# Reach and impact of you and me, together vape-free: a school-based E-cigarette prevention curriculum for elementary, middle, and high school students

## TL;DR

This paper evaluates a school-based e-cigarette prevention curriculum, showing it reached thousands of educators and students and improved perceptions of e-cigarette risks and marketing awareness.

## Contribution

The study provides empirical evidence of a widely adopted e-cigarette prevention curriculum's reach and immediate impact on student perceptions.

## Key findings

- The curriculum was implemented in all 50 U.S. states and reached over 330,000 students.
- Students showed immediate positive changes in perceptions of e-cigarette harm and awareness of targeted marketing.
- Over 2,000 educators were trained, and the curriculum webpage had 272,573 unique visitors.

## Abstract

This evaluation assesses the reach and impact of You and Me, Together Vape Free – an e-cigarette prevention curriculum developed by the Stanford REACH Lab with versions for elementary, middle, and high school students.

Reach was measured via educator trainings, Data Dashboard registrations, and Google Analytics. Embedded in the Dashboard were brief pre- and post-curriculum surveys in which participating students reported their perceptions of e-cigarette harms, awareness of targeted marketing, refusal skills, and intentions. Data were collected between September 2022 and June 2025 in the U.S. Descriptive statistics were applied to examine pre- and post-surveys.

From September 2022 to April 2025, 2236 educators have been trained on You and Me, and 272,573 unique visitors accessed the curriculum webpage. The Data Dashboard indicates 230 educators and 5610 students registered for the elementary school version, and 920 educators and 60,822 students registered for the middle/high school versions. There were positive changes for all items related to perceptions of e-cigarette harm and targeted marketing by the tobacco industry.

You and Me, Together Vape-free has been adopted throughout the United States, with positive implications for students' e-cigarette perceptions and awareness of targeted marketing. Further studies are needed to assess impact on long-term e-cigarette use outcomes.

•The You and Me curriculum Has been implemented in all 50 U.S. States.•Has reached at minimum 2000 K-12 educators and 330,000 students.•Is linked with immediate positive changes in students' e-cigarette perceptions.•Is linked with greater awareness of tobacco industry targeted marketing.

The You and Me curriculum Has been implemented in all 50 U.S. States.

Has reached at minimum 2000 K-12 educators and 330,000 students.

Is linked with immediate positive changes in students' e-cigarette perceptions.

Is linked with greater awareness of tobacco industry targeted marketing.