Catch ING THE ESSENTIALS CATCH MY BREATH Megan

Catch. ING THE ESSENTIALS: CATCH MY BREATH Megan Grayless Regional Coordinator Conference 11 -16 -16

CATCH My Breath: Phase 1 Nov-March 2016 • Conducted literature review and developed program • Feedback from 15 middle school teachers and tobacco educators • Revise: – Cut lesson length – Streamline instructions – Add Power. Point classroom slides – Entire program accessible on-line

CATCH My Breath: Phase 2 Pilot Study (May 2016) • Feasibility Pilot Study: May • Data Analysis: June & July – Teacher Feedback Survey – Student Pre-Post Survey • Made revisions based on teacher feedback: July-August – Streamline instructions and lesson plans – Age up for 8 th grade – Strengthen home messaging • Media launch in August

Goal & Outcomes • GOAL: To prevent the initiation of ECigarette use among pre-teen and teen adolescents. • The intended outcomes are to ensure that students will: – Resist their own curiosity and peer pressure to experiment with E-Cigarettes. – Understand that E-Cigarettes are addictive, unhealthy and not as popular as they think. – Influence friends and peers not to use ECigarettes.

Background • CATCH My Breath is best practice based and designed for students in grades 6 through 8. • Based on Social Cognitive Theory. • Curriculum focuses on: – Disrupting the norm held by youth that everybody (or many people) smokes E-Cigarettes, – Developing skills to resist peer pressure to use ECigarettes, – Understanding how advertising is designed to undermine credible health information and to create favorable attitudes and beliefs about E-Cigarettes.

Curriculum Organization • Divided into 6 sessions lasting about 30 minutes each. • Variety of educational strategies used, including: cooperative learning groups, group discussions, goal setting, interviews, and analyzing mass media. • Designed to be taught by teachers, tobacco educators, counselors or nurses. – Includes active student-centered learning led by peer group facilitators. – The curriculum can be taught in various subjects to include: science, health, physical education and advisory/homeroom.

Curriculum Organization • Sessions include everything you need to teach a lesson. They are: – User friendly & flexible – Includes PPTs (with notes) to guide your implementation of each lesson – Aligned with National Academic Standards and Texas Essential Knowledge & Skills

Teacher 211 • Additional resources provided after every session. • Video-based education links included for teachers, colleagues & friends. • Link provided for Glossary of Terms related to ECigarettes due to expanding industry. • Please feel free to contact the developers of CATCH My Breath by visiting the CATCH Global Foundation website (www. CATCHinfo. org) – Let us know about your experiences with the program!

Why Use Peer Facilitators • Peers nominated by their classmates are credible role models. The information they deliver is more likely to be believed and internalized. • Peers create new anti-smoking norms; norms that will persist outside the classroom. • Peer delivered information is less intimidating because peers use local language, behaviors, and culture. • Peer facilitators gain experience as a positive role model. • Peer-facilitated programs are easier for teachers to implement, plus students say they like peer-facilitated programs better.

Scope & Sequence • SESSION 0 - Elect 4 -5 peer group facilitators from each class. - One week before the first session, train the peer group facilitators. • SESSION 1 - Describe the health hazards associated with E-cigarette use. - Identify negative consequences of E-cigarette use. • SESSION 2 - Review the harmful consequences of E-cigarette use. Identify reasons why kids their age begin using E-cigarettes. Identify positive alternatives to using E-cigarettes. Identify the percentage of E-cigarette users in high school and middle school and describe non-smokers as the norm.

Scope & Sequence (continued) • SESSION 3 – Describe what parents or adults think about E-cigarettes. – Identify the amount of money the tobacco and E-cigarette industry spends on advertising its products. – Identify the covert methods that the tobacco and E-Cigarette industry uses to attract new users. – Develop an advertising idea that promotes the benefits of being E-Cigarette free. • SESSION 4 – Review covert methods that the E-Cigarette industry uses to attract new users. – Identify situations and places that may be high-risk for being offered an Ecigarette. – Continue working on the development of an advertising idea that promotes the benefits of being E-cigarette-free.

Scope & Sequence (continued) • SESSION 5 – Analyze a situation in which they or their peers are pressured to use Ecigarettes. – Identify ways in which they can deal with peer pressure without using Ecigarettes. – Develop nonviolent strategies they can use to refuse E-cigarettes – Demonstrate their new E-cigarette refusal skills and strategies. • SESSION 6 – Review non-violent strategies they can use to refuse E-cigarettes. – Review effective ways to resist peer pressure to use E-cigarettes. – Present an advertising idea that promotes the benefits of being E-cigarettefree. – State in front of their classmates their decision not to use E-cigarettes.

Evaluation Tools • Student Pre-Post Survey: – Includes questions about students’ knowledge, attitudes and possible experience with E-Cigarettes. • Teacher Survey: – Aim is to assess teachers’ opinion of the CATCH My Breath Program including its proposed applicability, compatibility, and effectiveness. – To be filled out after implementing the CATCH My Breath sessions and should take approximately 10 minutes to complete.

Pilot Data Findings

Pilot Study • 26 schools taught CATCH My Breath in at least 1 classroom during May 2016 • Reached approximately 2, 255 6 -8 th grade students • 15 schools (across 5 states – IL, TX, AR, TN & OK) administered pre-post student surveys • Most of these schools finished the lessons in 1 -2 weeks • 28 teachers completed feedback surveys

Teacher Feedback • 91% agreed that the lessons are culturally appropriate. • 91% felt confident in their ability to teach the CATCH My Breath lessons. • 86% agreed that the additional teacher resources provided sufficient background information to teach the lessons. • 73% agreed that the peer leadership component of the curriculum was successful. • 68% agreed that their students liked the CATCH My Breath lessons.

Student Sample (n) Time 1 Time 2 1, 704 1, 371 Grade 6 th 7 th 8 th 567 (33. 3%) 580 (34. 0%) 557 (32. 7%) 515 (37. 6%)* 425 (31. 0%) 431 (31. 4%) Gender Male Female 868 (51. 3%) 825 (48. 7%) 666 (48. 9%) 695 (51. 1%) 1, 110 (65. 9%) 418 (24. 8%) 43 (2. 6%) 113 (6. 7%) 883 (64. 9%) 324 (23. 8%) 50 (3. 7%) 104 (7. 6%) Race & Ethnicity Hispanic Non-Hispanic White Non-Hispanic Black Other *p < 0. 05

Student Feedback • 86% agreed (59% strongly) that they are less likely to use ecigarettes as a result of participating in the CATCH My Breath program. • 82% agreed (50% strongly) that they will look at e-cigarette advertising differently from now on. • 86% agreed (54% strongly) that CATCH My Breath increased what they know about e-cigarette use. • 70% agreed (37% strongly) that they discussed what they learned from CATCH My Breath with friends or family.

CATCH My Breath: Phase 3 • Identify “early adopter” schools and communities with agency funders – Program cost: $25/school per year • Prepare NIH RO 1 Group randomized trial grant – Develop empirical evidence base • Applied for and received a St. David’s Foundation Opportunity Grant – Provide CATCH My Breath at no cost for the 2016 -2017 & 2017 -2018 school year to: • schools serving 6 th, 7 th or 8 th grade in the following counties: Bastrop, Caldwell, Hays, Travis, & Williamson

Digital CATCH • All teacher materials and evaluation tools can be found within the CATCH My Breath Lesson Pack available at: www. digitalcatch. org

Thank you for your interest in the CATCH My Breath Youth E-Cigarette Prevention Program! Megan Grayless: CATCH My Breath Program Manager allison. m. conklin@uth. tmc. edu Lindsay Edgar: Community Consultant ledgar@catchglobalfoundation. org