A systematic review of school-based smoking prevention trials with long-term follow-up

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...

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Bibliographic Details
Published in:Journal of adolescent health 2005-03, Vol.36 (3), p.162-169
Main Authors: Wiehe, Sarah E., Garrison, Michelle M., Christakis, Dimitri A., Ebel, Beth E., Rivara, Frederick P.
Format: Article
Language:English
Subjects:
Adolescent
Adolescent Behavior
Biological and medical sciences
Child
Child Behavior
Endpoint Determination
Follow-Up Studies
Followup studies
Humans
Long term
Medical sciences
Mental health
Prevalence
Prevention. Health policy. Planification
Preventive programmes
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Randomized Controlled Trials as Topic
School
School Health Services
Schools
Smoking
Smoking - epidemiology
Smoking Prevention
Social psychiatry. Ethnopsychiatry
Systematic reviews
Treatment Outcome
USA
Youth
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Summary: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. 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). 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. 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.
ISSN:1054-139X
1879-1972
DOI:10.1016/j.jadohealth.2004.12.003