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Impact of E-Cigarette Prevention Messages on Adolescents

Impact of E-Cigarette Prevention Messages on Adolescents

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05985538
Enrollment
480
Registered
2023-08-14
Start date
2024-02-05
Completion date
2024-08-12
Last updated
2025-08-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Vaping Behavior

Keywords

Health communication, Tobacco use, vaping prevention

Brief summary

The purpose of this trial is to determine whether a vaping prevention text message program reduces susceptibility to vaping among adolescents and young adults. This study addresses this issue by exposing participants to a vaping prevention text message program over a 28-day period in a randomized controlled trial with a matched attention control condition. A follow-up assessment is also made 4 weeks after the text messaging ends.

Detailed description

Tobacco prevention communication is a key tool for reducing tobacco use among adolescents and young adults. While the use of e-cigarettes and vaping has increased greatly among adolescents and young adults, there has been a dearth of research on effective communication strategies to reduce vaping. This study will test the impact of a text-messaging program on reducing susceptibility to vaping in a randomized controlled trial, illuminating whether such programs can be effective. The investigators focus on adolescents and young adults (ages 13-20) who currently vape or who are at risk of vaping. Participants will be randomly assigned to receive either a vaping prevention text message program or a wellness text message program (control). Participants in the study will take 4 online surveys over an 8-week period - at Visit 1 (baseline), Visit 2 (2 weeks), Visit 3 (4 weeks), and Visit 4 (8 weeks).

Interventions

BEHAVIORALVaping prevention text messages

Participants will receive text messages (2 daily, on average) about the harms of e-cigarette use and vaping for 28 days, with introductory messages sent on day 1 and concluding messages sent on day 28. Each vaping prevention text message will focus on one of six topics: nicotine addiction, monetary costs of vaping, chemical exposures from e-cigarette vapor, cosmetic effects of vaping, mental and physical use symptoms of vaping, and health impact on organs from vaping. Some text messages will ask participants for a reply (i.e., two-way messages).

BEHAVIORALWellness behaviors text messages

Participants will receive text messages (2 daily, on average) about general wellness topics, with introductory messages sent on day 1 and concluding messages sent on day 28. Each wellness text message will focus on one of six topics: sleep hygiene, safe driving, sun safety, study habits, nutrition, and exercise. This attention control condition is matched with the intervention condition in that participants will receive the same number of text messages over the same number of days, the same intervention structure (e.g., 6 topics), and the same number and types of two-way messages.

Sponsors

National Institute on Drug Abuse (NIDA)
CollaboratorNIH
Food and Drug Administration (FDA)
CollaboratorFED
UNC Lineberger Comprehensive Cancer Center
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
13 Years to 20 Years
Healthy volunteers
Yes

Inclusion criteria

* Ages 13-20 years old (inclusive) * Have a phone that sends and receives text messages * Ever vaped or are susceptible to using e-cigarettes or vaping

Exclusion criteria

* None

Design outcomes

Primary

MeasureTime frameDescription
Mean Susceptibility to Vaping ScoreVisit 3 (4 weeks)The mean susceptibility to vaping score will be assessed using the questionnaire. Response options are on a 1 to 4 scale. Overall scale scores are determined by summing scores of the 3 items and dividing them by 3 (range 1-4), with higher scores representing a greater susceptibility to vaping (a worse outcome).

Secondary

MeasureTime frameDescription
Mean Vaping Affective Attitudes ScoreVisit 3 (4 weeks).The mean vaping affective attitudes score will be assessed using the questionnaire. Response options are on a 1 to 5 scale. Overall scale scores are determined by summing scores of the 3 items and dividing them by 3 (range 1-5), with higher scores representing a belief that vaping is more enjoyable, pleasant, and fun.
Mean Vaping Addiction Risk Beliefs ScoreVisit 3 (4 weeks)The mean vaping addiction risk beliefs score will be assessed using the questionnaire. Response options are on a 1 to 5 scale. Overall scale scores are determined by summing scores of the 3 items and dividing them by 3 (range 1-5), with higher scores representing more tendency to addiction.
Mean Vaping Monetary Cost Beliefs ScoreVisit 3 (4 weeks)The mean vaping monetary cost beliefs score will be assessed using the questionnaire. Response options are on a 1 to 5 scale. Overall scale scores are determined by summing scores of the 3 items and dividing them by 3 (range 1-5), with higher scores represents participants' believes that vaping is a costly activity.
Mean Vaping Chemical Risk Beliefs ScoreVisit 3 (4 weeks)The mean vaping chemical risk beliefs score will be assessed using the questionnaire. Response options are on a 1 to 5 scale. Overall scale scores are determined by summing scores of the 3 items and dividing them by 3 (range 1-5), with higher scores representing participant's believes that e-cigarette vapor contains chemicals that pose health risks.
Mean Vaping Cosmetic Risk Beliefs ScoreVisit 3 (4 weeks)The mean vaping cosmetic risk beliefs score will be assessed using the questionnaire. Response options are on a 1 to 5 scale. Overall scale scores are determined by summing scores of the 3 items and dividing them by 3 (range 1-5), with higher scores representing participant belief that use will harm their cosmetic appearance.
Mean Vaping Health Symptoms Beliefs ScoreVisit 3 (4 weeks)The mean vaping physical symptoms of use beliefs score will be assessed using the questionnaire. Response options are on a 1 to 5 scale. Overall scale scores are determined by summing scores of the 3 items and dividing them by 3 (range 1-5), with higher scores represent participant believes that e-cigarette use will cause certain physical symptoms.
Mean Vaping Mental Health Symptoms of Use Beliefs ScoreVisit 3 (4 weeks)The mean vaping mental health symptoms of use beliefs score will be assessed using the questionnaire. Response options are on a 1 to 5 scale. Overall scale scores are determined by summing scores of the 3 items and dividing them by 3 (range 1-5), with higher scores represent participant believes that e-cigarette use will cause or worsen mental health symptoms.
Mean Vaping Health Organ Risk Beliefs ScoreVisit 3 (4 weeks)The mean vaping health organ risk beliefs score will be assessed using the questionnaire. Response options are on a 1 to 5 scale. Overall scale scores are determined by summing scores of the 3 items and dividing them by 3 (range 1-5), with higher scores representing participant believes that e-cigarette use will harm the health of certain organs.
Mean Susceptibility to Smoking Cigarettes ScoreVisit 3 (4 weeks)The mean susceptibility to smoking cigarettes score will be assessed using the questionnaire. Response options are on a 1 to 5 scale. Overall scale scores are determined by summing scores of the 3 items and dividing them by 3 (range 1-5), with higher scores represent participant more open to smoking.
Mean Vaping Instrumental Attitudes ScoreVisit 3 (4 weeks)The mean vaping instrumental attitudes score will be assessed using the questionnaire. Response options are on a 1 to 5 scale. Overall scale scores are determined by summing scores of the 3 items and dividing them by 3 (range 1-5), with higher scores representing a belief that vaping is more beneficial, safe and healthy.
Mean Smoking Affective Attitude ScoreVisit 3 (4 weeks)The 1-item mean smoking affective attitude measure assesses a participant's attitude toward smoking (unenjoyable/enjoyable). Response options are on a 1 to 5 scale, with higher scores representing a more enjoyable attitude toward smoking.
Mean Smoking Addiction Risk Belief ScoreVisit 3 (4 weeks)The 1-item mean smoking addiction risk belief measure assesses the extent to which a participant believes that smoking will lead to addiction. Response options are on a 1 to 5 scale, with higher scores representing beliefs that smoking will lead to addiction.
Mean Smoking Health Harm Risk Belief ScoreVisit 3 (4 weeks)The 1-item mean smoking health harm risk belief measure assesses the extent to which a participant believes that smoking will lead to health harm. Response options are on a 1 to 5 scale, with higher scores representing higher beliefs that smoking will cause to health harm.
Mean Vaping Injunctive Norms ScoreVisit 3 (4 weeks)The 3-item mean vaping injunctive norms scale assesses a participant's perception of others' approval or disapproval of their vaping behavior. Response options are on a 1 to 5 scale. Overall scores are determined by summing the scores of the 3 items and dividing them by 3 (range 1-5), with higher scores representing a participant's perception of others' approval about vaping.
Mean Vaping Refusal Self-efficacy ScoreVisit 3 (4 weeks)The 3-item mean vaping refusal self-efficacy scale assesses a participant's confidence that they could refuse to vape in a social situation. Response options are on a 1 to 5 scale. Overall scores are determined by summing the scores of the 3 items and dividing them by 3 (range 1-5), with higher scores representing a higher amount of refuse to vape in a social situation.
Frequency of VapingVisit 3 (4 weeks)Participants will be asked the number of days they vaped over the past 30 days, with higher scores indicating more days vaped.
Frequency of Cigarette SmokingVisit 3 (4 weeks)Participants will be asked the number of days they smoked cigarettes over the past 30 days, with higher scores indicating more days smoked.
Frequency of Using Other Tobacco ProductsVisit 3 (4 weeks)Participants will be asked if they used other tobacco products (OTP) over the past 30 days. OTP use will be determined as follows: no use = person who doesn't use OTPs; used = person who uses OTPs; no response = person who skipped or refused to answer
Mean Smoking Instrumental Attitude ScoreVisit 3 (4 weeks)The 1-item mean smoking instrumental attitude measure assesses a participant's attitude toward smoking. Response options are on a 1 to 5 scale, with higher scores representing a more harmful perception of smoking.

Countries

United States

Participant flow

Participants by arm

ArmCount
Vaping Prevention Text Messages
Participants will receive text messages (2 daily, on average) about the harms of e-cigarette use and vaping for 28 days, with introductory messages sent on day 1 and concluding messages sent on day 28. Vaping prevention text messages: Participants will receive text messages (2 daily, on average) about the harms of e-cigarette use and vaping for 28 days, with introductory messages sent on day 1 and concluding messages sent on day 28. Each vaping prevention text message will focus on one of six topics: nicotine addiction, monetary costs of vaping, chemical exposures from e-cigarette vapor, cosmetic effects of vaping, mental and physical use symptoms of vaping, and health impact on organs from vaping. Some text messages will ask participants for a reply (i.e., two-way messages).
239
Wellness Behavior Text Messages
Participants will receive text messages (2 daily, on average) about general wellness topics, with introductory messages sent on day 1 and concluding messages sent on day 28. Wellness behaviors text messages: Participants will receive text messages (2 daily, on average) about general wellness topics, with introductory messages sent on day 1 and concluding messages sent on day 28. Each wellness text message will focus on one of six topics: sleep hygiene, safe driving, sun safety, study habits, nutrition, and exercise. This attention control condition is matched with the intervention condition in that participants will receive the same number of text messages over the same number of days, the same intervention structure (e.g., 6 topics), and the same number and types of two-way messages.
241
Total480

Baseline characteristics

CharacteristicVaping Prevention Text MessagesWellness Behavior Text MessagesTotal
Age, Categorical
<=18 years
161 Participants133 Participants294 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
78 Participants108 Participants186 Participants
Age, Continuous17.59 years
STANDARD_DEVIATION 1.75
17.76 years
STANDARD_DEVIATION 1.99
17.68 years
STANDARD_DEVIATION 1.88
Mean Susceptibility to Vaping Score2.10 units on a scale
STANDARD_DEVIATION 0.96
2.13 units on a scale
STANDARD_DEVIATION 0.89
2.11 units on a scale
STANDARD_DEVIATION 0.92
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants1 Participants2 Participants
Race (NIH/OMB)
Asian
9 Participants10 Participants19 Participants
Race (NIH/OMB)
Black or African American
51 Participants44 Participants95 Participants
Race (NIH/OMB)
More than one race
20 Participants23 Participants43 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
12 Participants14 Participants26 Participants
Race (NIH/OMB)
White
146 Participants149 Participants295 Participants
Region of Enrollment
United States
239 participants241 participants480 participants
Sex: Female, Male
Female
130 Participants123 Participants253 Participants
Sex: Female, Male
Male
99 Participants102 Participants201 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 00 / 0
other
Total, other adverse events
0 / 00 / 0
serious
Total, serious adverse events
0 / 00 / 0

Outcome results

Primary

Mean Susceptibility to Vaping Score

The mean susceptibility to vaping score will be assessed using the questionnaire. Response options are on a 1 to 4 scale. Overall scale scores are determined by summing scores of the 3 items and dividing them by 3 (range 1-4), with higher scores representing a greater susceptibility to vaping (a worse outcome).

Time frame: Visit 3 (4 weeks)

ArmMeasureValue (MEAN)Dispersion
Vaping Prevention Text MessagesMean Susceptibility to Vaping Score1.91 score on a scaleStandard Deviation 1.01
Wellness Behavior Text MessagesMean Susceptibility to Vaping Score1.82 score on a scaleStandard Deviation 0.88
Secondary

Frequency of Cigarette Smoking

Participants will be asked the number of days they smoked cigarettes over the past 30 days, with higher scores indicating more days smoked.

Time frame: Visit 3 (4 weeks)

ArmMeasureValue (MEAN)Dispersion
Vaping Prevention Text MessagesFrequency of Cigarette Smoking4.02 daysStandard Deviation 16.86
Wellness Behavior Text MessagesFrequency of Cigarette Smoking4.23 daysStandard Deviation 17.58
Secondary

Frequency of Using Other Tobacco Products

Participants will be asked if they used other tobacco products (OTP) over the past 30 days. OTP use will be determined as follows: no use = person who doesn't use OTPs; used = person who uses OTPs; no response = person who skipped or refused to answer

Time frame: Visit 3 (4 weeks)

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Vaping Prevention Text MessagesFrequency of Using Other Tobacco ProductsUsed160 Participants
Vaping Prevention Text MessagesFrequency of Using Other Tobacco ProductsNo response8 Participants
Vaping Prevention Text MessagesFrequency of Using Other Tobacco ProductsNo use71 Participants
Wellness Behavior Text MessagesFrequency of Using Other Tobacco ProductsNo use83 Participants
Wellness Behavior Text MessagesFrequency of Using Other Tobacco ProductsUsed152 Participants
Wellness Behavior Text MessagesFrequency of Using Other Tobacco ProductsNo response6 Participants
Secondary

Frequency of Vaping

Participants will be asked the number of days they vaped over the past 30 days, with higher scores indicating more days vaped.

Time frame: Visit 3 (4 weeks)

ArmMeasureValue (MEAN)Dispersion
Vaping Prevention Text MessagesFrequency of Vaping5.54 daysStandard Deviation 14.84
Wellness Behavior Text MessagesFrequency of Vaping5.80 daysStandard Deviation 16.87
Secondary

Mean Smoking Addiction Risk Belief Score

The 1-item mean smoking addiction risk belief measure assesses the extent to which a participant believes that smoking will lead to addiction. Response options are on a 1 to 5 scale, with higher scores representing beliefs that smoking will lead to addiction.

Time frame: Visit 3 (4 weeks)

ArmMeasureValue (MEAN)Dispersion
Vaping Prevention Text MessagesMean Smoking Addiction Risk Belief Score3.98 score on a scaleStandard Deviation 1.41
Wellness Behavior Text MessagesMean Smoking Addiction Risk Belief Score4.04 score on a scaleStandard Deviation 1.37
Secondary

Mean Smoking Affective Attitude Score

The 1-item mean smoking affective attitude measure assesses a participant's attitude toward smoking (unenjoyable/enjoyable). Response options are on a 1 to 5 scale, with higher scores representing a more enjoyable attitude toward smoking.

Time frame: Visit 3 (4 weeks)

ArmMeasureValue (MEAN)Dispersion
Vaping Prevention Text MessagesMean Smoking Affective Attitude Score2.01 score on a scaleStandard Deviation 1.24
Wellness Behavior Text MessagesMean Smoking Affective Attitude Score1.85 score on a scaleStandard Deviation 1.14
Secondary

Mean Smoking Health Harm Risk Belief Score

The 1-item mean smoking health harm risk belief measure assesses the extent to which a participant believes that smoking will lead to health harm. Response options are on a 1 to 5 scale, with higher scores representing higher beliefs that smoking will cause to health harm.

Time frame: Visit 3 (4 weeks)

ArmMeasureValue (MEAN)Dispersion
Vaping Prevention Text MessagesMean Smoking Health Harm Risk Belief Score4.25 score on a scaleStandard Deviation 1.25
Wellness Behavior Text MessagesMean Smoking Health Harm Risk Belief Score4.28 score on a scaleStandard Deviation 1.26
Secondary

Mean Smoking Instrumental Attitude Score

The 1-item mean smoking instrumental attitude measure assesses a participant's attitude toward smoking. Response options are on a 1 to 5 scale, with higher scores representing a more harmful perception of smoking.

Time frame: Visit 3 (4 weeks)

ArmMeasureValue (MEAN)Dispersion
Vaping Prevention Text MessagesMean Smoking Instrumental Attitude Score1.41 score on a scaleStandard Deviation 0.85
Wellness Behavior Text MessagesMean Smoking Instrumental Attitude Score1.39 score on a scaleStandard Deviation 0.87
Secondary

Mean Susceptibility to Smoking Cigarettes Score

The mean susceptibility to smoking cigarettes score will be assessed using the questionnaire. Response options are on a 1 to 5 scale. Overall scale scores are determined by summing scores of the 3 items and dividing them by 3 (range 1-5), with higher scores represent participant more open to smoking.

Time frame: Visit 3 (4 weeks)

ArmMeasureValue (MEAN)Dispersion
Vaping Prevention Text MessagesMean Susceptibility to Smoking Cigarettes Score1.46 score on a scaleStandard Deviation 0.78
Wellness Behavior Text MessagesMean Susceptibility to Smoking Cigarettes Score1.42 score on a scaleStandard Deviation 0.7
Secondary

Mean Vaping Addiction Risk Beliefs Score

The mean vaping addiction risk beliefs score will be assessed using the questionnaire. Response options are on a 1 to 5 scale. Overall scale scores are determined by summing scores of the 3 items and dividing them by 3 (range 1-5), with higher scores representing more tendency to addiction.

Time frame: Visit 3 (4 weeks)

ArmMeasureValue (MEAN)Dispersion
Vaping Prevention Text MessagesMean Vaping Addiction Risk Beliefs Score3.70 score on a scaleStandard Deviation 1.3
Wellness Behavior Text MessagesMean Vaping Addiction Risk Beliefs Score3.28 score on a scaleStandard Deviation 1.29
Secondary

Mean Vaping Affective Attitudes Score

.The mean vaping affective attitudes score will be assessed using the questionnaire. Response options are on a 1 to 5 scale. Overall scale scores are determined by summing scores of the 3 items and dividing them by 3 (range 1-5), with higher scores representing a belief that vaping is more enjoyable, pleasant, and fun.

Time frame: Visit 3 (4 weeks)

ArmMeasureValue (MEAN)Dispersion
Vaping Prevention Text MessagesMean Vaping Affective Attitudes Score2.31 score on a scaleStandard Deviation 1.13
Wellness Behavior Text MessagesMean Vaping Affective Attitudes Score2.28 score on a scaleStandard Deviation 1.16
Secondary

Mean Vaping Chemical Risk Beliefs Score

The mean vaping chemical risk beliefs score will be assessed using the questionnaire. Response options are on a 1 to 5 scale. Overall scale scores are determined by summing scores of the 3 items and dividing them by 3 (range 1-5), with higher scores representing participant's believes that e-cigarette vapor contains chemicals that pose health risks.

Time frame: Visit 3 (4 weeks)

ArmMeasureValue (MEAN)Dispersion
Vaping Prevention Text MessagesMean Vaping Chemical Risk Beliefs Score4.16 score on a scaleStandard Deviation 1.09
Wellness Behavior Text MessagesMean Vaping Chemical Risk Beliefs Score4.04 score on a scaleStandard Deviation 1.19
Secondary

Mean Vaping Cosmetic Risk Beliefs Score

The mean vaping cosmetic risk beliefs score will be assessed using the questionnaire. Response options are on a 1 to 5 scale. Overall scale scores are determined by summing scores of the 3 items and dividing them by 3 (range 1-5), with higher scores representing participant belief that use will harm their cosmetic appearance.

Time frame: Visit 3 (4 weeks)

ArmMeasureValue (MEAN)Dispersion
Vaping Prevention Text MessagesMean Vaping Cosmetic Risk Beliefs Score3.97 score on a scaleStandard Deviation 1.09
Wellness Behavior Text MessagesMean Vaping Cosmetic Risk Beliefs Score3.63 score on a scaleStandard Deviation 1.25
Secondary

Mean Vaping Health Organ Risk Beliefs Score

The mean vaping health organ risk beliefs score will be assessed using the questionnaire. Response options are on a 1 to 5 scale. Overall scale scores are determined by summing scores of the 3 items and dividing them by 3 (range 1-5), with higher scores representing participant believes that e-cigarette use will harm the health of certain organs.

Time frame: Visit 3 (4 weeks)

ArmMeasureValue (MEAN)Dispersion
Vaping Prevention Text MessagesMean Vaping Health Organ Risk Beliefs Score4.19 score on a scaleStandard Deviation 1.04
Wellness Behavior Text MessagesMean Vaping Health Organ Risk Beliefs Score4.02 score on a scaleStandard Deviation 1.13
Secondary

Mean Vaping Health Symptoms Beliefs Score

The mean vaping physical symptoms of use beliefs score will be assessed using the questionnaire. Response options are on a 1 to 5 scale. Overall scale scores are determined by summing scores of the 3 items and dividing them by 3 (range 1-5), with higher scores represent participant believes that e-cigarette use will cause certain physical symptoms.

Time frame: Visit 3 (4 weeks)

ArmMeasureValue (MEAN)Dispersion
Vaping Prevention Text MessagesMean Vaping Health Symptoms Beliefs Score3.92 score on a scaleStandard Deviation 1.09
Wellness Behavior Text MessagesMean Vaping Health Symptoms Beliefs Score3.77 score on a scaleStandard Deviation 1.15
Secondary

Mean Vaping Injunctive Norms Score

The 3-item mean vaping injunctive norms scale assesses a participant's perception of others' approval or disapproval of their vaping behavior. Response options are on a 1 to 5 scale. Overall scores are determined by summing the scores of the 3 items and dividing them by 3 (range 1-5), with higher scores representing a participant's perception of others' approval about vaping.

Time frame: Visit 3 (4 weeks)

ArmMeasureValue (MEAN)Dispersion
Vaping Prevention Text MessagesMean Vaping Injunctive Norms Score4.37 score on a scaleStandard Deviation 0.88
Wellness Behavior Text MessagesMean Vaping Injunctive Norms Score4.31 score on a scaleStandard Deviation 1.07
Secondary

Mean Vaping Instrumental Attitudes Score

The mean vaping instrumental attitudes score will be assessed using the questionnaire. Response options are on a 1 to 5 scale. Overall scale scores are determined by summing scores of the 3 items and dividing them by 3 (range 1-5), with higher scores representing a belief that vaping is more beneficial, safe and healthy.

Time frame: Visit 3 (4 weeks)

ArmMeasureValue (MEAN)Dispersion
Vaping Prevention Text MessagesMean Vaping Instrumental Attitudes Score1.56 score on a scaleStandard Deviation 0.82
Wellness Behavior Text MessagesMean Vaping Instrumental Attitudes Score1.67 score on a scaleStandard Deviation 0.79
Secondary

Mean Vaping Mental Health Symptoms of Use Beliefs Score

The mean vaping mental health symptoms of use beliefs score will be assessed using the questionnaire. Response options are on a 1 to 5 scale. Overall scale scores are determined by summing scores of the 3 items and dividing them by 3 (range 1-5), with higher scores represent participant believes that e-cigarette use will cause or worsen mental health symptoms.

Time frame: Visit 3 (4 weeks)

ArmMeasureValue (MEAN)Dispersion
Vaping Prevention Text MessagesMean Vaping Mental Health Symptoms of Use Beliefs Score3.82 score on a scaleStandard Deviation 1.13
Wellness Behavior Text MessagesMean Vaping Mental Health Symptoms of Use Beliefs Score3.39 score on a scaleStandard Deviation 1.23
Secondary

Mean Vaping Monetary Cost Beliefs Score

The mean vaping monetary cost beliefs score will be assessed using the questionnaire. Response options are on a 1 to 5 scale. Overall scale scores are determined by summing scores of the 3 items and dividing them by 3 (range 1-5), with higher scores represents participants' believes that vaping is a costly activity.

Time frame: Visit 3 (4 weeks)

ArmMeasureValue (MEAN)Dispersion
Vaping Prevention Text MessagesMean Vaping Monetary Cost Beliefs Score3.63 score on a scaleStandard Deviation 1.5
Wellness Behavior Text MessagesMean Vaping Monetary Cost Beliefs Score3.46 score on a scaleStandard Deviation 1.51
Secondary

Mean Vaping Refusal Self-efficacy Score

The 3-item mean vaping refusal self-efficacy scale assesses a participant's confidence that they could refuse to vape in a social situation. Response options are on a 1 to 5 scale. Overall scores are determined by summing the scores of the 3 items and dividing them by 3 (range 1-5), with higher scores representing a higher amount of refuse to vape in a social situation.

Time frame: Visit 3 (4 weeks)

ArmMeasureValue (MEAN)Dispersion
Vaping Prevention Text MessagesMean Vaping Refusal Self-efficacy Score3.86 score on a scaleStandard Deviation 1.25
Wellness Behavior Text MessagesMean Vaping Refusal Self-efficacy Score3.90 score on a scaleStandard Deviation 1.24

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026