Peer-to-peer Tobacco and ENDS Prevention

In Phase I, participants will participate in pilot and usability tests of the curriculum
prototype. For the pilot test, teachers and students will use the curriculum prototype and
then be interviewed about it. For the usability test, students and teachers will use the
revised curriculum and be interviewed/complete short survey. Teachers will provide consent
and students will have parental consent and their own assent.

In Phase II, a group randomized trial will be conducted during Spring semester 2020 among 9th
grade student in 27 high schools in the Hillsborough County Public School system randomly
assigned to treatment and control (14 treatment and 13 control). All students will complete a
pretest survey. Students in two health classes in treatments schools will participate in the
REAL media Plus curriculum and complete a short immediate posttest survey to rate their
experience. All students will then complete two posttests. Students will have parental
consent and provide their own assent.

Inclusion Criteria:

Attendance at participating schools; 9th grade student status (for student participants,
both phase 1 and 2); status as a teacher/counselor (for phase 1); written parental consent
and assent from students (phase 1 and 2); written consent from counselors/teachers (phase
1); and all individuals must be willing to participate.

Exclusion Criteria:

Exclusion criteria include the inability to speak or read American English, use a computer,
or navigate the Internet and, for youth, lack of parental consent.