Gardner Lauren A, Rowe Amy-Leigh, Stockings Emily, Egan Lyra, Hawkins Annabelle, Blackburn Kathleen, Teesson Maree, Champion Katrina E, Newton Nicola C
The Matilda Centre for Research in Mental Health and Substance Use, University of Sydney, Sydney, Australia.
National Drug Research Institute, Curtin University, Perth, Australia.
Health Promot Int. 2025 May 13;40(3). doi: 10.1093/heapro/daaf085.
Effective preventive interventions are urgently needed to address e-cigarette use ('vaping') and related harms among young people. There is a strong evidence base supporting the delivery of substance use preventive interventions in the school setting, and eHealth interventions can overcome common implementation barriers. However, there is a dearth of effective school-based e-cigarette preventive interventions available. This study summarizes the co-design and user testing of the 'OurFutures Vaping' programme, a universal school-based eHealth preventive intervention targeting e-cigarette use. The intervention is based on the effective 'OurFutures' prevention model, which adopts a harm minimization and comprehensive social influence approach to prevention and delivers content via interactive cartoons and supporting resources. Beginning in March 2022, the development process involved four iterative stages: (i) scoping of the literature; (ii) consultations with young people (n = 34; 14-16 years) to understand attitudes and perceptions about e-cigarettes/tobacco cigarettes and develop cartoon character profiles and storylines; (iii) content and web development; and (iv) user testing and refinement with students (n = 37; 13-14 years) and teachers (n = 13). Key areas for improvement included lesson length, believability and relevance of some storylines, incorporating resources on e-cigarette addiction and cessation, and tweaking illustrations. Refinements were made and the final intervention comprised four 40 min online cartoon lessons with accompanying teacher-facilitated activities, factsheets, and resources. The 'OurFutures Vaping' programme is the first school-based e-cigarette preventive intervention in Australia to be developed via iterative co-design, grounded in evidence, and to undergo rigorous evaluation (cluster randomized controlled trial, 2023-26), holding the potential to make significant health and economic impact.
迫切需要有效的预防干预措施来应对年轻人使用电子烟（“雾化”）及相关危害。有充分的证据支持在学校环境中开展物质使用预防干预措施，且电子健康干预措施可以克服常见的实施障碍。然而，目前缺乏有效的基于学校的电子烟预防干预措施。本研究总结了“OurFutures Vaping”项目的联合设计和用户测试情况，该项目是一项针对电子烟使用的基于学校的通用电子健康预防干预措施。该干预措施基于有效的“OurFutures”预防模式，采用危害最小化和全面社会影响的预防方法，并通过互动漫画和辅助资源提供内容。从2022年3月开始，开发过程包括四个迭代阶段：（i）文献综述；（ii）与年轻人（n = 34；14 - 16岁）进行磋商，以了解他们对电子烟/香烟的态度和看法，并开发卡通人物形象和故事情节；（iii）内容和网站开发；（iv）与学生（n = 37；13 - 14岁）和教师（n = 13）进行用户测试和优化。需要改进的关键领域包括课程时长、一些故事情节的可信度和相关性、纳入有关电子烟成瘾和戒烟的资源，以及调整插图。进行了优化，最终的干预措施包括四个40分钟的在线卡通课程，以及配套的教师引导活动、情况说明书和资源。“OurFutures Vaping”项目是澳大利亚首个通过迭代联合设计开发的、基于证据的、并将接受严格评估（2023 - 2026年整群随机对照试验）的基于学校的电子烟预防干预措施，具有产生重大健康和经济影响的潜力。
