ArticleNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco2025
Decoding Vaping: Empowering Youth Through Media Literacy Based E-cigarette Educational Program.
Article in Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- A co-creation approach to selecting and adapting adolescent tobacco and air-pollution interventions and strategies for implementation in diverse countries: insights from FRESHAIR4Life.Implementation science communications · 2026Article
- Nicotine pouches: an aid in smoking cessation, or a new public health hazard?Internal and emergency medicine · 2026Review
- Adolescent E-cigarette use, social media exposure and socioeconomic inequality - results from a german school-based survey.Preventive medicine reports · 2026Article
- Strengthening Adolescent E-CIGARETTE Prevention Through Digital Literacy and Responsible Artificial Intelligence.Tobacco use insights · 2026Article
- The Impact of Health Warnings in e-Cigarette Content on Instagram on Adults' e-Cigarette Cognitions: Online Between-Subjects Experiment Study.Journal of medical Internet research · 2025Article
- Enhancing Text Message Support With Media Literacy and Financial Incentives for Vaping Cessation in Young Adults: Protocol for a Pilot Randomized Controlled Trial.JMIR research protocols · 2025Article
- Developing a media literacy-based e-cigarette education program via medical record systems.Tobacco prevention & cessation · 2025Article
- The trade of illicit cigarettes in Ghana: Insights from a policy synthesis and qualitative study.Tobacco prevention & cessation · 2025Article
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Authors and funding
4 authors.
Funding
Abstract
introductionThe 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. AIMS AND
methodsIn 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 (ie, 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.
resultsA 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 < .0001; vMM, FC = 143%, p < .0001; vRR, FC = 133%, p = .0007). The intervention was associated with a reduction of vaping susceptibility (adjusted odds ratio [AOR] = 0.7, p = .04) and improvement in harm perception (AOR = 1.6, p = .009), knowledge of flavored e-cigarettes (AOR = 4.4, p < .0001) and Tobacco 21 policy (AOR = 6.2, p < .0001). Further mediation analysis unveiled the pathway of the intervention on reduction of vaping susceptibility through media literacy (βindirect = -0.03, p = .003) and harm perception enhancement (βindirect = -0.02, p = .03).
conclusionsThe 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.
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