Methods: The Toolkit has been evaluated for reach, feasibility, and effects on changing youth knowledge, attitudes and behaviors. Data are being collected through google analytics, pre- and post-program surveys, and a randomized controlled trial.
Preliminary Results: Google analytics show that we have reached schools and youth across the country, with schools in every US state using the Toolkit, reaching over 250,000 youth in the past year. Thus far, five high schools completed both pre (n=375) and post (n=330). This module is included in the curriculum to be evaluated herein. The proportion reporting perceived risk for harming themselves, physically or in other ways, by using e-cigarettes or other vapor-emitting devices increased by 2.1% and 2.5% for cigarettes. The percentage of students reporting knowledge of health effects of tobacco use increased by 32.8% (from 50.9% to 67.6%) and knowledge of environmental effects of tobacco use increased by 15% (from 67.2% to 77.3%). Following education from the Toolkit, students’ recognition of the addictive properties of e-cigarettes significantly increased.
Conclusions: Preliminary evidence suggests the Toolkit has an outstanding reach, and is effective in changing high school students’ knowledge of, attitudes towards, and current use of pod-style vapes and other tobacco products.