Long-Term Efficacy of Click City(R): Tobacco: A School-Based Tobacco Prevention Program

This article presents the results of a mediation analysis of Project MYTRI (Mobilizing Youth for Tobacco Related Initiatives in India), a randomized, controlled trial of a multiple-component, school-based tobacco prevention program for sixth- to ninth-graders ( n = 14,085) in Delhi and Chennai, India. A mediation analysis identifies how an intervention achieves its effects. In MYTRI, changes in students’ (a) knowledge about the negative health effects of tobacco, (b) beliefs about its social consequences, (c) reasons to use tobacco, (d) reasons not to use tobacco, (e) advocacy skills self-efficacy, and (f) normative beliefs about tobacco use were significantly associated with reductions in students’ intentions to use tobacco and tobacco use behaviors. In contrast, changes in students’ perceptions of the prevalence of smoking and chewing tobacco were significantly related to increases in students’ intentions to use and use of tobacco. Implications for intervention design are considered.

Download Full-text

Life Years Saved, Quality-Adjusted Life Years Saved and Cost-Effectiveness of a School-Based Tobacco Prevention Program

10.1007/springerreference_73427 ◽

2012 ◽

Keyword(s):

Cost Effectiveness ◽

Prevention Program ◽

Tobacco Prevention ◽

Quality Adjusted Life Years ◽

School Based ◽

Life Years ◽

Quality Adjusted Life

Download Full-text

The Prevention of Depressive Symptoms in Children: The Immediate and Long-term Outcomes of a School-based Program

Behaviour Change ◽

10.1375/bech.18.2.92 ◽

2001 ◽

Vol 18 (2) ◽

pp. 92-102 ◽

Cited By ~ 58

Author(s):

Clare Pattison ◽

Robert M. Lynd-Stevenson

Keyword(s):

Depressive Symptoms ◽

Social Skills ◽

Prevention Program ◽

The United States ◽

Symptoms Of Depression ◽

School Based ◽

Social Components ◽

And Control

AbstractThe ability of a school-based program with training in both cognitive and social skills to prevent depressive symptoms in children (the Penn Prevention Program) was evaluated. Research conducted in Australia has failed to replicate the success of the program in the United States. Also evaluated was the ability of the program to reduce the symptoms of anxiety, the assumption that changes in social skills and cognitive style would be associated with changes in symptoms of depression and anxiety, and the relative merits of the cognitive and social components of the program. Sixty-three children in fifth and sixth grades were randomly allocated to intervention and control groups. There was no evidence that the Penn Prevention Program had any impact on the variables measured at the end of the program or at the 8-month follow-up assessment. Limitations and implications of the present findings are discussed.

Download Full-text

Testing the long-term efficacy of a prevention program for improving marital conflict in community families

Journal of Applied Developmental Psychology ◽

10.1016/j.appdev.2011.05.004 ◽

2011 ◽

Vol 32 (4) ◽

pp. 189-197 ◽

Cited By ~ 23

Author(s):

W. Brad Faircloth ◽

Alice C. Schermerhorn ◽

Patricia M. Mitchell ◽

Jennifer S. Cummings ◽

E. Mark Cummings

Keyword(s):

Marital Conflict ◽

Prevention Program ◽

Term Efficacy

Download Full-text

Effectiveness of a School-Based Tobacco Prevention Program for Middle School Students in Saudi Arabia: A Quasi-Experimental Controlled Trial

Tobacco Use Insights ◽

10.1177/1179173x20953403 ◽

2020 ◽

Vol 13 ◽

pp. 1179173X2095340

Author(s):

Dania E Al Agili ◽

Hamisu M Salihu

Keyword(s):

Saudi Arabia ◽

Tobacco Use ◽

Prevention Program ◽

Intervention Group ◽

Tobacco Prevention ◽

Post Intervention ◽

School Based ◽

Post Test ◽

Quasi Experimental ◽

And Control

Objective: To evaluate the effect of a school-based tobacco program in preventing initiation of tobacco use among adolescents in Saudi Arabia. Methods: We used a quasi-experimental controlled design. Four intervention and four control schools were selected from the regional education registry. A baseline questionnaire was administered to all grade 7 students before implementing the tobacco prevention program, Dentists Fighting Nicotine Dependence (DFND). The intervention group (n =379) received the DFND program whereas the control group (n = 255) received the regular tobacco program administered by the Department of Education. The program was delivered by trained health educators over 5 weeks. Pre- and post-test surveys (immediate and 2-year post-intervention) were collected. Study outcomes were current tobacco use, tobacco knowledge, attitude towards not using tobacco, and perceived behavioral control (PBC) of tobacco use. Covariates included sex, parent education, academic performance, absenteeism, student allowance, and religiosity. Data were analyzed using a two-level hierarchical mixed models. Results: In the immediate post-test, 597 participants (intervention, n = 366; control, n = 231) were surveyed. There was no difference in tobacco use between intervention and control schools, however, the intervention group had significantly higher mean scores for knowledge (β = 1.27, SE = 0.27, P < .01) and attitude toward not using tobacco (β = 5.17, SE = 2.48, P < .05) after adjusting for covariates. At 2-year post-intervention, 463 participants (intervention, n = 289; control, n = 173) were surveyed. There were no differences in tobacco use, knowledge, attitude or PBC between intervention and control groups. Conclusions: Our program did not impact tobacco use. In the short-term, the program significantly improved knowledge and attitude towards not using tobacco. These effects decayed 2 years post-intervention without additional programming. Increasing the effectiveness of DFND may be achieved by expanding curriculum content and practice time throughout the school years and by targeting high-risk adolescents within the program.

Download Full-text