Date of Graduation


Document Type



adolescent, e-cigarette, vaping, prevention, online, interactive, toolkit, and COVID-19

Degree Name

Doctor of Nursing Practice (DNP)

Degree Level



Allison Scott

Committee Member

Callie Bradley


Adolescent e-cigarette use in the United States (U.S.) is trending upward at a concerning rate. Many of the short-term and long-term effects of e-cigarette use are unknown. However, scientists do know that e-cigarettes can have harmful effects on the respiratory system playing a role in E-cigarette or Vaping Use-Associated Lung Injury (EVALI) and Coronavirus Disease 2019 (COVID-19). Additionally, some e-cigarettes contain nicotine, which is widely known to have negative effects on the developing adolescent brain. Previously, there is only one e-cigarette prevention program that has been developed, implemented, and evaluated in the U.S. Thus, showing the need for further research and development specifically regarding adolescent e-cigarette use. The DNP project implemented an online, interactive vaping toolkit at middle schools in a local school district in Northwest Arkansas. The one sample t-test revealed a significant difference between the pre and post survey knowledge scores (t=2.61; p

Available for download on Friday, April 26, 2024