Developing Graphic Messages for Vaping Prevention Among Black and Latino Adolescents: Participatory Research Approach

Cartujano-Barrera, Francisco; Azogini, Chiamaka; McIntosh, Scott; Bansal-Travers, Maansi; Ossip, Deborah J.; Cupertino, Ana Paula

doi:10.2196/29945

Cited by 8 publications

(11 citation statements)

References 39 publications

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“…This study is timely given that Black and Latino adolescents are often underrepresented in tobacco control studies, and the results of this study suggest that 55% of them are susceptible to future vaping. Notably, the graphic messages were developed by Black and Latino adolescents using a qualitative, user-centered design method [ 17 ]. Moreover, the study design and implementation were informed by a Community Advisory Board of Black and Latino adolescents.…”

Section: Discussionmentioning

confidence: 99%

“…The biobehavioral model of nicotine addiction was used as the framework for graphic message development and interpretation [ 17 ]. The biobehavioral model of nicotine addiction recognizes the influence of social (e.g., social norms), psychological (e.g., rewards, autonomy), and biological factors in relation to nicotine and tobacco use [ 18 ].…”

Section: Methodsmentioning

confidence: 99%

“…Importantly, all graphic messages portrayed Black and Latino adolescents. The development and description of the graphic messages have been detailed elsewhere [ 17 ]. The graphic messages incorporated four main theoretical constructs: health rewards, financial rewards, autonomy, and social norms [ 17 ].…”

Section: Methodsmentioning

confidence: 99%

“…The present study assesses the immediate impact of vaping prevention graphic messages on the susceptibility of future vaping among Black and Latino adolescents. Graphic messages were developed using participatory research procedures with Black and Latino adolescents [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

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Evaluating the Immediate Impact of Graphic Messages for Vaping Prevention among Black and Latino Adolescents: A Randomized Controlled Trial

Cartujano-Barrera

Hernández-Torrez

Cai

et al. 2022

IJERPH

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The purpose of this pilot study was to assess the immediate impact of vaping prevention graphic messages on the susceptibility to future vaping among Black and Latino adolescents (ages 12 to 17). Graphic messages (available in English and Spanish) were developed using participatory research procedures with Black and Latino adolescents. Recruitment was conducted by a team of diverse, bilingual (English and Spanish), trained recruiters. Participants (n = 362) were randomized in a 1:1:1:1 schema to receive one of four graphic messages (health rewards, financial rewards, autonomy, and social norms). Overall, all graphic messages but one showed a slight decrease in the number of participants susceptible to future vaping, though none of these differences was statistically significant. The graphic message on health rewards decreased the number of participants susceptible to future vaping the most (55.7% vs. 50%, at pre- vs. post-viewing, p = 0.125), followed by the graphic messages on social norms and autonomy (55.1% vs. 52.8%, p = 0.687; 55.4% vs. 52.2%, p = 0.435; respectively). The graphic message on financial rewards increased the number of participants susceptible to future vaping slightly (52.7% vs. 53.8%, p = 1.00). Future research is needed to evaluate susceptibility to future vaping before and after exposure to different and/or repeated vaping prevention graphic messages.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Evaluating the Immediate Impact of Graphic Messages for Vaping Prevention among Black and Latino Adolescents: A Randomized Controlled Trial

Cartujano-Barrera

Hernández-Torrez

Cai

et al. 2022

IJERPH

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“…We conducted a randomized controlled trial (RCT) to assess the impact of theoretical-based graphic messages at preventing vaping among 362 Black and Latino adolescents. The graphic messages were developed using participatory research methods and incorporate four main theoretical constructs: health reward, financial reward, self-efficacy, and social norms [ 29 ]. Participants were compensated with a USD 25 gift card for their time and effort.…”

Section: Methodsmentioning

confidence: 99%

Proactive and Reactive Recruitment of Black and Latino Adolescents in a Vaping Prevention Randomized Controlled Trial

Cartujano-Barrera

Hernández-Torres²,

Orfin³

et al. 2022

Children

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The purpose of this study was to assesses the effectiveness of proactive and reactive methods in the recruitment of Black and Latino adolescents into a vaping-prevention randomized controlled trial (RCT). This study also assessed the characteristics of study participants by recruitment method. Proactive recruitment strategies included study presentations at community-based events (e.g., festivals, health fairs), school-based events (e.g., back-to-school events, after-school programs), and recreational centers (e.g., fitness centers, malls). Reactive recruitment strategies included study advertisements via social media (e.g., Facebook posts shared by local community-based organizations), word of mouth, and an academic-based research hub. Using proactive and reactive methods, in a 4-month period, 362 Black and Latino adolescents were successfully enrolled into the RCT. Compared to the proactive method, adolescents screened reactively were equally likely to be eligible but significantly more likely to enroll in the study. However, both proactive and reactive strategies made notable contributions to the overall recruitment effort. Moreover, proactive and reactive methods attracted adolescents with different characteristics (e.g., age, gender, sexual orientation, etc.). These findings suggest that both proactive and reactive recruitment strategies should be implemented for studies interested in recruiting a diverse sample of Black and Latino adolescents.

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Designing illustrative social media stories to promote adolescent peer support and healthy sexual behaviors

et al. 2022

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Objective Adolescent females in the United States continue to have unmet sexual and reproductive healthcare needs. Research shows that interventions incorporating peer support can augment perceived self-efficacy and reinforce healthy behaviors. Yet, few user-centered digital sexual health interventions incorporate peer support, and aim to change perceptions of peer norms and model social skills. The objective of this study was to design and demonstrate the receptivity of adolescent females to illustrated digital social media stories that promote healthy sexual behaviors and peer social support. Methods We conducted a three-phase study approved by our Institutional Review Board. In Phase 1, we presented sexually active adolescent female emergency department patients aged 14–19 with eight sexual health scenarios via a survey study. Participants wrote three text messages addressed to the protagonist of each scenario which motivated and encouraged her to consider the use of contraceptives. Messages were scored based on the construct of peer support (emotional, tangible, informational, and belonging). In Phase 2, we worked with a professional artist and screenwriter to design digital sexual health comics using the gathered messages. In Phase 3, we gathered feedback on the comics from adolescent female emergency department patients. Results Females ( n = 22) provided 352 messages. Using top rated messages, we designed five digital visualizations in a running story called Mari tells it like it is. Each story incorporated 5–12 peer-authored quotes. We inserted the final images into Instagram®. Additional females ( n = 39) found the images “relatable,” “super-realistic,” and “educational.” Conclusion Collecting peer-authored texts from our local adolescent community led to the creation of well-received sexual health visualizations. This novel method of design incorporated adolescent voices to promote peer support and healthy behaviors.

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Developing Graphic Messages for Vaping Prevention Among Black and Latino Adolescents: Participatory Research Approach

Cited by 8 publications

References 39 publications

Evaluating the Immediate Impact of Graphic Messages for Vaping Prevention among Black and Latino Adolescents: A Randomized Controlled Trial

Evaluating the Immediate Impact of Graphic Messages for Vaping Prevention among Black and Latino Adolescents: A Randomized Controlled Trial

Proactive and Reactive Recruitment of Black and Latino Adolescents in a Vaping Prevention Randomized Controlled Trial

Designing illustrative social media stories to promote adolescent peer support and healthy sexual behaviors

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