Miller Claire C, Xiao Min, Lay Dillon J, Miley Sierrah N, Vanderford Nathan L, Ickes Melinda J
Department of Kinesiology and Health Promotion, University of Kentucky, Lexington, KY, USA. College of Education, University of Kentucky, Lexington, KY, USA. Department of Toxicology and Cancer Biology, College of Medicine, University of Kentucky, Lexington, KY, USA.
Tob Use Insights. 2023 Feb 20;16:1179173X221150747. doi: 10.1177/1179173X221150747. eCollection 2023.
Engaging youth is an important component of comprehensive tobacco control programs.
This paper describes the impact of a virtual tobacco prevention training program to encourage and prepare youth in Appalachia to support tobacco prevention policies, to strengthen interpersonal confidence to address tobacco use within their communities and enhance advocacy self-efficacy for tobacco control.
A two-part evidence-informed peer-led tobacco prevention and advocacy training was implemented among 16 high school students from Appalachian counties in Kentucky. The initial training (January 2021) included an overview of the e-cigarette landscape, advocacy skills related to policy change, developing messages to decision makers, and media advocacy. A follow-up session (March 2021) included a breakdown of advocacy skills and overcoming barriers.
Overall, participants held strong beliefs that tobacco use is an issue that needs to be addressed in their community. There was a statistically significant average difference in student interpersonal confidence between baseline and post-surveys (t = 2.016, = .062 < .1). Students who participated in at least 1 of the provided advocacy events indicated higher self-reported advocacy.
Youth in Appalachia expressed an interest to advocate for stronger tobacco policy in their communities. Youth who participated in the tobacco advocacy policy trainings reported improvements in attitudes, interpersonal confidence, advocacy self-efficacy, and self-reported advocacy. Youth engagement in tobacco policy advocacy is promising and needs to be further supported.
让青少年参与进来是全面控烟计划的一个重要组成部分。
本文描述了一个虚拟烟草预防培训项目的影响，该项目旨在鼓励和帮助阿巴拉契亚地区的青少年支持烟草预防政策，增强他们在社区内应对烟草使用问题的人际信心，并提高烟草控制的宣传自我效能。
在肯塔基州阿巴拉契亚县的16名高中生中实施了一个由同伴主导的、基于证据的两部分烟草预防和宣传培训。初始培训（2021年1月）包括电子烟情况概述、与政策变化相关的宣传技巧、向决策者传达信息以及媒体宣传。后续培训（2021年3月）包括宣传技巧细分和克服障碍。
总体而言，参与者坚信烟草使用是他们社区需要解决的一个问题。基线调查和后续调查之间学生人际信心的平均差异具有统计学意义（t = 2.016，p =.062 <.1）。至少参加过一次所提供宣传活动的学生自我报告的宣传程度更高。
阿巴拉契亚地区的青少年表示有兴趣在他们的社区倡导更强有力的烟草政策。参与烟草宣传政策培训的青少年报告称在态度、人际信心、宣传自我效能和自我报告的宣传方面有所改善。青少年参与烟草政策宣传很有前景，需要得到进一步支持。
