A Middle School Program to Prevent E-Cigarette Use: A Pilot Study of 'CATCH My Breath'
| Autor: | Steven H. Kelder, Duncan Van Dusen, Alexandra Haas, Andrew E. Springer, Dale S. Mantey, Kathleen R. Case |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Adolescent education MEDLINE 030508 substance abuse Pilot Projects Cigarette use Peer Group law.invention 03 medical and health sciences 0302 clinical medicine law Environmental health Prevalence Medicine Humans 030212 general & internal medicine Longitudinal Studies Child Students School Health Services Schools business.industry Vaping Research Public Health Environmental and Occupational Health Texas Female School health 0305 other medical science business Electronic cigarette Adolescent health Program Evaluation |
| Zdroj: | Public Health Rep |
| ISSN: | 1468-2877 |
| Popis: | Objectives: From 2017 to 2018, electronic cigarette (e-cigarette) use increased 78% among high school students and 48% among middle school students in the United States. However, few e-cigarette prevention interventions have been evaluated. We determined the feasibility and initial effectiveness of “CATCH My Breath,” an e-cigarette prevention program, among a sample of middle schools in central Texas. Methods: Twelve middle schools in Texas (6 intervention schools and 6 control schools) participated in the CATCH My Breath pilot program during 2016-2017. CATCH My Breath is rooted in social cognitive theory, consists of 4 interactive in-class modules, and is collaboratively administered via classroom and physical education teachers, student–peer leaders, and social messaging (eg, school posters). We collected 3 waves of data: baseline (January 2017), 4-month follow-up (May 2017), and 16-month follow-up (May 2018). Using school as the unit of analysis, we tested a repeated cross-sectional, condition-by-time interaction on e-cigarette ever use, psychosocial determinants of use, and other tobacco use behaviors. Analyses controlled for school-level sociodemographic characteristics (eg, sex, race/ethnicity, and percentage of students eligible for free or reduced-price lunch). Results: From baseline to 16-month follow-up, increases in ever e-cigarette use prevalence were significantly lower among intervention schools (2.8%-4.9%) than among control schools (2.7%-8.9%), controlling for covariates ( P = .01). Intervention schools also had significantly greater improvements in e-cigarette knowledge (β = 0.71; 95% confidence interval [CI], 0.21-1.21; P = .008) and perceived positive outcomes (β = –0.12; 95% CI, –0.23 to –0.02; P = .02) than control schools, controlling for covariates from baseline to 16-month follow-up. Conclusion: Ever e-cigarette use was lower among middle schools that implemented the CATCH My Breath program than among those that did not. Replication of findings among a larger sample of schools, using a group-randomized, longitudinal study design and a longer follow-up period, is needed. |
| Databáze: | OpenAIRE |
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