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Development of a Risk Behavior Diagnosis Scale for E-cigarette Use

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Objectives: Adolescent use of electronic cigarettes has risen dramatically, prompting concerns about the health effects. There is need for brief measures to assess adolescents' perceived threat and efficacy related to e-cigarette use and cessation. A 12-item Likert-type scale was modeled after the Risk Behavior Diagnosis Scale and designed to assess threat (ie, severity and susceptibility of threat) and efficacy (ie, self-efficacy and response efficacy) as they relate to e-cigarette use. Methods: The scale was administered online to a developmental sample of 674 adolescents to examine internal consistency and factor structure. Participants (52.1% female, M age = 14.6) were representative of the surrounding community (60% non-Hispanic white; 27% non-Hispanic black; 8% Hispanic). Results: Factor analysis and Velicer's minimum average partial test revealed 2 factors (as expected), which explained 68% of the variance. Analyses revealed strong internal consistency, with Cronbach's alpha of .93 overall and alphas of .92 and .87 for threat and efficacy subscales, respectively. The measure also exhibited good convergent and discriminant validity with other constructs. Conclusions: The measure demonstrates strong preliminary reliability and validity for a developmental sample of adolescents.
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Keywords: ELECTRONIC NICOTINE DELIVERY SYSTEMS (ENDS); PSYCHOMETRIC MEASURES; RISK BEHAVIOR; RISK BEHAVIOR DIAGNOSIS SCALE; SCALE DEVELOPMENT; VAPING

Document Type: Research Article

Affiliations: 1: Kelli J. England, Professor, Associate Director of the Brock Institute, Eastern Virginia Medical School, Norfolk, VA, United States;, Email: [email protected] 2: Paul T. Harrell, Associate Professor, Associate Director of the Brock Institute, Eastern Virginia Medical School, Norfolk, VA, United States 3: Kaitlyn A. Mondejar, Research Assistant, Associate Director of the Brock Institute, Eastern Virginia Medical School, Norfolk, VA, United States 4: Amy C. Paulson, Instructor, Associate Director of the Brock Institute, Eastern Virginia Medical School, Norfolk, VA, United States 5: Ann L. Edwards, Research Assistant, Associate Director of the Brock Institute, Eastern Virginia Medical School, Norfolk, VA, United States 6: Andrew D. Plunk, Associate Professor, Associate Director of the Brock Institute, Eastern Virginia Medical School, Norfolk, VA, United States 7: Bilgé Ö. Yilmaz, Graduate Research Assistant, Associate Director of the Brock Institute, Eastern Virginia Medical School, Norfolk, VA, United States 8: Matthew C. Herman, Associate Director of the Brock Institute, Eastern Virginia Medical School, Norfolk, VA, United States

Publication date: March 1, 2021

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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