Effectiveness of a complex intervention on smoking in adolescents: A cluster-randomized controlled trial

Leiva, Alfonso; Estela, Andreu; Bennasar‐Veny, Miquel; Aguiló, Antoni; Llobera, Joan; Yáñez, Aina M.

doi:10.1016/j.ypmed.2018.06.009

Cited by 7 publications

(5 citation statements)

References 38 publications

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“…The participants of the present study were adolescents, aged 14 to 15 years, who participated in the ITACA study 50,51 . The initial sample size of the cohort study included 1,708 secondary students (aged 11 to 12 years) from 16 Spanish secondary schools.…”

Section: Methods Participant Recruitmentmentioning

confidence: 99%

Implications of personality and parental education on healthy lifestyles among adolescents

Yañez

Bennasar‐Veny

Leiva

et al. 2020

Sci Rep

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Several studies have shown an association between personality and health status. the aim of this study was to evaluate the association between personality traits, parental education and health-related lifestyles in a cohort of Spanish adolescents. this is a longitudinal study with a source population of 1,123 third-year students (aged 14-15) in secondary schools in Spain. At the baseline evaluation sociodemographic variables, parental education and personality (Big Five Questionnaire for Children) were collected. At 18 months of follow-up health related lifestyles, including adherence to a healthy diet (KidMed index), tobacco and alcohol consumption, physical exercise, sleep problems and recreative screen and social network time were collected. A total of 824 adolescents (73.4%) completed the 18 months assessment and 695 (84.3%) presented valid data. Higher conscientiousness was associated to a lower risk for non-adherence to Mediterranean diet (OR = 0.7, 95% CIs=0.5-0.9), tobacco (OR = 0.5, 95% CIs=0.3-0.7) and alcohol consumption (OR = 0.6, 95% CIs=0.5-0.8), excessive use of screens (OR = 0.7, 95% CIs=0.5-0.9) and social network sites (OR = 0.7, 95% CIs=0.5-0.8). Higher levels of extraversion was significantly related to a lower risk of physical inactivity (OR = 0.7, 95% CIs=0.6-0.9), but they are at a higher risk of low adherence to Mediterranean diet (OR = 1.3, 95% CIs=1.0-1.7), tobacco (OR = 2.7, 95% CIs=1.7-4.3) and alcohol consumption (OR = 1.9, 95% CIs=1.5-2.4) and excessive use of social network sites (OR = 1.6, 95% CIs=1.3-1.9). High levels of emotional instability were associated with tobacco consumption (OR = 1.5, 95% CIs=1.0-2.2) and sleep problems (OR = 2.0, 95% CIs=1.5-2.7). Finally, we found an association with lower parental education and adolescents' low adherence to Mediterranean diet (OR = 1.6, 95% CIs=1.0-2.4) and sleep problems (OR = 1.8, 95% CIs=1.0-3.0). Cluster analysis of health-related behaviours indicated the presence of two different clusters (unhealthy and healthy adolescents) that were associated with personality traits. Conscientiousness, extraversion, emotional instability and parental education are independent factors associated with the acquisition of adolescent healthy lifestyles.

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Section: Methods Participant Recruitmentmentioning

confidence: 99%

Implications of personality and parental education on healthy lifestyles among adolescents

Yañez

Bennasar‐Veny

Leiva

et al. 2020

Sci Rep

Self Cite

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“…In a meta-analysis of different smoking prevention programs for young adolescents based on 23 RCTs, no significant effects were found for family-centered or web-based programs, with the most effective being those conducted by a trained teacher and in a school setting 27 . However, in a study carried out in 22 secondary schools from Spain with 1055 students (aged 12–13 years) enrolled in 2 successive cohorts from 2010 to 2011, a teacher-delivered school-based intervention on the initiation of smoking was not effective at follow-up at 3 years after the intervention 25 .…”

Section: Discussionmentioning

confidence: 96%

“…Development of the multi-personal model was feasible and did not require financial resources. Numerous studies on the prevention of tobacco consumption in adolescents, most of them targeting the students themselves, have shown discouraging or mixed results 19 - 25 . A systematic review and meta-analysis of 11 studies and 6469 adolescents showed a high overall prevalence (41%) of adolescents in the pre-contemplation stage (Transtheoretical Model) who displayed more unfavorable smoking-related behavior than adolescents in other stages 26 .…”

Section: Discussionmentioning

confidence: 99%

Prevention of tobacco use in an adolescent population through a multi-personal intervention model

Carrión-Valero,

Ribera-Osca,

Martin-Moreno

et al. 2023

Tob. Prev. Cessation

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INTRODUCTION The study aimed to assess the impact of a new intervention proposal involving students, teachers, and parents on smoking prevalence in secondary school adolescents. METHODS A quasi-experimental study was conducted, in which the response to a preventive multi-personal intervention model (intervention) against tobacco consumption was compared with a standard anti-smoking activity carried out by the local government administration (control). The study was carried out during the 2017–2018 academic year. The study population included 306 students (intervention 151, control 155) with a mean age of 13.4 years. The model involved the parents, the students (aged 15–17 years), and the teachers. The primary outcome was the change in smoking status one year after the intervention. RESULTS The percentage of non-smokers increased from 84.1% to 88.7% in the intervention group and remained almost unchanged among controls (89.3% vs 89.9%). After one year, there was an increase in the prevalence of non-smokers of 4.6% and a decrease in the prevalence of smokers of 4.7% among students who received the multi-personal intervention, whereas changes among controls were almost negligible (there was in fact a slight increase in the prevalence of smokers of 0.9%). The students who received the intervention smoked less or quit smoking more than those in the control group (OR=0.135; 95% CI: 0.019–0.973, p=0.047). CONCLUSIONS The multi-personal model developed in the study with the participation of teachers and parents focused on students was feasible, and effectively reduced the prevalence of smoking among high school adolescents.

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“…Prevention programs for smoking or alcohol consumption in schools have had limited success [35,36], even if they were complex and involved families, teachers and schools [37]. A growing body of evidence suggests that generic (such as life skills, social skills and behaviour norms training) rather than substance-specific programmes are more effective [36].…”

Section: Discussionmentioning

confidence: 99%

Alcohol and Tobacco Consumption, Personality, and Cybervictimization among Adolescents

Rodríguez-Enríquez

Bennasar‐Veny

Leiva

et al. 2019

IJERPH

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Cyberbullying has emerged as a public health problem. Personality may play an important role in substance use and cybervictimization. The aim of this study was to examine whether tobacco and alcohol consumption and personality traits are associated with cybervictimization in Spanish adolescents. A cross-sectional study was conducted with 765 secondary students (aged 14–16) from 16 secondary schools in Spain. Participants completed a questionnaire assessing sociodemographic characteristics; tobacco and alcohol consumption; cybervictimization (Garaigordobil Scale); and personality traits (Big Five Questionnaire). A logistic regression model controlling for sex, age, parental education and personality traits was used to determine the independent associations and interactions between tobacco and alcohol consumption and cybervictimization. The results indicate that a total of 305 adolescents (39.9%) reported that they were cyberbullied in the past year. Girls were more likely to be cyberbullied than boys. Cybervictims had a significantly greater monthly alcohol consumption (OR = 1.51; 95% CI = 1.05–2.15), higher scores for extraversion (OR = 1.31; 95% CI = 1.06–1.63) and emotional instability (OR = 1.53; 95% CI = 1.27–1.83); as well as lower scores for conscientiousness (OR = 0.78; 95% CI = 0.63–0.95). These results suggest that personality traits and alcohol consumption are independently associated with cybervictimization. Our study suggests the existence of underlying common personality factors for cybervictimization and alcohol and tobacco use.

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Effectiveness of a complex intervention on smoking in adolescents: A cluster-randomized controlled trial

Cited by 7 publications

References 38 publications

Implications of personality and parental education on healthy lifestyles among adolescents

Implications of personality and parental education on healthy lifestyles among adolescents

Prevention of tobacco use in an adolescent population through a multi-personal intervention model

Alcohol and Tobacco Consumption, Personality, and Cybervictimization among Adolescents

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