WELCOME TO SIDEKICKS Train-the-Trainer Welcome & Overview

1. WELCOME TOSIDEKICKSTrain-the-TrainerWelcome & Overview

3. About us! • About You! WELCOME

4. Teens going from vaping to using combustible cigarettes • Differences between public health messaging to adults v. children • Use of commercial tobacco language CONSIDERATIONS

5. Why address youth tobacco and ENDS use in Maine?

6. https://www.youtube.com/watch?v=dTnkt9_NSlk

9. The rise of JUUL

10. Nicotine • 90% of confiscated products tested positive for nicotine • - 2018 Arizona AG , testing products confiscated at schools through AZ • 99.6% of all • e-cigarette products sold contain nicotine • - 2015 study looking at sales revenue Bottom line: The majority of electronic products on the market contain nicotine

11. 7 10 IN Exposed To Ads MIDDLE SCHOOL HIGH SCHOOL 56.3% 52.8% 42.9% 38.4% 35.8% 34.6% 34.1% 14.0% 25.0% 9.5% TV / movie ads Retail Ads Internet ads Newspaper & Magazine ads

13. Big Tobacco E-cig Brands

14. YOUTH TOBACCO USE • Disparities & Behavioral • Health Conditions

17. WHY SIDEKICKS?

18. Concern about the high youth tobacco-use rates in Lincoln County prompted a group of students, community leaders, and health educators to address the problem. • Together the group developed the Sidekicks program designed to create a supportive community of teens to prevent and reduce tobacco use among youth.

19. SIDEKICKS : INITIAL 3 COMPONENTS (2014) • A curriculum to use in training youth and adultson holding respectful conversations abouttobacco use; • A training for adults to become trainers for the youth (train the trainer); and • A promotional effort to remind youth about the risks of tobacco use.

20. The skills that youth will gain and develop while being trained as a Sidekick are easily transferrable to guide youth in supporting their peers dealing with a variety of challenges beyond tobacco use. • The Sidekicks model and activities are very similar to the Motivational Interviewing model which is designed to engage people in conversation toward behavior change.

21. Once trained, Sidekicks youth will have the skills to hold respectful conversations with their peers about tobacco use, as well as other risky behaviors. • The Sidekicks program gives youth the skills and confidence to support their peers, as well as a network of adult advisors/ambassadors as a resource for questions and additional support.

22. MEASURING IMPACT: LINCOLN COUNTY CHALLENGES & OPPORTUNITIES • Determining target population • Existing data sources • MIYHS reports, Maine Tobacco Helpline/QuitLink referral tracking, EMRs, social media • Additional data sources • Surveys of youth and adults on current knowledge, attitudes and beliefs around tobacco and tobacco use among youth • Number of trainings held/number of participants • Pre & Post evaluations • Limitations • Demographics sample size (mostly white; male/female) • Availability of MIYHS data (timing)

23. Integration of Sidekicks into health curriculum as well as keep practicing the conversation skills with the students • More information on how to recruit youth • Posters to put up around the school about Sidekicks • These are available in Welcome Packets and on the website • One day vs. multiple days • Age level of youth • Activities, videos, materials/Time management • Resources for youth (post-implementation) • Resources and review helpful • Recommend a 90 day follow-up or more frequent if able • Favorite parts of the training (youth): • The videos, the texting activity, and the pizza • Donation ideas REFLECTIONS

24. MEASURING IMPACT: October – December 2018 # of Youth Sidekicks trainings held: 22 # of Youth Sidekicks trained: 432 Responses from Sidekick training manual evaluation (completed the last day of training)

25. n = 264 n = 269 n = 263 n = 263 n = 257* n = 266

26. When asked, “What was the most helpful thing you learned from this training?”students shared the following…

27. “The most helpful thing I learned from this training was that smoking is extremely bad for the user and the people around. Now I can effectively talk to family members to explain to them the risks of smoking.” -9th grader “How to start the conversation because that’s what I was nervous about doing before.” -10th grader “I learned how to use listening and to let the other person do the talking.”-10th grader “I know a little bit of this stuff but I thought it was really good info.” -9th grader “How to start a conversation because I didn’t know how.”-9th grader “How to help people I love stop doing things that may harm them.” -9th grader

28. When asked, “Do you have any comments about the training or program you want to share?” students said the following…

29. “I love this program.” -10th grader “I thought it was very interesting and learned more about tobacco here than in any training I’ve ever done.”-10th grader “I think it’s really important and I’m glad this program exists.”-10th grader “It was a good experience.” -9th grader “It’s very good – should be taught in more schools.” -9th grader “I think the program was amazing and would definitely recommend to someone who wants to help others.” -10th grader “Very helpful and I think it’s good to teach this at the younger ages in high school.” -12th grader “Would recommend to others.” -11th grader

30. MEASURING IMPACT: March 2018 –March 2019 Responses from Sidekicks follow-up survey(completed within 60 days of last training date)

31. n = 110 n = 90* n = 105*

32. MATERIAL REVIEW

33. ROLE OF THE SIDEKICKS ADVISOR/AMBASSADOR

34. NEW WEBSITE www.WeAreSidekicks.org www.WeAreSidekicks.org/Resources

35. QUESTIONS?

36. Thank You!Tobaccopreventionservices@mainehealth.orgwww.WeAreSidekicks.orgwww.youtube.com/channel/UC9uQo0tYT9HdzXYVg6G3Jkg

37. CongratulationsSIDEKICKS TRAINERSThank You!