BACKGROUND: Several systematic reviews of school-based smoking prevention trials have shown short-term decreases in smoking prevalence but have not examined long-term follow-up evaluation. The purpose of this study was to conduct a systematic review of rigorously evaluated interventions for school-based smoking prevention with long-term follow-up data. METHODS: We searched online bibliographic databases and reference lists from review articles and selected studies. We included all school-based, randomized, controlled trials of smoking prevention with follow-up evaluation to age 18 or 12th grade and at least 1 year after intervention ended, and that had smoking prevalence as a primary outcome. The primary outcome was current smoking prevalence (defined as at least 1 cigarette in the past month). RESULTS: The abstracts or full-text articles of 177 relevant studies were examined, of which 8 met the selection criteria. The 8 articles included studies differing in intervention intensity, presence of booster sessions, follow-up periods, and attrition rates. Only one study showed decreased smoking prevalence in the intervention group. CONCLUSIONS: Few studies have evaluated the long-term impact of school-based smoking prevention programs rigorously. Among the 8 programs that have follow-up data to age 18 or 12th grade, we found little to no evidence of long-term effectiveness.
BACKGROUND: Several systematic reviews of school-based smoking prevention trials have shown short-term decreases in smoking prevalence but have not examined long-term follow-up evaluation. The purpose of this study was to conduct a systematic review of rigorously evaluated interventions for school-based smoking prevention with long-term follow-up data. METHODS: We searched online bibliographic databases and reference lists from review articles and selected studies. We included all school-based, randomized, controlled trials of smoking prevention with follow-up evaluation to age 18 or 12th grade and at least 1 year after intervention ended, and that had smoking prevalence as a primary outcome. The primary outcome was current smoking prevalence (defined as at least 1 cigarette in the past month). RESULTS: The abstracts or full-text articles of 177 relevant studies were examined, of which 8 met the selection criteria. The 8 articles included studies differing in intervention intensity, presence of booster sessions, follow-up periods, and attrition rates. Only one study showed decreased smoking prevalence in the intervention group. CONCLUSIONS: Few studies have evaluated the long-term impact of school-based smoking prevention programs rigorously. Among the 8 programs that have follow-up data to age 18 or 12th grade, we found little to no evidence of long-term effectiveness.
Authors: Brian S Flynn; John K Worden; Janice Yanushka Bunn; Laura J Solomon; Takamaru Ashikaga; Scott W Connolly; Amelie G Ramirez Journal: Am J Prev Med Date: 2010-05-26 Impact factor: 5.043
Authors: Barbara A Pizacani; Clyde W Dent; Julie E Maher; Kristen Rohde; Michael J Stark; Anthony Biglan; Jill Thompson Journal: J Adolesc Health Date: 2008-12-06 Impact factor: 5.012
Authors: Patricia A Cavazos-Rehg; Melissa J Krauss; Shaina J Sowles; Edward L Spitznagel; Richard Grucza; Frank J Chaloupka; Laura J Bierut Journal: Tob Regul Sci Date: 2016-04
Authors: Suchitra Krishnan-Sarin; Iris M Balodis; Hedy Kober; Patrick D Worhunsky; Thomas Liss; Jiansong Xu; Marc N Potenza Journal: Psychol Addict Behav Date: 2013-04-15