TY - JOUR
T1 - A Middle School Program to Prevent E-Cigarette Use
T2 - A Pilot Study of “CATCH My Breath”
AU - Kelder, Steven H.
AU - Mantey, Dale S.
AU - Van Dusen, Duncan
AU - Case, Kathleen
AU - Haas, Alexandra
AU - Springer, Andrew E.
N1 - Funding Information:
The authors thank our partner central Texas school districts, schools, and students for participating in this study. We also gratefully acknowledge Cheryl Perry, PhD, Department of Health Promotion and Behavioral Sciences at the University of Texas School of Public Health, for her insightful and constructive comments of earlier drafts of this article. The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was funded by an opportunity grant from the St. David’s Foundation.
Funding Information:
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was funded by an opportunity grant from the St. David’s Foundation.
Publisher Copyright:
© 2020, Association of Schools and Programs of Public Health.
PY - 2020/3/1
Y1 - 2020/3/1
N2 - 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.
AB - 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.
KW - adolescent health
KW - e-cigarettes
KW - prevention
KW - school health
KW - tobacco
UR - http://www.scopus.com/inward/record.url?scp=85078097280&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85078097280&partnerID=8YFLogxK
U2 - 10.1177/0033354919900887
DO - 10.1177/0033354919900887
M3 - Article
C2 - 31968177
AN - SCOPUS:85078097280
VL - 135
SP - 220
EP - 229
JO - Public Health Reports
JF - Public Health Reports
SN - 0033-3539
IS - 2
ER -