{
  "abstract": "Despite growing concerns about adolescent nicotine use, the evidence regarding the outcomes of social media-based prevention efforts remains underexplored. This scoping review maps the scope, characteristics, and outcomes of (i) social media-based prevention interventions and (ii) educational interventions addressing adolescents' interpretation of nicotine-related social media content. PubMed, PsycINFO, Scopus, ERIC, and CINAHL were systematically searched in March 2024 and updated in November 2025. Peer-reviewed English-language articles published since 2006 were included; cessation-focused studies were excluded. Of 1626 records screened by two independent reviewers, 18 studies met inclusion criteria. A structured codebook guided data extraction. The 18 included studies encompassed a wide range of designs, including online experiments, longitudinal and cross-sectional studies, content analyses, and qualitative research. Interventions ranged from message testing and simulated social media exposure to large-scale public health campaigns (e.g. \"Rethink Vape,\" \"Truth,\" \"The Real Cost,\" and \"Fresh Empire\"), alongside one school-based media literacy program (\"MediaSense\"). Most studies reported short-term improvements in knowledge, risk perception, or engagement, whereas evidence for sustained behavior change or reduced nicotine use was limited. Common limitations included reliance on self-reported outcomes and short follow-up periods. Most studies reported improvements in knowledge and risk perceptions, whereas evidence for sustained behavioral outcomes remains methodologically heterogeneous and largely focused on short-term outcomes. More rigorous longitudinal evaluations and sustained public health investment are needed. For practitioners and policymakers, the findings support investment in culturally tailored, platform-native campaigns alongside stronger regulatory frameworks to limit adolescents' exposure to nicotine-related marketing in digital environments.",
  "abstract_shown": true,
  "affiliations": [
    "Center for Social and Health Innovation, MCI Management Center Innsbruck, Innsbruck, Austria.",
    "Department of Communication, University of Vienna, Vienna, Austria."
  ],
  "article_type": "scoping review",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Lisa Melber"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Elena Engel",
      "orcid": "0000-0002-2788-2408"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Sascha Gell",
      "orcid": "0000-0001-5204-1523"
    },
    {
      "affs": [
        1
      ],
      "name": "Jaroslava Kaňková"
    },
    {
      "affs": [
        0
      ],
      "name": "Raffael Heiss",
      "orcid": "0000-0002-8744-0871"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/0d07c82z1f8xt.bib",
  "cited_by": 0,
  "doi": "10.1093/heapro/daag155",
  "fulltext_url": "https://europepmc.org/articles/PMC13684276",
  "id": "0d07c82z1f8xt",
  "issns": [
    "0957-4824",
    "1460-2245"
  ],
  "landing_url": "https://europepmc.org/article/MED/42904458",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2737|Smoking Behavior and Cessation"
    ]
  ],
  "openalex": "W7223115134",
  "pdf_url": "https://europepmc.org/articles/PMC13684276?pdf=render",
  "pmcid": "PMC13684276",
  "pmid": "42904458",
  "published": "2026-09-01",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/0d07c82z1f8xt.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:57Z",
      "native_id": "MED:42904458",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42904458"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2737|Smoking Behavior and Cessation",
      "subfield": "physiology"
    }
  ],
  "title": "Social media-based interventions to prevent adolescent nicotine use: a scoping review.",
  "title_text": "Social media-based interventions to prevent adolescent nicotine use: a scoping review.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:19:57Z",
  "url": "https://research.draconitic.com/paper/0d07c82z1f8xt",
  "venue": "Health promotion international",
  "versions": []
}