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

Minary, Lætitia; Cambon, Linda; Martini, Hervé; Wirth, N.; Acouetey, Dovi-Stéphanie; Thouvenot, Francine; Maire, Céline; Martinet, Yves; Bohadana, Abraham; Zmirou‐Navier, Denis; Alla, François

doi:10.1186/1471-2458-13-149

Cited by 29 publications

(28 citation statements)

References 27 publications

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“…[6][7][8][9][10][11][12][13][14][15][16][17][18][19] Among these, six non-systematic literature and policy reviews reported increasing policy interest in health improvement interventions targeting young people within FE settings, but noted the absence of any evidence regarding appropriate or effective interventions in FE settings. 6,7,9,10,12,14 No examples of effective smoking prevention interventions delivered in this context were identified.…”

Section: Health Improvement In Further Education Settingsmentioning

confidence: 99%

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Pilot trial and process evaluation of a multilevel smoking prevention intervention in further education settings

et al. 2017

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Background Preventing smoking uptake among young people is a public health priority. Further education (FE) settings provide access to the majority of 16- to 18-year-olds, but few evaluations of smoking prevention interventions have been reported in this context to date. Objectives To evaluate the feasibility and acceptability of implementing and trialling a new multilevel smoking prevention intervention in FE settings. Design Pilot cluster randomised controlled trial and process evaluation. Setting Six UK FE institutions. Participants FE students aged 16–18 years. Intervention ‘The Filter FE’ intervention. Staff working on Action on Smoking and Health Wales’ ‘The Filter’ youth project applied existing staff training, social media and youth work resources in three intervention settings, compared with three control sites with usual practice. The intervention aimed to prevent smoking uptake by restricting the sale of tobacco to under-18s in local shops, implementing tobacco-free campus policies, training FE staff to deliver smoke-free messages, publicising The Filter youth project’s online advice and support services, and providing educational youth work activities. Main outcome measures (1) The primary outcome assessed was the feasibility and acceptability of delivering and trialling the intervention. (2) Qualitative process data were analysed to explore student, staff and intervention team experiences of implementing and trialling the intervention. (3) Primary, secondary and intermediate (process) outcomes and economic evaluation methods were piloted. Data sources New students at participating FE settings were surveyed in September 2014 and followed up in September 2015. Qualitative process data were collected via interviews with FE college managers (n = 5) and the intervention team (n = 6); focus groups with students (n = 11) and staff (n = 5); and observations of intervention settings. Other data sources were semistructured observations of intervention delivery, intervention team records, ‘mystery shopper’ audits of local shops and college policy documents. Results The intervention was not delivered as planned at any of the three intervention settings, with no implementation of some community- and college-level components, and low fidelity of the social media component across sites. Staff training reached 28 staff and youth work activities were attended by 190 students across the three sites (< 10% of all eligible staff and students), with low levels of acceptability reported. Implementation was limited by various factors, such as uncertainty about the value of smoking prevention activities in FE colleges, intervention management weaknesses and high turnover of intervention staff. It was feasible to recruit, randomise and retain FE settings. Prevalence of weekly smoking at baseline was 20.6% and was 17.2% at follow-up, with low levels of missing data for all pilot outcomes. Limitations Only 17% of eligible students participated in baseline and follow-up surveys; the representativeness of student and staff focus groups is uncertain. Conclusions In this study, FE settings were not a supportive environment for smoking prevention activities because of their non-interventionist institutional cultures promoting personal responsibility. Weaknesses in intervention management and staff turnover also limited implementation. Managers accept randomisation but methodological work is required to improve student recruitment and retention rates if trials are to be conducted in FE settings. Trial registration Current Controlled Trials ISRCTN19563136. Funding This project was funded by the National Institute for Health Research (NIHR) Public Health Research programme and will be published in full in Public Health Research; Vol. 5, No. 8. See the NIHR Journals Library website for further project information. It was also funded by the Big Lottery Fund.

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Section: Health Improvement In Further Education Settingsmentioning

confidence: 99%

“…17 One quasi-experimental study of a multicomponent intervention combining health education, counselling and nicotine therapy in French vocational colleges was found to be effective in supporting smoking cessation. 19 …”

Section: Health Improvement In Further Education Settingsmentioning

confidence: 99%

Pilot trial and process evaluation of a multilevel smoking prevention intervention in further education settings

et al. 2017

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“…Selain itu, (Rosita, 2013) mengemukakan bahwa frekuensi merokok dan niat untuk berhenti merokok berhubungan dengan keberhasilan berhenti merokok. Perlu adanya (Minary, 2013) program intervensi berhenti merokok untuk membantu para perokok menghentikan perilaku tidak sehatnya. Intervensi yang dilakukan dalam penelitian Minary terbukti siknifikan menjadikan perokok menuju mantan perokok selama 12 bulan.…”

Section: Hasil Dan Pembahasanunclassified

Perspektif Hambatan Terhadap Kemungkinan Remaja Berhenti Merokok

Wibowo

2017

UJPH

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AbstrakMerokok adalah perilaku yang masih sulit untuk dikendalikan dalam rangka investasi kesehatan. Usia remaja adalah usia inisiasi para perokok. Lebih cepat berhenti merokok, akan lebih menekan resiko kesehatan akibat merokok. Anggapan tentang kesulitan berhenti merokok menjadi salah satu tantangan dalam menyiapkan generasi bebas rokok. Tujuan penelitian ini adalah mengetahui hubungan persepsi hambatan berhenti merokok terhadap kemungkinan berhenti merokok. Peneliti menggunakan pendekatan cross sectional, dengan uji spearman correlation. Hasil menunjukkan hubungan yang negatif namun lemah pada pola hubungan hambatan berhenti merokok dengan kemungkinan remaja perokok untuk berhenti merokok, namun secara statistik bermakna. Abstract Smoking behavior is still become a health burden in health investment

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“…Two other studies examined the use of CBT-based interventions in Korean [15] and French [16] adolescents. Chun, Bae and Min [15] evaluated CBT for smoking cessation among middle school smokers in South Korea; specifically, they compared a 6-session CBT intervention (n = 35) with a one hour education session (n = 45) using a pretest-posttest non-equivalence control group design.…”

Section: Psychosocial Interventionsmentioning

confidence: 99%

“…Minary, Cambon, Martini, et al [16] conducted a quasi-experimental study of TABagisme chez les ADOlescents (TABADO) among adolescent smokers ( M age = 16.9 years; TABADO n = 386 [87.8% daily smokers; M age = 16.8 years]; control n = 557 [90.4% daily smokers; M age = 16.9 years]) in vocational training centers in France. In the TABADO condition, all participants received an information session about tobacco use and 18.1% of the TABADO participants chose to participate in the enhanced program (EP), which included four group CBT sessions and nicotine replacement therapy.…”

Section: Psychosocial Interventionsmentioning

confidence: 99%

Update of Adolescent Smoking Cessation Interventions: 2009–2014

et al. 2015

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The treatment of adolescent tobacco dependence is an imperative public health goal. Adolescent-focused smoking cessation interventions have shown modest results at most, indicating the need for the development of innovative and effective interventions for this vulnerable population. This review aims to provide an update of smoking cessation interventions for youth by reviewing the literature published between 2009 and November 2014 evaluating psychosocial and pharmacological interventions. Based on this examination, future directions for research in advancing the development of adolescent-focused tobacco treatments are provided.

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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

Cited by 29 publications

References 27 publications

Pilot trial and process evaluation of a multilevel smoking prevention intervention in further education settings

Pilot trial and process evaluation of a multilevel smoking prevention intervention in further education settings

Perspektif Hambatan Terhadap Kemungkinan Remaja Berhenti Merokok

Update of Adolescent Smoking Cessation Interventions: 2009–2014

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