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

Abstract

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.

Are Black and Latino adolescents being asked if they use electronic cigarettes and advised not to use them? Results from a community-based survey

“…This study is a secondary data analysis of a randomized controlled trial (RCT) designed to assess the immediate impact of vaping prevention graphic messages on the susceptibility of future vaping among Black and Latino adolescents ( 11 , 12 ). The RCT purposely focused on Black and Latino adolescents given their underrepresentation in previous vaping prevention studies ( 12 ). Details and results of the RCT have been reported elsewhere ( 12 ).…”

“…The RCT purposely focused on Black and Latino adolescents given their underrepresentation in previous vaping prevention studies ( 12 ). Details and results of the RCT have been reported elsewhere ( 12 ). The RCT was approved and monitored by the University of Rochester Medical Center Institutional Review Board (STUDY00006267).…”

Spanish version of the susceptibility to e-cigarettes scale among Latino adolescents

“…Emergent literature has demonstrated that susceptibility to e-cigarettes, defined as the absence of a firm decision not to use e-cigarettes, is a strong independent predictor of future vaping 3 - 5 . Moreover, susceptibility to e-cigarettes has been proposed as an outcome for vaping prevention efforts 6 .…”

“…Data are from a randomized controlled trial to assess the immediate impact of vaping prevention graphic messages among 362 Black and Latino adolescents (aged 12–17 years), with equal representation between the two groups 6 - 7 . The study design and results are described thoroughly in a previous publication 6 . A forward-backward methodology was used to translate the susceptibility to e-cigarettes scale into Spanish 8 .…”

“…The purpose of this article is to present the Spanish version of the susceptibility to e-cigarettes scale. Data are from a randomized controlled trial to assess the immediate impact of vaping prevention graphic messages among 362 Black and Latino adolescents (aged 12-17 years), with equal representation between the two groups [6][7] . The study design and results are described thoroughly in a previous publication 6 .…”