1. WELCOME TO SIDEKICKS Train-the-Trainer Welcome & Overview

3. Why address youth tobacco
and ENDS use in Maine?
ENDs = Electronic Nicotine Delivery Systems

4. Tobacco companies target kids through candy- themed tobacco products.
The tobacco industry, dependent on new smokers, is spending an estimated $41.8 million annually on marketing in Maine; our State spending on Tobacco Prevention in FY ‘17 was $7.8 million in FY ‘17 and will drop to $5.3 million in FY ‘18.
The ratio of industry marketing to state tobacco prevention spending in Maine is 7.9 to 1
Published research studies have found that kids are twice as sensitive to tobacco advertising as adults and are more likely to be influenced to smoke by cigarette marketing than by peer pressure. One-third of underage experimentation with smoking is attributable to tobacco company advertising.
(2018)
(Accessed 2/5/18)
(2015)

6. How an E-cigarette Works
E-cigarettes create an aerosol by using a battery to heat up liquid that usually contains nicotine, flavorings, and other additives. Users inhale this aerosol into their lungs. E-cigarettes can also be used to deliver cannabinoids such as marijuana, and other drugs.
MOUTHPIECE
Allows user to inhale the aerosol.
BATTERY:
Powers the device.
ATOMIZER:
Heats the e-liquid into an aerosol.
CARTRIDGE:
Stores the e-liquid.

7. ultrafine particles that can be inhaled deep into the lungs
Besides nicotine, e-cigarettes can contain harmful and potentially harmful ingredients, including:
ultrafine particles that can be inhaled deep into the lungs
flavorants such as diacetyl, a chemical linked to serious lung disease
volatile organic compounds
heavy metals, such as nickel, tin, and lead
Surgeon General

8. Maine Integrated Youth Health Survey
2017 RESULTS
ENDs = Electronic Nicotine Delivery Systems

9. MIDDLE SCHOOL RESULTS

10. DURING THE PAST 30 DAYS, 1.9% OF MIDDLE SCHOOLERS
DURING THE PAST 30 DAYS, 1.9% OF MIDDLE SCHOOLERS
REPORTED SMOKING AT LEAST ONE CIGARETTE PER DAY IN 2017, A DECREASE FROM 2.7% IN 2015.

11. https://data. mainepublichealth

12. IN 2015 44.1% OF MIDDLE SCHOOLERS REPORTED SEEING TOBACCO
IN % OF MIDDLE SCHOOLERS REPORTED SEEING TOBACCO
INDUSTRY ADVERTISEMENTS “A LOT” IN SUPERMARKETS
AND GROCERY/CONVENIENCE STORES;

13. IN 2015, 78.2% OF MIDDLE SCHOOLERS BELIEVE THEY’D BE ABLE
IN 2015, 78.2% OF MIDDLE SCHOOLERS BELIEVE THEY’D BE ABLE
TO QUIT SMOKING IF THEY WANTED TO

14. DURING THE PAST 30 DAYS 3.8% OF MIDDLE SCHOOLERS USED AN ELECTRONIC VAPOR PRODUCT (HIGHER RATES HIGHLIGHTED IN RACE/ETHNICITY COLUMN)
In 2015, Native Hawaiian was 8.2; in 2017 the number increased to 10.5%
In 2015, American Indian was 6.2; in 2017 the number increased to 8.8%
In 2015, Native Hawaiian was 6.0% for males; in 2017 the number increased to 12.2%
IN 2015, 4.9% OF MIDDLE SCHOOLERS INDICATED THEY HAD USED AN ELECTRONIC VAPOR PRODUCT AT LEAST 1 DAY DURING PRIOR 30 DAYS;

15. HIGH SCHOOL RESULTS

16. IN 2015, DURING THE PAST 30 DAYS, 10.7% OF HIGH SCHOOLERS
IN 2015, DURING THE PAST 30 DAYS, 10.7% OF HIGH SCHOOLERS
REPORTED SMOKING AT LEAST ONE CIGARETTE PER DAY;

17. THE % OF HIGH SCHOOLERS WHO STATED THAT THEY WERE YOUNGER THAN
THE % OF HIGH SCHOOLERS WHO STATED THAT THEY WERE YOUNGER THAN
AGE 13 WHEN THEY SMOKED A CIGARETTE FOR THE FIRST TIME REMAINED UNCHANGED FROM IN 2015 THIS RATE AMONGST THE YOUNGEST RESPONDANTS (14 AND YOUNGER) WAS 46.4%.

18. https://data. mainepublichealth
In 2015, 34.8% OF GAY/LESBIAN HIGH SCHOOLERS STATED THAT THEY WERE YOUNGER THAN AGE 13 WHEN THEY SMOKED A CIGARETTE FOR THE FIRST TIME;

19. IN 2015, 43.6% OF HIGH SCHOOLERS REPORTED SEEING TOBACCO
IN 2015, 43.6% OF HIGH SCHOOLERS REPORTED SEEING TOBACCO
INDUSTRY ADVERTISEMENTS “A LOT” IN SUPERMARKETS
AND GROCERY/CONVENIENCE STORES;
IN % OF AMERICAN INDIAN OR ALASKAN NATIVE YOUTH REPORT SEEING ADS;
IN % OF BLACK OR AFRICAN AMERICAN YOUTH REPORTED THEY’D SEEN ADS

20. THAT THEY HAD STOPPED SMOKING (AT LEAST ONE TIME) FOR ONE DAY
IN 2015, 46.5% OF HIGH SCHOOLERS REPORTED THAT DURING THE PAST 12 MONTHS
THAT THEY HAD STOPPED SMOKING (AT LEAST ONE TIME) FOR ONE DAY
OR LONGER (TRYING TO QUIT FOR GOOD);
IN % OF FEMALES REPORTED …..TRYING TO QUIT FOR GOOD…..
IN % OF MALES REPORTED ….TRYING TO QUIT FOR GOOD….

21. IN 2015, 77.6% OF HIGH SCHOOLERS BELIEVE THEY’D BE ABLE
IN 2015, 77.6% OF HIGH SCHOOLERS BELIEVE THEY’D BE ABLE
TO QUIT SMOKING IF THEY WANTED TO;
IN 2015, 82.2% OF 16-YEAR OLDS BELIEVED THEY’D BE ABLE TO QUIT;
IN % OF 17-YEAR OLDS BELIEVED THEY’D BE ABLE TO QUIT.

22. IN 2015, 80.7% OF FEMALE GAY/LESBIAN HIGH SCHOOLERS BELIEVED THEY’D BE ABLE TO QUIT SMOKING IF THEY WANTED TO.
IN % OF FEMALE GAY/LESBIAN HIGH SCHOOLERS BELIEVE D THEY’D BE ABLE TO QUIT SMOKING IF THEY WANTED TO.
IN % OF MALE GAY HIGH SCHOOLERS BELIEVED THEY’D BE ABLE TO QUIT…
IN 2015, 78.1% OF HETEROSEXUAL HIGH SCHOOLERS BELIEVE THEY’D BE ABLE TO QUIT SMOKE IF THEY WANTED TO.

23. According to the MIYHS in 2013, rates of cigarette smoking among youth (grades 9-12) were significantly higher for:
Youth reporting they were depressed (27% vs. 16%) or had seriously considered attempting suicide (32% vs. 15%)
Hispanic (31%) and Native American (21%) compared to white youth (12%)
Gay/lesbian (29%), bisexual (28%), questioning (22%) compared to heterosexual youth (12%)

24. WHY SIDEKICKS?

25. 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.

26. 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.

27. 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 as a resource for questions and additional support.

28. SIDEKICKS : INITIAL 3 COMPONENTS (2014)
A curriculum to use in training youth and adults on holding respectful conversations about tobacco 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.

29. MEASURING IMPACT: 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)

30. MEASURING IMPACT: SUCCESS!
Developed a new curriculum including all training materials for the Sidekicks program;
Created a new training and materials for youth, a deviation from the original plan of just adapting existing materials from Arizona’s “Helpers” program;
Established new relationships with school staff to act as champions for the Sidekicks program;
Improved point of purchase sales displays so that they were not targeting youth;
Engaged more than 69 youth in the Sidekicks and the Star Store initiatives; and
Increased healthcare practice awareness of assessing youth for tobacco use and referrals for youth and adults for treatment to the Maine Tobacco HelpLine.

31. QUESTIONS?

32. REVIEW THE MANUAL Side Kick Teen Session
Five Lessons, 3 ½ to 4 hours depending on size of group
Curriculum includes use of PowerPoint, guided discussions, demonstrations, practice “real play” and role play, individual, pairs and group activities and learning videos
Online Resources

33. WEBSITE: www.wearesidekicks.org/resources
SIDEKICKS WEBSITE
Sidekick Advisors/Co-Advisors have access to:
Other Advisors/Co-Advisors through an online community.
Training curriculum and updates, additional skill builder activities added and/or created by Lincoln County Healthcare staff with contributions of Sidekicks Advisors.
Technical and program support provided by Lincoln County Healthcare staff and its partners.
WEBSITE:
PASSWORD: Tobacco 2017

34. Congratulations SIDEKICKS AMBASSADORS Thank You!