{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T02:14:33Z","timestamp":1784254473268,"version":"3.55.0"},"reference-count":22,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Markey Cancer Center Cancer Center Support Grant","award":["NCI P30 CA177558"],"award-info":[{"award-number":["NCI P30 CA177558"]}]},{"name":"University of Kentucky\u2019s Appalachian Career Training in Oncology (ACTION) Program","award":["NCI R25 CA221765"],"award-info":[{"award-number":["NCI R25 CA221765"]}]},{"name":"Tobacco Prevention and Cessation Program, Kentucky Department for Public Health"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Tob Use Insights"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Engaging youth is an important component of comprehensive tobacco control programs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PURPOSE:<\/jats:title>\n                    <jats:p>This paper describes the impact of a virtual tobacco prevention training program to encourage and prepare youth in Appalachia to support tobacco prevention policies, to strengthen interpersonal confidence to address tobacco use within their communities and enhance advocacy self-efficacy for tobacco control.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>A two-part evidence-informed peer-led tobacco prevention and advocacy training was implemented among 16 high school students from Appalachian counties in Kentucky. The initial training (January 2021) included an overview of the e-cigarette landscape, advocacy skills related to policy change, developing messages to decision makers, and media advocacy. A follow-up session (March 2021) included a breakdown of advocacy skills and overcoming barriers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>Overall, participants held strong beliefs that tobacco use is an issue that needs to be addressed in their community. There was a statistically significant average difference in student interpersonal confidence between baseline and post-surveys (t = 2.016, P = .062 &lt; .1). Students who participated in at least 1 of the provided advocacy events indicated higher self-reported advocacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Youth in Appalachia expressed an interest to advocate for stronger tobacco policy in their communities. Youth who participated in the tobacco advocacy policy trainings reported improvements in attitudes, interpersonal confidence, advocacy self-efficacy, and self-reported advocacy. Youth engagement in tobacco policy advocacy is promising and needs to be further supported.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1179173x221150747","type":"journal-article","created":{"date-parts":[[2023,2,20]],"date-time":"2023-02-20T09:16:56Z","timestamp":1676884616000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["The Impact of a Virtual Tobacco Prevention and Advocacy Training Among Youth in Appalachian Kentucky Communities"],"prefix":"10.1177","volume":"16","author":[{"given":"Claire C","family":"Miller","sequence":"first","affiliation":[{"name":"Department of Kinesiology and Health Promotion, University of Kentucky, Lexington, KY, USA. College of Education, University of Kentucky, Lexington, KY, USA. Department of Toxicology and Cancer Biology, College of Medicine, University of Kentucky, Lexington, KY, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min","family":"Xiao","sequence":"additional","affiliation":[{"name":"Department of Kinesiology and Health Promotion, University of Kentucky, Lexington, KY, USA. College of Education, University of Kentucky, Lexington, KY, USA. Department of Toxicology and Cancer Biology, College of Medicine, University of Kentucky, Lexington, KY, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dillon J","family":"Lay","sequence":"additional","affiliation":[{"name":"Department of Kinesiology and Health Promotion, University of Kentucky, Lexington, KY, USA. College of Education, University of Kentucky, Lexington, KY, USA. Department of Toxicology and Cancer Biology, College of Medicine, University of Kentucky, Lexington, KY, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sierrah N","family":"Miley","sequence":"additional","affiliation":[{"name":"Department of Kinesiology and Health Promotion, University of Kentucky, Lexington, KY, USA. College of Education, University of Kentucky, Lexington, KY, USA. Department of Toxicology and Cancer Biology, College of Medicine, University of Kentucky, Lexington, KY, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan L","family":"Vanderford","sequence":"additional","affiliation":[{"name":"Department of Kinesiology and Health Promotion, University of Kentucky, Lexington, KY, USA. College of Education, University of Kentucky, Lexington, KY, USA. Department of Toxicology and Cancer Biology, College of Medicine, University of Kentucky, Lexington, KY, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3198-2812","authenticated-orcid":false,"given":"Melinda J","family":"Ickes","sequence":"additional","affiliation":[{"name":"Department of Kinesiology and Health Promotion, University of Kentucky, Lexington, KY, USA. College of Education, University of Kentucky, Lexington, KY, USA. Department of Toxicology and Cancer Biology, College of Medicine, University of Kentucky, Lexington, KY, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,2,20]]},"reference":[{"key":"bibr1-1179173X221150747","volume-title":"The Health Consequences of Smoking\u201450 Years of Progress: A Report Of The Surgeon General","author":"US Department of Health and Human Services","year":"2014"},{"key":"bibr2-1179173X221150747","volume-title":"Youth and Tobacco Use","author":"Centers for Disease Control and Prevention","year":"2020"},{"key":"bibr3-1179173X221150747","unstructured":"National Center for Chronic Disease Prevention and Health Promotion (US). Office on Smoking and Health. Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General. Atlanta (GA): Centers for Disease Control and Prevention (US); 2012: 6. Efforts to Prevent and Reduce Tobacco Use Among Young People. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK99240\/"},{"key":"bibr4-1179173X221150747","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7039a4"},{"key":"bibr5-1179173X221150747","volume-title":"Best Practices for Comprehensive Tobacco Control Programs \u2013 2014","author":"Centers for Disease Control and Prevention","year":"2014"},{"key":"bibr6-1179173X221150747","unstructured":"American Lung Association (2021). State of Tobacco Control. Retrieved from January 5, 2022. https:\/\/www.lung.org\/research\/sotc\/state-grades\/kentucky"},{"key":"bibr7-1179173X221150747","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2020.101089"},{"key":"bibr8-1179173X221150747","doi-asserted-by":"publisher","DOI":"10.18332\/tpc\/81857"},{"key":"bibr9-1179173X221150747","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2020.106239"},{"key":"bibr10-1179173X221150747","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19010205"},{"key":"bibr11-1179173X221150747","volume-title":"Cutting Tobacco\u2019s Rural Roots","author":"American Lung Association","year":"2012"},{"key":"bibr12-1179173X221150747","first-page":"3136","volume":"15","author":"Branstetter SA","year":"2015","journal-title":"Rural Remote Health"},{"key":"bibr13-1179173X221150747","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2017.01.019"},{"key":"bibr14-1179173X221150747","doi-asserted-by":"publisher","DOI":"10.1177\/1524839919880563"},{"key":"bibr15-1179173X221150747","doi-asserted-by":"publisher","DOI":"10.1177\/1524839915588294"},{"key":"bibr16-1179173X221150747","doi-asserted-by":"publisher","DOI":"10.1177\/1090198104268545"},{"issue":"1","key":"bibr17-1179173X221150747","first-page":"1","volume":"4","author":"McConnell Parsons JR","year":"2021","journal-title":"Journal of STEM Outreach"},{"key":"bibr18-1179173X221150747","volume-title":"Welcome to I Can End the Trend","author":"iCANendthetrend","year":"2021"},{"key":"bibr19-1179173X221150747","author":"Miley S","year":"2022","journal-title":"J Alcohol Drug Educ"},{"key":"bibr20-1179173X221150747","doi-asserted-by":"publisher","DOI":"10.1007\/BF02506983"},{"key":"bibr21-1179173X221150747","volume-title":"National Health Education Standards","author":"Centers for Disease Control and Prevention","year":"2019"},{"key":"bibr22-1179173X221150747","volume-title":"Foundation for a Healthy Kentucky","author":"Kentucky Health Issues Poll","year":"2018"}],"container-title":["Tobacco Use Insights"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1179173X221150747","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1179173X221150747","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1179173X221150747","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:35:31Z","timestamp":1777692931000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1179173X221150747"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":22,"alternative-id":["10.1177\/1179173X221150747"],"URL":"https:\/\/doi.org\/10.1177\/1179173x221150747","relation":{},"ISSN":["1179-173X","1179-173X"],"issn-type":[{"value":"1179-173X","type":"print"},{"value":"1179-173X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1]]},"article-number":"1179173X221150747"}}