ArticleTobacco induced diseases2025
Exploring effective characteristics of e-cigarette prevention videos among Chinese adolescents: A qualitative focus group study.
Article in Tobacco induced diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionThe rapid proliferation of electronic cigarettes (e-cigarettes) among adolescents represents a significant public health challenge globally. This qualitative study explored adolescents' perspectives on effective characteristics of e-cigarette prevention videos to inform evidence-based prevention strategies.
methodsWe conducted four focus groups with 40 middle-school students aged 13-15 years in 2021 in Beijing and Kunming, China. Using purposive sampling, we selected participants (n=40) from schools in cities with contrasting tobacco control environments. After viewing four international e-cigarette prevention videos varying in style and content, participants discussed perceived effective and ineffective characteristics. We employed Braun and Clarke's six-phase reflexive thematic analysis approach, using NVivo 12 for data management.
resultsThematic analysis identified two main domains: effective and ineffective video characteristics. Effective features included authentic case studies demonstrating real consequences, specific health hazards with visual impact, disclosure of harmful chemical components, and appropriately disturbing imagery that created emotional response. Fear appeals and emotional narratives proved particularly impactful when combined with concrete information. Ineffective characteristics included animation formats, overly complex or vague information, didactic expert testimonials, and excessive video length (>2 minutes). Participants recommended that future videos incorporate real-life cases, specific health consequences, moderate fear appeals, and concise messaging within 1-3 minutes.
conclusionsChinese adolescents respond most effectively to prevention videos featuring authentic narratives and specific health consequences rather than animated or didactic content. The preference for fear appeals combined with factual information suggests that emotionally engaging yet informative content may optimize prevention effectiveness. These findings provide evidence for developing culturally appropriate e-cigarette prevention video development for Chinese youth, particularly given ongoing challenges in policy enforcement and youth access to e-cigarettes.
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