Aide au sevrage tabagique pour les adolescents apprentis : le programme TABADO

Minary, Lætitia; Acouetey, Dovi-Stéphanie; Bohadana, Abraham; Wirth, N.; Martini, Hervé; Zmirou‐Navier, Denis; Alla, François; Martinet, Yves

doi:10.1016/j.rmr.2010.06.008

Cited by 7 publications

(7 citation statements)

References 10 publications

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“…The TABADO intervention combined a general program aimed at all participants, in the form of an information session on tobacco consumption, with a specific enhanced program undertaken by some smokers on a volunteer basis (identified here as “EP participants”) [11]. This volunteer contingent underwent two stages: 1) individual consultation with a team of physicians specialized in tobacco addiction who visited the VTC and provided personalized assistance with choosing nicotine replacement therapy (patches or gums), if needed; and 2) a small group approach, supervised by the same physicians, consisting of discussion sessions to share experiences, strengthen motivation and prevent relapse.…”

Section: Methodsmentioning

confidence: 99%

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Efficacy of a smoking cessation program in a population of adolescent smokers in vocational schools: a public health evaluative controlled study

Minary

Cambon²,

Martini

et al. 2013

BMC Public Health

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BackgroundTo evaluate the public health efficacy of a community-based smoking cessation program (TABADO) among vocational school trainees (15 to 20 years old).MethodsThis prospective, controlled, quasi-experimental study was conducted in eight vocational training centres (VTC) in France. The intervention group underwent the TABADO program, which included a general information session for all students and small-group sessions plus individual counselling and nicotine therapy, if needed, for volunteers in an enhanced program. The control group received no specific intervention other than the educational services usually available. The primary outcome was 30-day point prevalence abstinence at 12 months.ResultsThe mean age of the 1,814 students included was 16.9 years (SD = 1.0); 84.7% were males. At baseline, 52% were smokers and 5.7% ex-smokers. In the intervention group, 24.6% of smokers volunteered for the enhanced program and 18.1% could be included. By 12-month follow-up, with participants lost to follow-up considered non-abstinent, 10.6% of smokers in the intervention group had become abstinent versus 7.4% in the control group (adjusted p = 0.03; odds ratio [OR] = 1.8; 95% confidence interval [CI] = 1.05–3.0); considering lost to follow-up as missing data, 17% of intervention group participants were abstinent versus 11.9% in the control group (univariate p = 0.08; adjusted p = 0.008; OR = 2.1; 95% CI = 1.2–3.6).ConclusionThe TABADO program, targeting teenagers in vocational schools, was effective in producing a higher 12-month abstinence rate among all smokers in the intervention group.Trial registrationClinical trial identification number is NTC00973570.

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Section: Methodsmentioning

confidence: 99%

“…A smoking cessation program called TABADO, based on these elements was developed by a multidisciplinary team in Nancy, France [11]. This community-based program combines information sessions for all smokers and non-smokers, as well as medication and cognitive behavioural therapy for smokers who volunteer for the enhanced program.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of a smoking cessation program in a population of adolescent smokers in vocational schools: a public health evaluative controlled study

Minary

Cambon²,

Martini

et al. 2013

BMC Public Health

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“…In Senegal in 2011, 2% of pupils were highly dependent (Faye et al, 2011). In France, in 2010, in the TABADO program, 30% of daily smokers aged 17 to 18 were highly dependent on tobacco (Minary et al, 2010). Tobacco dependence can vary considerably as it depends on several factors including the importance of smoking and the sensitivity of the adolescent.…”

Section: Tobacco Dependencementioning

confidence: 99%

Epidemiological Aspects of Nicotinism Among Students of Antananarivo Suburban High School (Madagascar)

Randriamihangy

Randrianarivo

Milijaona

et al. 2018

ESJ

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Introduction: Nicotinism is of world-wide growing concern among adolescents. The goal is to describe the epidemiological aspects of nicotinism among Antananarivo suburban high school students. Methods: This is a descriptive and analytical cross-sectional study conducted in 2015 through a cluster sampling. A standardised, anonymous self-completion questionnaire was given to 903 high school students. Results: We enrolled 901 students. The prevalence of students who experimented with tobacco use was 46.3% next to 11.7% of active smokers . Among active smokers, 47.6% were non-dependent, 14.3% slightly dependent, 29.5% moderately dependent and 6.7% strongly dependent on tobacco. The motive of 70.3% of smokers was to test tobacco. Among former smokers 72.7% stoped smoking for fear of the drawbacks of tobacco-related diseases. Fear of heart disease (p = 0.004) and cancer (p = 0.008) was significantly associated with non-smoking status. Female gender (p = 0.000, OR 0.261 [0.164-0.415], 95% IC) and having been informed on tobacco consequences (p = 0.003, OR 0.401 [0.213-0.753, 95% IC] were protecting factors against tobacco use. The existence of a smoking circle was a risk factor of being a smoker: close friend (p = 0.000, OR 2,677 [2,027-3,534], 95% IC), cousin (p = 0.002, OR 1,529 [1,174-1,993], 95% IC), brother/sister (p = 0.023, OR 1,478 [1,054-2,072], 95% IC). Conclusion: The prevalence of nicotinism is significant despite the current prevention measures. The influence of the smoking circle and education are paramount. An active participation of nonsmokers adolescents in passing the message or raising awareness could improve the outcomes because they have influence on their peers.

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“…To address the major issue of adolescent smoking, a school-based cessation program was launched in France, the TABADO program [ 1 ]. It was evaluated in 2007/09 through a quasi-experimental controlled cluster study, which demonstrated its effectiveness.…”

Section: Introductionmentioning

confidence: 99%

Ensuring that a school-based smoking cessation program for adolescents is successful: A realist evaluation of the TABADO program and the program theory

Vallata

Alla

2023

PLoS ONE

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Background A smoking cessation program for adolescents, TABADO, demonstrated its effectiveness following a controlled trial conducted in 2007/2009. The program is now being scaled up nationally. In order to retain its efficacy across the diversity of contexts in the generalization process, we needed to assess the processes and mechanisms that inform its effects. Theory-driven evaluation is one approach used to address these issues. The aim of the present research is to develop the TABADO program theory. More specifically, we attempt to identify the factors and mechanisms that promote or hinder the enrollment and retention of student smokers in the program. Methods We conducted a realist evaluation of the TABADO program through 1) a documentary analysis to construct the initial program theory, and 2) a multiple case study (n = 10) conducted in three regions in France to test and enrich the initial theory with contextual, organizational and mechanistic components. We used the Intervention-Context-Actors-Mechanisms-Outcomes configurations to guide our analysis and to present our results. Results Our analysis highlighted 13 mechanisms that foster the enrollment and retention of student smokers in the TABADO program (e.g., being prepared to quit smoking, feeling encouraged in the attempt to quit smoking). To activate these mechanisms, the involvement of various actors is required (e.g., the school nurse, teachers), together with a combination of interventional and contextual factors (e.g., confidentiality, informal speaking time). Conclusions These findings allowed us to transform the TABADO program into a new optimized strategy, TABADO2, which is theory-based. Our research helps to explain why adolescent smokers enroll and stay in a school-based smoking cessation program. TABADO2 needs to be considered in a more comprehensive way than the original research-based TABADO, and should be tailored to its implementation context.

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Aide au sevrage tabagique pour les adolescents apprentis : le programme TABADO

Cited by 7 publications

References 10 publications

Efficacy of a smoking cessation program in a population of adolescent smokers in vocational schools: a public health evaluative controlled study

Efficacy of a smoking cessation program in a population of adolescent smokers in vocational schools: a public health evaluative controlled study

Epidemiological Aspects of Nicotinism Among Students of Antananarivo Suburban High School (Madagascar)

Ensuring that a school-based smoking cessation program for adolescents is successful: A realist evaluation of the TABADO program and the program theory

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