Michael & Susan Dell Center for Healthy Living, University of Texas Health Science Center at Houston (UTHealth) School of Public Health- Austin, Austin, TX, USA.
CATCH Global Foundation, Austin, TX, USA.
Addict Behav. 2021 Feb;113:106698. doi: 10.1016/j.addbeh.2020.106698. Epub 2020 Oct 10.
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.
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.
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.
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.
2016 年，美国外科医生发布行动呼吁，以解决青少年电子烟使用问题，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 项目的开发和传播，这是一个针对中学生和高中生的电子烟预防计划。
从 2014 年开始，一所大学和非营利组织合作设计、进行形成性评估、试点测试和传播 CATCH My Breath 项目（CMB）。该团队使用社会认知理论来开发该计划，并运用创新扩散理论来传播该计划。从 2016 年开始，采用了传播策略。本文描述了这两种理论的应用以及 CMB 的传播范围。
自传播开始以来，CMB 遵循典型的扩散正态曲线，迅速得到采纳。截至 2020 年 6 月，美国约有 4000 所学校采用了该计划，7 万名教师教授了该计划，140 万名学生接触了该计划的材料。
社会认知理论和创新扩散理论的应用带来了有效的预防效果，并迅速广泛地采用了 CMB。这种程度的采纳和实施代表了学校市场的 25%。CMB 应被视为推荐的可燃和电子烟预防和控制工具包中的学校组成部分，与大众媒体、营销限制、零售准入、税收、口味禁令和 FDA 上市前批准一起。其他寻求快速采纳的公共卫生干预措施应考虑将创新扩散原则作为开发和传播的指南。
