RNPilotInternational journal of addiction nursing2025

E-Cigarette Use Prevention Among Youth.

Rachel S Pierce, Lorraine M Smith, Christina K A Lubeck and 1 others

PMID 40862608

WHAT IT FOUND

A nurse-led presentation increased e-cigarette knowledge in 24 adults who work with youth, but it did not test whether this changed youth vaping.

Adults most commonly missed that e-cigarettes produce aerosol, not vapor, and that one pod holds nicotine equal to two packs of cigarettes.

Key findings

01All 24 participants scored higher after the session, with the mean rising from 13.9 to 17.3 out of 20.

02The biggest gaps before the session were that e-cigarettes produce an aerosol rather than a vapor, and that a single JUUL pod contains nicotine equivalent to 1.5 to 2 packs of cigarettes.

03Knowledge on two questions actually fell after the session, likely because the answer options were confusing or not taught clearly.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

Twenty-four participants from one geographic area, recruited by convenience. No control group, so improvement cannot be separated from test-retest effects or the Hawthorne effect of being observed by health professionals. Knowledge was measured immediately after the session, with no follow-up to see if it was retained. The outcome was adult knowledge only. The study did not measure whether any youth changed their vaping behavior. Two assessment questions were poorly worded, which may have distorted the results for those items.

Declared interests

The authors report relationships with the University of Wisconsin-Eau Claire that include employment. No commercial funding or conflicts of interest are declared.

The easy way to misread this

Do not read the score increase as evidence that this programme reduces youth vaping. The study measured what adults knew immediately after a single session, with no control group and no follow-up. It did not test whether the adults changed their own conversations with youth, or whether any youth stopped using e-cigarettes.

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