NCT07009509

Brief Summary

The goal of this pilot study is to determine the feasibility of a randomized trial of the YES-CAN! (Youth Engaged Strategies to Change Adolescent Norms) program to prevent nicotine vaping among adolescents. The program integrates the following evidence-based strategies: youth-adult collaboration; youth-developed narrative videos to convey health messages; peer leaders as change agents; and sustained implementation to change the normative environment. Two middle/high school communities will receive the YES-CAN! intervention. In each school community, a trained teacher will deliver a credit-earning middle or high school class to 25-30 middle or high school students, who will produce 6-8 short videos intended to increase refusal skills; promote stress management and positive coping; change social norms; prevent vaping initiation; and promote vaping cessation among current users. Videos will use a narrative approach and integrate known determinants of vaping. Middle or high school students will collaborate with the teacher and researchers to develop discussion guides and skills-building activities based on best practices for substance use prevention. In 6-8 sessions, middle or high school students will deliver their videos to all students in the associated middle school. A text messaging or other media component will reinforce and boost the effectiveness of the classroom sessions. Aims for this pilot/feasibility study are:

  1. 1.To determine the feasibility and acceptability of implementing the YES-CAN! program
  2. 2.To determine the feasibility and acceptability of the research protocols that will be used in a future efficacy trial

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,166

participants targeted

Target at P75+ for not_applicable

Timeline
6mo left

Started Aug 2024

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress78%
Aug 2024Oct 2026

Study Start

First participant enrolled

August 15, 2024

Completed
10 months until next milestone

First Submitted

Initial submission to the registry

May 29, 2025

Completed
8 days until next milestone

First Posted

Study publicly available on registry

June 6, 2025

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 30, 2026

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 30, 2026

Last Updated

July 15, 2025

Status Verified

July 1, 2025

Enrollment Period

2.2 years

First QC Date

May 29, 2025

Last Update Submit

July 14, 2025

Conditions

Keywords

Nicotine VapingAdolescentsSchoolBehavior changeSocial normsElectronic cigarettes

Outcome Measures

Primary Outcomes (3)

  • Ever vaped at baseline

    Whether participant has ever vaped, even once or twice. Scores range from "no" (0) to "yes" (1)

    Baseline

  • Ever vaped at 9 months

    Whether participant has ever vaped, even once or twice. Scores range from "no" (0) to "yes" (1)

    9 months

  • Every vaped at 12 months

    Whether participant has ever vaped, even once or twice. Scores range from "no" (0) to "yes" (1)

    12 months

Secondary Outcomes (24)

  • Vaping susceptibility at baseline

    Baseline

  • Vaping susceptibility at 9 months

    9 months

  • Vaping susceptibility at 12 months

    12 months

  • Days vaped in the past month at baseline

    Baseline

  • Days vaped in past 30 days at 9 months

    9 months

  • +19 more secondary outcomes

Study Arms (1)

YES-CAN! Intervention

EXPERIMENTAL

A credit-earning middle or high school course that includes curriculum related to vaping, health risk communication, and video production will be established and approximately 25-30 students will be enrolled. Students will produce 6-8 short videos intended to increase refusal skills; promote stress management and positive coping; change social norms; prevent vaping initiation; and promote vaping cessation among middle school students. Videos will use a narrative approach and integrate known determinants of vaping. Students will collaborate with the teacher and researchers to develop discussion guides and skills-building activities based on best practices for substance use prevention. Students will deliver their videos, along with discussion and supportive activities, to all students in the associated middle school. A text message campaign will reinforce and boost the effectiveness of the classroom sessions.

Behavioral: YES-CAN! program

Interventions

Youth Engaged Strategies to Change Adolescent Norms

YES-CAN! Intervention

Eligibility Criteria

Age9 Years+
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Children enrolled in middle school grades 6-8 and high school grades 9-12 (age approximately 10-13 and 14-17); adults (over age 18) involved in educational system

You may not qualify if:

  • Not able to read and write in English or Spanish

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Colorado Anschutz Medical Campus

Aurora, Colorado, 80045, United States

RECRUITING

Related Publications (23)

  • Alzahrani T, Pena I, Temesgen N, Glantz SA. Association Between Electronic Cigarette Use and Myocardial Infarction. Am J Prev Med. 2018 Oct;55(4):455-461. doi: 10.1016/j.amepre.2018.05.004. Epub 2018 Aug 22.

    PMID: 30166079BACKGROUND
  • Miech R, Johnston L, O'Malley PM, Bachman JG, Patrick ME. Trends in Adolescent Vaping, 2017-2019. N Engl J Med. 2019 Oct 10;381(15):1490-1491. doi: 10.1056/NEJMc1910739. Epub 2019 Sep 18. No abstract available.

    PMID: 31532955BACKGROUND
  • Kechter A, Cho J, Miech RA, Barrington-Trimis JL, Leventhal AM. Nicotine dependence symptoms in U.S. youth who use JUUL E-cigarettes. Drug Alcohol Depend. 2021 Oct 1;227:108941. doi: 10.1016/j.drugalcdep.2021.108941. Epub 2021 Aug 4.

    PMID: 34416679BACKGROUND
  • Vogel EA, Prochaska JJ, Ramo DE, Andres J, Rubinstein ML. Adolescents' E-Cigarette Use: Increases in Frequency, Dependence, and Nicotine Exposure Over 12 Months. J Adolesc Health. 2019 Jun;64(6):770-775. doi: 10.1016/j.jadohealth.2019.02.019.

    PMID: 31122507BACKGROUND
  • Berry KM, Fetterman JL, Benjamin EJ, Bhatnagar A, Barrington-Trimis JL, Leventhal AM, Stokes A. Association of Electronic Cigarette Use With Subsequent Initiation of Tobacco Cigarettes in US Youths. JAMA Netw Open. 2019 Feb 1;2(2):e187794. doi: 10.1001/jamanetworkopen.2018.7794.

    PMID: 30707232BACKGROUND
  • Asdigian NL, Riggs NR, Valverde PA, Crane LA. Reducing Youth Vaping: A Pilot Test of the Peer-Led "Youth Engaged Strategies for Changing Adolescent Norms!" (YES-CAN!) Program. Health Promot Pract. 2023 Sep;24(5):956-962. doi: 10.1177/15248399221100793. Epub 2022 Jun 9.

    PMID: 35678642BACKGROUND
  • Tobacco prevention tool kit. Stanford Medicine Tobacco Prevention Tool Kit website. https://med.stanford.edu/tobaccopreventiontoolkit.html. Accessed January 7, 2023.

    BACKGROUND
  • National Youth Tobacco Survey. https://www.cdc.gov/tobacco/data_statistics/surveys/nyts/index.htm. 2022. Accessed March 5, 2023.

    BACKGROUND
  • Monitoring the Future Survey. https://nida.nih.gov/research-topics/trends-statistics/monitoring-future. 2021. Accessed March 5, 2023.

    BACKGROUND
  • Youth Risk Behavior Survey. https://www.cdc.gov/healthyyouth/data/yrbs/index.htm 2020. Accessed March 5, 2023.

    BACKGROUND
  • Population Assessment of Tobacco and Health Study (PATH, youth interview). https://pathstudyinfo.nih.gov/. 2022. Accessed March 5, 2023.

    BACKGROUND
  • Gorukanti A, Delucchi K, Ling P, Fisher-Travis R, Halpern-Felsher B. Adolescents' attitudes towards e-cigarette ingredients, safety, addictive properties, social norms, and regulation. Prev Med. 2017 Jan;94:65-71. doi: 10.1016/j.ypmed.2016.10.019. Epub 2016 Oct 20.

    PMID: 27773711BACKGROUND
  • Farrelly MC, Duke JC, Crankshaw EC, Eggers ME, Lee YO, Nonnemaker JM, Kim AE, Porter L. A Randomized Trial of the Effect of E-cigarette TV Advertisements on Intentions to Use E-cigarettes. Am J Prev Med. 2015 Nov;49(5):686-693. doi: 10.1016/j.amepre.2015.05.010. Epub 2015 Jul 7.

    PMID: 26163170BACKGROUND
  • Spoth R, Guyll M, Trudeau L, Goldberg-Lillehoj C. Two studies of proximal outcomes and implementation quality of universal preventive interventions in a community-university collaboration context. J Community Psychol. 2002;30(5), 499-518. https://doi.org/10.1002/jcop.10021

    BACKGROUND
  • Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983 Dec;24(4):385-96. No abstract available.

    PMID: 6668417BACKGROUND
  • Peterson NA, Lowe JB, Hughey J, Reid RJ, Zimmerman MA, Speer PW. Measuring the intrapersonal component of psychological empowerment: confirmatory factor analysis of the sociopolitical control scale. Am J Community Psychol. 2006 Dec;38(3-4):287-97. doi: 10.1007/s10464-006-9070-3.

    PMID: 16977501BACKGROUND
  • Ozer EJ, Schotland M. Psychological empowerment among urban youth: measure development and relationship to psychosocial functioning. Health Educ Behav. 2011 Aug;38(4):348-56. doi: 10.1177/1090198110373734. Epub 2011 May 23.

    PMID: 21606379BACKGROUND
  • Melchior A. Center for youth and communities: Earth Force evaluation instrument. Unpublished document. 2011.

    BACKGROUND
  • Furlong MJ, O'Brennan LM, You S. Psychometric properties of the ADD HEALTH school connectedness scale for 18 sociocultural groups. Psychol Schools. 2011;48(10):986-997. https://doi.org/10.1002/pits.20609

    BACKGROUND
  • Greene K, Yanovitzky I, Carpenter A, Banerjee SC, Magsamen-Conrad K, Hecht ML, Elek E. A Theory-Grounded Measure of Adolescents' Response to a Media Literacy Intervention. J Media Lit Educ. 2015;7(2):35-49.

    PMID: 28042522BACKGROUND
  • IBM Corp. Released 2021. IBM SPSS Statistics for Windows, Version 28.0. Armonk, NY: IBM Corp.

    BACKGROUND
  • SAS/STAT software, v. 9.4 of the SAS System for Windows. Copyright © 2014 SAS Institute Inc. Cary, NC, USA.

    BACKGROUND
  • Muthén LK, Muthén BO. (1998-2017). Mplus User's Guide. Eighth Edition. Los Angeles, CA: Muthén & Muthén.

    BACKGROUND

MeSH Terms

Conditions

Vaping

Condition Hierarchy (Ancestors)

SmokingBehavior

Study Officials

  • Lori A Crane, PhD, MPH

    University of Colorado, Denver

    PRINCIPAL INVESTIGATOR
  • Nancy L Asdigian, PhD

    University of Colorado, Denver

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Lori A Crane, PhD, MPH

CONTACT

Nancy L Asdigian, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
PREVENTION
Intervention Model
SINGLE GROUP
Model Details: A credit-earning high school course that includes curriculum related to vaping, health risk communication, and video production will be established and approximately 25-30 10th through 12th grade students will be enrolled. High school students will produce 6-8 short videos intended to increase refusal skills; promote stress management and positive coping; change social norms; prevent vaping initiation; and promote vaping cessation among middle school students. Videos will use a narrative approach and integrate known determinants of vaping. High school students will collaborate with the teacher and researchers to develop discussion guides and skills-building activities based on best practices for substance use prevention. High school students will deliver their videos, along with discussion and supportive activities, to all students in the associated middle school. A text message campaign will reinforce and boost the effectiveness of the classroom sessions
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 29, 2025

First Posted

June 6, 2025

Study Start

August 15, 2024

Primary Completion (Estimated)

October 30, 2026

Study Completion (Estimated)

October 30, 2026

Last Updated

July 15, 2025

Record last verified: 2025-07

Data Sharing

IPD Sharing
Will share

Survey data will be fully de-identified, preserved and shared. Scientific data will be made available in CSV format that can be processed in a variety of statistical software packages. To facilitate data use, the study will use standard processing and documentation protocols adopted by the Inter-university Consortium for Political and Social Research (ICPSR) for data formats and dictionaries as well as for variable names, descriptions, and labels. Variable descriptions include a brief explanation of the questionnaire item content or of the constructed measure. Value labels tie individual numeric response codes to descriptive responses from the questionnaire. Public use study data and associated documentation will be made available to the research community free of charge through the Data Sharing for Demographic Research (DSDR) data repository hosted at ICPSR. Datasets in DSDR will be findable and identifiable through a study digital object identifier (DOI) minted by ICPSR.

Shared Documents
STUDY PROTOCOL
Time Frame
Final submission and release of the study data will occur no later than time of an associated publication or end of the performance period, whichever comes first. Study data deposited in DSDR will be available to the research community in perpetuity. All deidentified study data will be made available as public use data to the research community via DSDR.
Access Criteria
Users of the public use data must register with ICPSR and agree to the Terms of Use, which are designed to protect study participants by limiting data use to scientific research and aggregate statistical reporting, prohibiting attempts to identify study participants, and requiring immediate reporting of any disclosure of study participant identity. Data users also agree not to share or redistribute any data downloads.

Locations