Evaluation of a brief school-based e-cigarette prevention program for elementary school students
Madeleine A Gerson1, Holly Lung1, Bonnie Halpern-Felsher1
1Stanford University, United States.
Addictive Behaviors
|June 11, 2026
Summary
This study evaluated an elementary school vaping prevention program. The curriculum successfully improved students' knowledge about e-cigarettes and their harms.
Area of Science:
- Public Health
- Pediatric Health
- Health Education
Background:
- E-cigarette use is prevalent among youth.
- Effective school-based prevention programs are needed for elementary students.
- Existing programs often lack evidence for this age group.
Purpose of the Study:
- To evaluate a school-based e-cigarette prevention curriculum for elementary students.
- To assess changes in knowledge, refusal skills, coping skills, self-efficacy, and intentions to use e-cigarettes.
- To address the gap in evidence-based vaping prevention for young children.
Main Methods:
- A pre-post evaluation design was used with 130 fifth-graders.
- The curriculum consisted of two sessions focused on vaping prevention.
- Surveys assessed learning outcomes, skills, self-efficacy, and intentions before and after the program.
Main Results:
- Participants showed significant improvements in e-cigarette knowledge (p < 0.01).
- Improvements were also noted in self-efficacy and refusal skills (p < 0.05).
- Over 43% reported close contacts who vape, highlighting exposure risks.
Conclusions:
- The elementary school-based e-cigarette prevention curriculum effectively increased student knowledge.
- The findings support the use of such programs to combat youth vaping.
- Further research may explore long-term impacts and broader skill development.
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