Objectives

In 2016, the US Surgeon General issued a Call to Action to address adolescent e-cigarette use and school-based prevention interventions are an effective component of comprehensive tobacco control. This study describes the development and dissemination of CATCH My Breath, an e-cigarette prevention program for middle and high school students.

Methods

Starting in 2014, a university and nonprofit collaboration designed, formatively evaluated, pilot tested, and disseminated the CATCH My Breath Program (CMB). The team used Social Cognitive Theory to develop the program and Diffusion of Innovations Theory to disseminate the program. Dissemination strategies were applied beginning in 2016. This paper describes the application of both theories and the resulting reach of CMB.

Results

Since dissemination began, CMB has been rapidly adopted, following the typical diffusion normal curve. As of June 2020, approximately 4,000 schools in the United States have adopted the program, 70,000 teachers have taught the program, and 1,400,000 students have been exposed to program materials.

Conclusion

The application of Social Cognitive Theory and Diffusion of Innovation Theory resulted in effective prevention results and rapid, widespread adoption of the CMB. This level of adoption and implementation represents 25% of the school marketplace. CMB should be considered as the school component of the recommended combustible and e-cigarette prevention and control toolkit, alongside mass media, marketing restrictions, retail access, taxation, flavor ban, and FDA premarket approval. Other public health interventions seeking rapid adoption should consider applying principles of Diffusion of Innovation as a guide for development and dissemination.

中文翻译：

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传播 CATCH My Breath，一项中学电子烟预防计划

目标

2016 年，美国卫生局局长发布了一项行动呼吁，以解决青少年使用电子烟的问题，而以学校为基础的预防干预措施是全面烟草控制的有效组成部分。本研究描述了 CATCH My Breath 的开发和传播，这是一个针对中学生的电子烟预防计划。

方法

从 2014 年开始，大学和非营利组织合作设计、形成性评估、试点测试并传播了 CATCH My Breath 计划 (CMB)。该团队使用社会认知理论来开发程序和创新扩散理论来传播程序。传播策略于 2016 年开始应用。本文描述了这两种理论的应用以及 CMB 的影响范围。

结果

自传播开始以来，CMB 已迅速被采用，遵循典型的传播正态曲线。截至 2020 年 6 月，美国约有 4,000 所学校采用了该计划，70,000 名教师教授了该计划，1,400,000 名学生接触了该计划材料。

结论

社会认知理论和创新扩散理论的应用产生了有效的预防效果，并迅速、广泛地采用了CMB。这种采用和实施水平代表了学校市场的 25%。CMB 应与大众媒体、营销限制、零售准入、税收、香料禁令和 FDA 上市前批准一起被视为推荐的可燃和电子烟预防和控制工具包的学校组成部分。其他寻求快速采用的公共卫生干预措施应考虑应用创新扩散原则作为开发和传播的指南。