Struik Laura, Sharma Ramona H, Rodberg Danielle, Christianson Kyla, Lewis Shannon
Department of Health and Exercise Sciences, School of Nursing, The University of British Columbia Okanagan Campus, Kelowna, British Columbia, Canada.
Department of Health and Exercise Sciences, School of Social Work, The University of British Columbia Okanagan Campus, Kelowna, British Columbia, Canada.
AJPM Focus. 2023 Jun 16;2(4):100126. doi: 10.1016/j.focus.2023.100126. eCollection 2023 Dec.
Vaping among North American youth has surfaced as a concerning public health epidemic. Increasing evidence of harms associated with E-cigarette use, especially among the young, has prompted urgency in addressing vaping. Although a number of individual behavior change campaigns have arisen as a result, little is known about which behavior change techniques are being employed to influence youth vaping behavior. In this study, we aimed to code all North American vaping prevention campaigns using the behavior change technique taxonomy (Version 1) to determine which behavior change techniques are being used.
We identified the sample of campaigns through systematic searches using Google. After applying the exclusion criteria, the campaigns were reviewed and coded for behavior change techniques.
In total, 46 unique vaping prevention campaigns were identified, including 2 federal (1 from Canada, 1 from the U.S.), 43 U.S. state-level, and 1 Canadian provincial-level campaign(s). The number of behavior change technique categories and behavior change techniques in a campaign ranged from 0 to 5 (mean=1.56) and 0 to 6 (mean=2.13), respectively. Of the 16 possible behavior change technique categories, 4 were utilized across the campaigns, which included 5. Natural consequences (89%), 6. Comparison of behavior (22%), 13. Identity (20%), and 3. Social support (11%).
Only a small number of behavior change techniques were used in North American vaping prevention campaigns, with a heavy and often sole reliance on communicating the health consequences of use. Incorporating other promising behavior change techniques into future campaigns is likely a productive way forward to tackling the complex and multifaceted issue of youth vaping.
北美青少年吸电子烟已成为一个令人担忧的公共卫生问题。越来越多的证据表明吸电子烟会带来危害，尤其是对年轻人，这促使人们迫切需要解决吸电子烟的问题。尽管因此出现了一些个人行为改变运动，但对于哪些行为改变技巧被用于影响青少年吸电子烟行为，人们知之甚少。在本研究中，我们旨在使用行为改变技巧分类法（第1版）对所有北美预防吸电子烟运动进行编码，以确定正在使用哪些行为改变技巧。
我们通过谷歌系统搜索确定了运动样本。在应用排除标准后，对这些运动进行了审查，并对行为改变技巧进行了编码。
总共确定了46个独特的预防吸电子烟运动，包括2个联邦运动（1个来自加拿大，1个来自美国）、43个美国州级运动和1个加拿大省级运动。一个运动中行为改变技巧类别和行为改变技巧的数量分别为0至5（平均=1.56）和0至6（平均=2.13）。在16种可能的行为改变技巧类别中，有4种在这些运动中被使用，包括5.自然结果（89%）、6.行为比较（22%）、13.身份认同（20%）和3.社会支持（11%）。
北美预防吸电子烟运动中仅使用了少数行为改变技巧，严重且通常完全依赖于传达使用电子烟对健康的后果。在未来的运动中纳入其他有前景的行为改变技巧可能是解决青少年吸电子烟这一复杂多面问题的有效途径。
