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Related Experiment Videos

School-based programmes for preventing smoking.

R Thomas1, R Perera

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

The Cochrane Database of Systematic Reviews
|July 21, 2006
PubMed
Summary
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School-based smoking prevention programs show mixed results. While social influences interventions show some promise, high-quality evidence for combined approaches and long-term effectiveness is limited, highlighting the need for further research in youth smoking cessation.

Area of Science:

  • Public Health
  • Behavioral Science
  • Pediatrics

Background:

  • Adolescent smoking rates are a growing public health concern in some nations.
  • School-based programs are a key strategy for reaching young people with smoking prevention messages.
  • Effectiveness of these school-based interventions remains uncertain.

Purpose of the Study:

  • To systematically review randomized controlled trials (RCTs) of school-based behavioral interventions.
  • To assess the efficacy of programs aimed at preventing smoking initiation in children and adolescents aged 5-18.
  • To identify effective strategies for youth smoking prevention.

Main Methods:

  • Comprehensive literature search across multiple databases (CENTRAL, MEDLINE, EMBASE, PsycINFO, ERIC, CINAHL, Health Star).

Related Experiment Videos

  • Inclusion of RCTs with at least six months follow-up, randomizing students, classes, schools, or districts.
  • Interventions included classroom programs, social influences, social competence, and multi-modal approaches; outcomes focused on non-smoking prevalence.

    • Main Results:

    • 23 high-quality RCTs were identified from 94 studies.
    • Social influences interventions showed some positive effects in 9 out of 13 high-quality trials, but not all.
    • Evidence for combined social influences/social competence and multi-modal interventions was limited, with mixed results in high-quality studies.

    Conclusions:

    • Information-giving interventions have limited rigorous testing for smoking prevention.
    • Social influences interventions show potential, but many high-quality trials did not detect significant effects.
    • More high-quality research is needed on combined and multi-modal interventions for sustained youth smoking prevention.