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| ID | Type | Description | Link |
|---|---|---|---|
| 5R00CA267477 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Cancer Institute (NCI) | NIH |
| Dana-Farber/Harvard Cancer Center (DF/HCC) Boston, MA | UNKNOWN |
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The purpose of this study is to develop an electronic cigarette (e-cigarette) counter-marketing lesson for adolescents. The lesson will involve short videos designed to improve adolescents' cognition of e-cigarette marketing in the retail environment with the overall goal of reducing their susceptibility to use, intent to use, and actual use of e-cigarettes. Through this study, the study team will identify and refine the key messages that would make this lesson acceptable, feasible to implement, and effective in altering e-cigarette-related perceptions and potentially behaviors.
This research comprises of 2 qualitative activities:
These activities will occur sequentially over about 6 months. At the 6-month time point, the study team will have met the study's primary aim of having developed the e-cigarette counter-marketing lesson.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Working group members | 10 members of the expert working group: 2 middle school students, 2 high school students, 2 young adults, 1 educator, 1 parent, and 4 curriculum design expert |
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| Focus group participants | 36 adolescent/young adult participants |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Working group | Other | Participants will: 1) take a 10-min demographic survey; 2) join 3 x 60-min working group meetings in which they will review preliminary results, collaborate on curriculum design, and provide feedback; and 3) respond to prompts in 3 emails (approx 5-10 mins each). |
| Measure | Description | Time Frame |
|---|---|---|
| Development of an e-cigarette counter-marketing lesson focused on the retail environment | Key messages and message-delivery strategy will be developed, potentially comprising of short-form videos. The study team will ask working group members to rank draft messages and strategies for delivery in addition to eliciting qualitative information. | At 6 months |
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| Measure | Description | Time Frame |
|---|---|---|
| Feasibility: Preferred recruitment advertisement | Self-reported data and/or qualitative data elicited from participants by prompting: Which Instagram advertisement made you interested to join this study? | Baseline (pre-focus group) |
| Acceptability: Relevance to population(s) |
WORKING GROUP MEMBERS
*Inclusion criteria
Youth participants:
Curriculum design experts:
• Experience of at least 1 year in tobacco prevention or relevant public health field
Parent:
• Parent of a child who has e-cigarette use history or is currently using (preferred, but not essential)
Educator:
Currently employed as teacher at a middle/high school All participants
Provide their cell phone number and email address
Fluent in English
*Exclusion criteria
Express inability to participate consistently across study working group meetings.
FOCUS GROUP PARTICIPANTS
*Inclusion criteria
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The study population will include individuals residing in the U.S. There will be 10 members of the expert working group (2 middle, 2 high school students, 2 young adults, 1 educator, 1 parent, and 4 curriculum design experts). There will be 36 adolescent and young adult participants of the focus groups.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Boston Children's Hospital | Boston | Massachusetts | 02115 | United States |
De-identified participant survey data will be made available.
De-identified data will be made available only after study publication (between 14-24 months after the end of the study).
The Principal Investigator will provide data to those who indicate that they have received approval from an Institutional Review Board (IRB) or appropriate ethics committee, and execute a data use/sharing agreement.
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| ID | Term |
|---|---|
| D000072137 | Vaping |
| D000294 | Adolescent Behavior |
| ID | Term |
|---|---|
| D012907 | Smoking |
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D017144 | Focus Groups |
| ID | Term |
|---|---|
| D003625 | Data Collection |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D017531 | Health Care Evaluation Mechanisms |
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| Focus group | Other | Participants will take a 10-min demographic survey and join 1 x 30-min focus group meeting in which they will provide feedback on the curriculum in development. |
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Qualitative data elicited from participants by prompting: How participants feel about relevance to and representation of age group and e-cigarette use status (e.g., "this message is not for me since I don't vape" or "I would not be interested," helpfulness of content to achieve different tobacco prevention goals such as raising awareness, prevention) |
| During baseline focus group |
| Acceptability: Desired improvements | Qualitative data elicited from participants by prompting: How would you improve the messages? What changes would you make? | During baseline focus group |
| Perceived influence of content: Awareness | Qualitative data elicited from participants by prompting: How helpful was it to include [key message in development] to raise awareness about e-cigarettes and e-cigarette marketing? | During baseline focus group |
| Perceived influence of content: Reducing appeal | Qualitative data elicited from participants by prompting: How helpful was it to include [key message in development] to prevent adolescents from liking e-cigarette products? | During baseline focus group |
| Perceived influence of content: Purchase behaviors | Qualitative data elicited from participants by prompting: How helpful was it to include [key message in development] to prevent/reduce e-cigarette purchase? | During baseline focus group |
| Perceived influence of content: Use prevention | Qualitative data elicited from participants by prompting: How helpful was it to include [key message in development] to prevent/reduce adolescent e-cigarette use? | During baseline focus group |
| Feasibility: Device used to access lessons | Qualitative data elicited from participants by prompting: Device most commonly used to access similar online/video content | During baseline focus group |
| Feasibility: Duration of engagement with components | Average time in minutes to engage with draft messages, and study activities | During baseline focus group |
| E-cigarette use | A survey will ask participants, "Have you ever tried any of the following products, even one or two puffs?" (Yes/No). If "Yes," participants will see the question, "During the past 30 days, did you use any of the following products, even one or two puffs? (Yes/No)." If "Yes," participants will see the question, "On how many days out of the past 30 days, did you use a…" with a numeric response from 0-30 (drop-down option where participants could select only one response). If participants provided an answer from 1-30 to this question, the survey will ask, "In the past 7 days, on how many days did you use an e-cigarette or vape?" with a numeric response from 0-7 (drop-down option where participants could select only one response). (Products include:nicotine vape, THC (marijuana) vape, some kind of vape (don't know what was in it), cigarette, and nicotine pouch). | Baseline (pre-focus group) |
| Susceptibility to Use E-cigarettes | A survey will ask participants 4 questions adapted from the Enhanced susceptibility to smoking index, (1) "Have you ever been curious about e-cigarettes/vapes?; (2) "Do you think you will try an e-cigarette/vape in the next month?;" (3) Do you think you will try an e-cigarette/vape in the next year?; and (4) "If one of your best friends were to offer you an e-cigarette/vape, would you try it?" with responses on a 4-point Likert-type scale (Definitely yes; Probably yes; Probably not; and Definitely not). Across all 4 questions, any participant response except "Definitely not" will be classified as susceptible to using e-cigarettes. | Baseline (pre-Focus Groups) |
| Acceptability: Perceptions of anti-vaping educational content or counter-marketing | The facilitator will ask participants about perceptions of anti-vaping ads, specifically inside and around retail stores | During focus groups |
| Marketing receptivity inside and around retail stores | A survey and the focus group facilitator will ask about perceptions of e-cigarette brand recall among adolescents, appealing locations of advertising, ownership of merchandise, and receipt of free samples | At Baseline (pre-Focus groups) and During Baseline Focus Groups |
| Feedback on counter-marketing messages | The facilitator will ask participants: 1) Could you describe what was interesting or engaging? Probes: How would you improve what you just saw? What changes would you make? Comments on: a) individualized delivery; b) influencer-style; c) message? 2) Are there parts you would recommend excluding? Why? 3) How relevant was it to you? To people your age? 4) Was the language used easy to understand? 5) How does this messaging compare to what you have already seen? 6) How helpful was it to include the messages on marketing? a) raise awareness; b) prevent adolescents from liking products; c) prevent/ reduce e-cigarette purchase (in stores); d) prevent/ reduce e-cigarette purchase or sharing (with friends/family); and prevent/ reduce e-cigarette use? 7) If you were trying to prevent someone from starting to vape, what could be effective: a) aspects about vaping that you could bring up?; b) language that you could use?; c) images that you could use?; d) appeals that you could use? | During baseline focus groups |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D011634 | Public Health |
| D004778 | Environment and Public Health |