preventive interventions targeting e-cigarette use 38 shows limited evidence indicative of vaping prevention. However, several well-designed trials of theory-driven e-cigarette prevention programs that meet the criteria for “evidence based” 39 are in different stages of development and evaluation. 40–42 Thus, Click City: Tobacco is one of the first school-based conventional cigarette and e-cigarette prevention programs that has been shown to be effective using a rigorous experimental design and reproducible methods.…”

Section: Discussionmentioning

confidence: 99%

Assessing the Pragmatic Effectiveness and Implementation of Click City: Tobacco: A School-Based Prevention Program Targeting Youth Cigarette and E-cigarette Use

Andrews,

Gordon,

Westling

et al. 2023

Nicotine and Tobacco Research

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Introduction Given the rapid increase in the prevalence of e-cigarette use among youth, we updated Click City: Tobacco, an existing, efficacious, online tobacco prevention program for 5th graders with a 6th-grade booster, to also target e-cigarette use. Methods To evaluate the effectiveness of the updated 5th-grade program within a “real world” setting, we conducted a pragmatic randomized trial with 5th-grade students in 43 schools across Arizona and Oregon, assessing change in intentions and willingness to use e-cigarettes/cigarettes, from baseline to one-week post-intervention. Students in intervention schools (n = 1327) received the updated version of Click City: Tobacco; students in control schools (n = 1346) received their usual tobacco prevention curriculum. Results Students in intervention schools significantly decreased their intentions and willingness to use e-cigarettes and cigarettes, compared to students in control schools. The intervention also significantly changed all targeted etiological mechanisms predictive of intentions and willingness. The intervention was more effective for at-risk students, as defined by student’s previous tobacco use, current family use of tobacco, and/or high in sensation-seeking. The effects of the intervention on all outcomes were similar as a function of state, gender, ethnicity, and historical timing (before COVID-19 pandemic school closures vs. after schools re-opened). Close to 90% of the students in the intervention condition completed the entire program, supporting fidelity of implementation, and teachers reported satisfaction with the program. Conclusions Findings suggest that Click City: Tobacco is effective for all 5th-grade students and can be delivered with fidelity across school settings. Implications The results of a randomized pragmatic effectiveness trial showed that the updated Click City: Tobacco program decreased intentions and willingness to both vape e-cigarettes and smoke cigarettes among 5th-grade students, particularly for those at high risk. Program effectiveness and lack of differences because of factors such as state, gender, ethnicity, and historical timing have universal implications, suggesting that all students can benefit from this program. Click City: Tobacco received high ratings of program satisfaction from teachers and was implemented with fidelity. Findings suggest that Click City: Tobacco is effective and can be easily implemented in schools.

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School-based programs to prevent adolescent e-cigarette use: A report card

Cited by 13 publications

References 67 publications

Effects of a short school-based vaping prevention program for high school students

Effects of a short school-based vaping prevention program for high school students

Online sales and promotion of E-cigarettes in India: A Cross-sectional study

Assessing the Pragmatic Effectiveness and Implementation of Click City: Tobacco: A School-Based Prevention Program Targeting Youth Cigarette and E-cigarette Use

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