Decoding Vaping: Empowering Youth through Media Literacy Based E-Cigarette Educational Program

Tzeyu L Michaud; Niran Tamrakar; Kaeli Samson; Hongying Daisy Dai

doi:10.1093/ntr/ntae205

Decoding Vaping: Empowering Youth through Media Literacy Based E-Cigarette Educational Program

Nicotine Tob Res. 2024 Sep 5:ntae205. doi: 10.1093/ntr/ntae205. Online ahead of print.

Authors

Tzeyu L Michaud^{1

2}, Niran Tamrakar³, Kaeli Samson⁴, Hongying Daisy Dai^{4

5}

Affiliations

¹ Department of Health Promotion, College of Public Health, University of Nebraska Medical Center.
² Center for Reducing Health Disparities, College of Public Health, University of Nebraska Medical Center.
³ Department of Epidemiology, College of Public Health, University of Nebraska Medical Center.
⁴ Department of Biostatistics, College of Public Health, University of Nebraska Medical Center.
⁵ Population Dynamics and Health Equity Lab, College of Public Health, University of Nebraska Medical Center.

PMID: 39233620
DOI: 10.1093/ntr/ntae205

Abstract

Introduction: 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.

Methods: 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 (i.e., 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.

Results: 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<0.0001; vMM, FC=143%, p<0.0001; vRR, FC=133%, p=0.0007). The intervention was associated with a reduction of vaping susceptibility (adjusted odds ratio [AOR]=0.7, p=0.04) and improvement in harm perception (AOR=1.6, p=0.009), knowledge of flavored e-cigarettes (AOR=4.4, p<0.0001) and Tobacco 21 policy (AOR=6.2, p<0.0001). Further mediation analysis unveiled the pathway of the intervention on reduction of vaping susceptibility through media literacy (βindirect=-0.03, p=0.003) and harm perception enhancement (βindirect=-0.02, p=0.03).

Conclusion: 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.

Implications: 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.

Keywords: Adolescent; anti-marketing education; e-cigarette; media literacy; prevention.

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