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[School-based tobacco prevention: the "Be Smart - Don't Start" program].

Barbara Isensee1, Reiner Hanewinkel2

  • 1Institut für Therapie- und Gesundheitsforschung, IFT-Nord gGmbH, Harmsstr. 2, 24114, Kiel, Deutschland.

Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
|October 3, 2018
PubMed
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The "Be Smart - Don't Start" program in Germany successfully encourages smoke-free school classes. This evidence-based intervention is feasible, cost-effective, and positively impacts short-term smoking prevention.

Area of Science:

  • Public Health
  • Behavioral Science
  • Educational Interventions

Background:

  • The "Be Smart - Don't Start" program has been a significant school-based smoking prevention initiative in Germany since 1997.
  • It utilizes contract management and social norm influence to encourage smoking abstinence among school classes.

Purpose of the Study:

  • To evaluate the implementation, outcomes, cost-benefit efficacy, and potential side-effects of the "Be Smart - Don't Start" program.
  • To assess the program's long-term impact on smoking behavior in adolescents.

Main Methods:

  • Implementation of a six-month smoke-free commitment for school classes.
  • Regular reporting on smoking status by participating classes.
  • Prize draws for successful smoke-free classes.
Keywords:
AdolescentsCompetitionEvaluationSmokefree Class

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  • Process and outcome evaluations, including cost-benefit analysis.

    • Main Results:

    • The intervention is feasible for school routines and receives positive feedback from teachers and students.
    • A positive cost-benefit ratio has been demonstrated.
    • Controlled studies suggest unlikely negative side-effects and a positive short-term effect on smoking progression.

    Conclusions:

    • The "Be Smart - Don't Start" program is a viable and effective school-based smoking prevention strategy.
    • The program demonstrates a favorable cost-benefit profile and positive short-term outcomes.
    • Further research may explore long-term impacts and scalability.