Expanding the Click City Tobacco Prevention Program to Include E-cigarettes and Other Novel Tobacco Products

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In a previous research study the investigators developed and tested an effective tobacco prevention program to be used in 5th and 6th grade classrooms as tobacco prevention curriculum. The prevalence of e-cigarette (e-cig) use has recently increased dramatically, greatly exceeding that of cigarette ...

In a previous research study the investigators developed and tested an effective tobacco prevention program to be used in 5th and 6th grade classrooms as tobacco prevention curriculum. The prevalence of e-cigarette (e-cig) use has recently increased dramatically, greatly exceeding that of cigarette use. Considering the health effects of e-cigs, and the increased probability that adolescents will become addicted to nicotine through the use of e-cigs a crucial need was recognized for the incorporation of e-cigs into the original tobacco prevention program. In Phase I the investigators were able to create two new activities that changed specific risk factors predictive of e-cig use. Two existing activities were modified to target not only risk factors related to smoking but also to e-cigarette use. Phase II will develop additional content targeting e-cigs and modify graphics and language throughout the program to include e-cigs. The finished program will contain 10 lessons to be used in fifth grade classrooms and a booster containing 6 activities to be used in sixth grade classrooms. This project, which targets 5th graders with a booster in 6th grade, aims to prevent the initiation of the use of tobacco products including e-cigs, later in adolescence. This school-based, internet delivered program targets established risk factors predictive of youth's behavioral intentions and willingness to use tobacco products, both predictors of subsequent use. This Phase II project proposes to complete development of the product by creating and integrating content that specifically targets risk factors/mechanisms predictive of e-cig use into all existing activities that previously targeted only conventional tobacco use. These modified activities will be integrated into a 10-lesson program and will be based on insights gathering during Phase I. The student user interface and teacher and administrative portals will be modified to increase ease of use. The entire program will be updated to contemporary web standards (e.g. HTML5/CSS/JavaScript) to allow for better integration into a broad range of school environments representing diverse hardware and software platforms. The resulting program will be assessed on both the effectiveness of decreasing youth's intentions and willingness to use both e-cigs and conventional cigarettes

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