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Updated: Jul 29, 2025

Comparing the Effects of Electronic Cigarette Vapor and Cigarette Smoke in a Novel In Vivo Exposure System
Published on: May 24, 2017
Effects of a short school-based vaping prevention program for high school students
Devin M McCauley1, Michael Baiocchi2, Summer Cruse3
1REACH Lab, Department of Pediatrics, Division of Adolescent Medicine, Stanford University, Palo Alto, CA 94304, United States.
A school-based vaping prevention curriculum improved high school students' knowledge of e-cigarette harms and enhanced their refusal skills. The program positively impacted perceptions and intentions, suggesting a valuable tool for preventing youth vaping.
Area of Science:
- Public Health
- Adolescent Health
- Tobacco Control
Background:
- Adolescents often hold misperceptions regarding e-cigarette harms and benefits.
- Effective educational programs are crucial for preventing youth initiation and use of e-cigarettes.
- School-based interventions can address these misperceptions and build refusal skills.
Purpose of the Study:
- To evaluate changes in adolescents' perceptions, knowledge, refusal skills, and intentions to use e-cigarettes.
- To assess the impact of a school-based vaping prevention curriculum.
- To measure outcomes following a real-world curriculum implementation.
Main Methods:
- A 60-minute vaping prevention curriculum was delivered to 357 high school students (grades 9-12) in Kentucky.
- Pre- and post-program assessments measured e-cigarette knowledge, perceptions, refusal skills, and intentions.
- Statistical analyses included matched paired t-tests and McNemar tests of paired proportions.
Main Results:
- Participants showed statistically significant improvements in all 15 survey items related to e-cigarette perceptions (p < 0.05).
- Knowledge improved regarding e-cigarettes delivering nicotine as an aerosol (p < .001).
- Refusal skills and intentions to decline vaping improved significantly (p < .001).
Conclusions:
- A single session of a school-based vaping prevention curriculum positively influenced high school students' knowledge, perceptions, and refusal skills regarding e-cigarettes.
- The curriculum demonstrated potential in altering attitudes and intentions related to e-cigarette use.
- Further research is needed to determine the long-term effects of such interventions on actual e-cigarette use trajectories.
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