ArticleBMC public health2022
Employing the theory of planned behaviour to design an e-cigarette education resource for use in secondary schools.
Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Predictors of vaping intention among adolescents: a systematic review.BMC public health · 2025Pooled it
- Vaping Endgame: cultural approaches and preliminary findings of an adapted vaping pilot intervention for American Indian youth.Translational behavioral medicine · 2026Article
- Social media exposure, school prevention, and adolescent vaping: a structural equation model-based secondary analysis of the Florida youth tobacco survey.Frontiers in public health · 2026Article
- Psychometric evaluation of the e-cigarette knowledge, attitude, and practice questionnaire among young students: a structural equation modeling approach.Frontiers in public health · 2026Article
- Exploring youth vaping in New Zealand intermediate and high schools: a mixed-methods study protocol.BMC public health · 2025Article
- Demographics and psychosocial determinants of quit intention among oral smokeless tobacco users: an analytical cross-sectional study in Saudi Arabia.BMC public health · 2025Article
- Vaping Education: A Two-Year Study Examining Health Literacy and Behaviors in a Southeastern State.International journal of environmental research and public health · 2025Article
- Vaping leads tobacco consumption among university students in Arab countries: a study of behavioral and psychosocial factors associated with smoking.Frontiers in public health · 2025Article
- Electronic Cigarette Perception in Baltimore High Schools.Open journal of psychology · 2025Article
- E-cigarette use and health information needs among a university student population in Melbourne, Australia.Frontiers in public health · 2025Article
- Vaping Among Adolescents: An Overview of E-Cigarette Use in Middle and High School Students in India.Cureus · 2023Review
- Prevalence, knowledge and factors associated with e-cigarette use among parents of secondary school children.Public health in practice (Oxford, England) · 2022Article
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Authors and funding
8 authors.
Funding
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Abstract
backgroundAn extended version of the theory of planned behaviour (TPB) was used to inform the design of a framework for an educational resource around e-cigarette use in young people.
methodsA sequential exploratory design was employed. In Phase 1, elicited behavioural, normative and control beliefs, via 7 focus groups with 51 participants, aged 11-16 years, identified salient beliefs around e-cigarette use. These were used to construct a questionnaire administered to 1511 young people aged 11-16 years, which determined predictors of e-cigarette use and ever use. In Phase 2, sociodemographic variables, e-cigarette knowledge, access, use, marketing and purchasing of e-cigarettes and smoking behaviour were also gathered. The composite findings from Phase 1 and 2 informed the design of a post primary educational resource in Phase 3 around e-cigarette use.
resultsCurrent e-cigarette use was 4%, with almost 23% reporting ever use, suggesting current use is stable but experimentation may be increasing in this cohort. Sociodemographic variables, knowledge of e-cigarettes, smoking behaviour and TPB variables (direct and indirect measures of attitudes, subjective norm, and perceived behavioural control) accounted for 17% of the variance in current e-cigarette use, with higher intentions to use e-cigarettes within the next month, having the strongest impact on use (p < 0.001), followed by self-efficacy (p = 0.016). Sociodemographic and TPB variables accounted for 65% of the variance in intentions to use e-cigarettes in the next month; current e-cigarette use (p < 0.001), more positive attitudes (p < 0.001), stronger social influence (p < 0.001), higher self-efficacy (p < 0.001), higher control beliefs (p < 0.001) and greater motivation to use e-cigarettes (p < 0.001) were the main predictors of intentions. Phases 1 and 2 informed the mapping of key predictors of intentions and use of e-cigarettes onto the Theoretical Domains Framework, which identified appropriate intervention functions and behaviour change techniques.
conclusionsThis paper is the first to bridge the theoretical-practice gap in an area of significant public health importance through the development of a framework for a novel theory driven school-based educational resource aimed at reducing experimentation and uptake of e-cigarette use in young people.
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