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Related Experiment Videos

School-based programmes for preventing smoking.

R Thomas1

  • 1Department of Medicine, University of Calgary, UCMC, #1707-1632 14th Aven, Calgary, Alberta, Canada, T2M 1N7. rthomas@ucalgary.ca

The Cochrane Database of Systematic Reviews
|January 10, 2003
PubMed
Summary
This summary is machine-generated.

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School-based smoking prevention programs show mixed results. Social influences interventions show some success, but evidence for combined approaches and community initiatives is limited.

Area of Science:

  • Public Health
  • Behavioral Science
  • Pediatrics

Background:

  • Rising adolescent smoking rates necessitate effective prevention strategies.
  • Schools are a key setting for reaching young people with public health interventions.
  • Evidence on the efficacy of school-based smoking prevention programs is varied.

Purpose of the Study:

  • To systematically review randomized controlled trials (RCTs) of school-based behavioral interventions for smoking prevention.
  • To evaluate interventions targeting children (5-12 years) and adolescents (13-18 years).

Main Methods:

  • Comprehensive literature search across multiple databases for RCTs.
  • Inclusion of studies with at least six months follow-up, randomizing students, classes, schools, or districts.

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  • Categorization of interventions by approach (information, social competence, social influences, combined, multi-modal) and study quality.

    • Main Results:

    • Sixteen of 76 identified RCTs were classified as most valid (Category One).
    • Social influences interventions showed mixed results, with half demonstrating a positive effect on smoking prevalence.
    • No Category One studies evaluated information-giving alone; high-quality evidence for combined or multi-modal approaches was lacking.

    Conclusions:

    • Rigorous evidence for information-giving interventions is absent.
    • Social influences interventions show potential but are not consistently effective.
    • Further high-quality research is needed for combined social influences/competence and multi-modal programs.