Michaud Tzeyu L, Tamrakar Niran, Samson Kaeli, Dai Hongying Daisy
Department of Health Promotion, College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA.
Center for Reducing Health Disparities, College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA.
Nicotine Tob Res. 2025 Feb 24;27(3):475-483. doi: 10.1093/ntr/ntae205.
The E-cigarette industry's marketing and social media efforts have promoted adolescent vaping. We developed and pilot-tested an anti-vaping media literary program-MediaSense.
In addition to employing the Community-Based Participatory Research approach for program development, we applied a prospective, interventional, and single-arm design to assess the impact of MediaSense among students from five middle and high schools. Data were collected through REDCap surveys administered before and after the intervention. We performed generalized linear mixed models and median analysis to evaluate changes in vaping media literacy (ie, Authors and Audiences [vAA], Messages and Meanings [vMM], and Representation and Reality [vRR]), knowledge, harm perception, and susceptibility to e-cigarette use before and after the intervention.
A total of 384 students aged 11-18 years completed the pre-post survey assessment. After the intervention, students exhibited significantly improved vaping media literacy across all three domains (vAA, fold change [FC] = 150%, p < .0001; vMM, FC = 143%, p < .0001; vRR, FC = 133%, p = .0007). The intervention was associated with a reduction of vaping susceptibility (adjusted odds ratio [AOR] = 0.7, p = .04) and improvement in harm perception (AOR = 1.6, p = .009), knowledge of flavored e-cigarettes (AOR = 4.4, p < .0001) and Tobacco 21 policy (AOR = 6.2, p < .0001). Further mediation analysis unveiled the pathway of the intervention on reduction of vaping susceptibility through media literacy (βindirect = -0.03, p = .003) and harm perception enhancement (βindirect = -0.02, p = .03).
The MediaSense program showed promise in vaping prevention among adolescents by reducing vaping susceptibility. Comprehensive vaping media literacy education, especially interventions aimed at decoding misleading marketing information and addressing emerging marketing themes, provides valuable evidence in curbing adolescent vaping.
MediaSense (Media Education for Sensible Evaluation and Nurturing Substance-free Experiences) represents a promising e-cigarette education program designed for adolescent vaping prevention. The findings of this study highlight the positive impact of the program on media literacy, harm perception, and knowledge of tobacco control policies.
电子烟行业的营销和社交媒体活动推动了青少年吸电子烟的行为。我们开发并进行了试点测试了一个反电子烟媒体素养项目——MediaSense。
除了采用基于社区的参与式研究方法来开发项目外，我们还应用了前瞻性、干预性和单臂设计，以评估MediaSense对五所初中和高中学生的影响。通过在干预前后进行的REDCap调查收集数据。我们进行了广义线性混合模型和中位数分析，以评估干预前后吸电子烟媒体素养（即作者与受众[vAA]、信息与意义[vMM]以及呈现与现实[vRR]）、知识、危害认知和吸电子烟易感性的变化。
共有384名11至18岁的学生完成了前后测评估。干预后，学生在所有三个领域的吸电子烟媒体素养都有显著提高（vAA，变化倍数[FC]=150%，p<.0001；vMM，FC=143%，p<.0001；vRR，FC=133%，p=.0007）。该干预与吸电子烟易感性的降低（调整后的优势比[AOR]=0.7，p=.04）以及危害认知的改善（AOR=1.6，p=.009）、对调味电子烟的了解（AOR=4.4，p<.0001）和21岁烟草政策的了解（AOR=6.2，p<.0001）相关。进一步的中介分析揭示了干预通过媒体素养（间接效应β=-0.03，p=.003）和危害认知增强（间接效应β=-0.02p=.03）降低吸电子烟易感性的途径。
MediaSense项目通过降低吸电子烟易感性，在预防青少年吸电子烟方面显示出前景。全面的吸电子烟媒体素养教育，特别是旨在解读误导性营销信息和应对新兴营销主题的干预措施，为遏制青少年吸电子烟提供了有价值的证据。
MediaSense（明智评估与培育无物质体验的媒体教育）是一个为预防青少年吸电子烟而设计的有前景的电子烟教育项目。本研究结果突出了该项目对媒体素养、危害认知和烟草控制政策知识的积极影响。
