A Formative Evaluation of an Adolescent Online E-Cigarette Prevention Program
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| Title: | A Formative Evaluation of an Adolescent Online E-Cigarette Prevention Program |
|---|---|
| Language: | English |
| Authors: | Merrill, Ray M. (ORCID |
| Source: | Health Education. 2022 122(6):617-632. |
| Availability: | Emerald Publishing Limited. Howard House, Wagon Lane, Bingley, West Yorkshire, BD16 1WA, UK. Tel: +44-1274-777700; Fax: +44-1274-785201; e-mail: emerald@emeraldinsight.com; Web site: http://www.emerald.com/insight |
| Peer Reviewed: | Y |
| Page Count: | 16 |
| Publication Date: | 2022 |
| Document Type: | Journal Articles Reports - Research |
| Descriptors: | Smoking, Health Behavior, Risk, Adolescents, Early Adolescents, Gender Differences, Age Differences, Self Efficacy, Racial Differences, Minority Groups, Health Programs, Prevention, Adolescent Attitudes, Program Evaluation |
| Geographic Terms: | Utah |
| DOI: | 10.1108/HE-06-2021-0092 |
| ISSN: | 0965-4283 1758-714X |
| Abstract: | Purpose: This study is a formative evaluation of an adolescent online e-cigarette prevention program (Clearing the Vapor) giving attention to identifying higher risk adolescent populations, confirming the theory of change, and assessing short-term outcomes. Design/methodology/approach: The evaluation was conducted using online pre-test and post-test survey data collected from adolescent program participants age 10-18 from 2019 to 2021. Analyses included risk ratios on perceived risk, self-efficacy, and behavioral intentions across demographic variables. Pre-test and post-test comparisons were conducted with analysis involving the t-test and the McNemar test. Findings: Prevalence of e-cigarette use was higher among males, older adolescents, and in racial/ethnic groups other than Whites and Asians. Adolescents with lower confidence to say "no" were more likely to use e-cigarettes. Greater perception of harm by using e-cigarettes increased the likelihood of adolescents feeling competent to explain to peers the harmful effects of e-cigarettes. Mean change in commitment levels to not use e-cigarettes increased for males and females, all ages, and racial/ethnic groups other than non-Hispanic Blacks and American Indians. Improvement in non-Hispanic Whites was significantly greater than for non-Hispanic Blacks, American Indians, and Hispanics. Originality/value: Improvement in programming should give careful attention to the incorporation of more prevention activities and to materials tailored specifically to racial/ethnic participants. As a theory of change, findings support the utility of the Clearing the Vape prevention programming to address perceptions of harm that e-cigarettes are safe, confidence in explaining the harmful effects of use, and the development of skills to resist use. |
| Abstractor: | As Provided |
| Entry Date: | 2022 |
| Accession Number: | EJ1354621 |
| Database: | ERIC |
| Abstract: | Purpose: This study is a formative evaluation of an adolescent online e-cigarette prevention program (Clearing the Vapor) giving attention to identifying higher risk adolescent populations, confirming the theory of change, and assessing short-term outcomes. Design/methodology/approach: The evaluation was conducted using online pre-test and post-test survey data collected from adolescent program participants age 10-18 from 2019 to 2021. Analyses included risk ratios on perceived risk, self-efficacy, and behavioral intentions across demographic variables. Pre-test and post-test comparisons were conducted with analysis involving the t-test and the McNemar test. Findings: Prevalence of e-cigarette use was higher among males, older adolescents, and in racial/ethnic groups other than Whites and Asians. Adolescents with lower confidence to say "no" were more likely to use e-cigarettes. Greater perception of harm by using e-cigarettes increased the likelihood of adolescents feeling competent to explain to peers the harmful effects of e-cigarettes. Mean change in commitment levels to not use e-cigarettes increased for males and females, all ages, and racial/ethnic groups other than non-Hispanic Blacks and American Indians. Improvement in non-Hispanic Whites was significantly greater than for non-Hispanic Blacks, American Indians, and Hispanics. Originality/value: Improvement in programming should give careful attention to the incorporation of more prevention activities and to materials tailored specifically to racial/ethnic participants. As a theory of change, findings support the utility of the Clearing the Vape prevention programming to address perceptions of harm that e-cigarettes are safe, confidence in explaining the harmful effects of use, and the development of skills to resist use. |
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| ISSN: | 0965-4283 1758-714X |
| DOI: | 10.1108/HE-06-2021-0092 |
