Community interventions for preventing smoking in young people

Carson, Kristin; Brinn, Malcolm P; Labiszewski, Nadina A; Esterman, Adrian; Chang, Anne B.; Smith, Brian J.

doi:10.1002/14651858.cd001291.pub2

Cited by 84 publications

(74 citation statements)

References 133 publications

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“…[20][21][22][23][24] The reviews suggest that the following smoking prevention methods and approaches are effective: reducing the illicit sale of tobacco products to under-18s; [20][21][22][23] initiating tobacco-free policies and environmental change; 22 age-appropriate, interactive educational messages delivered via intensive, long-term mass media campaigns; 21 and social competency and skills development interventions to support young people to resist peer influence. Systematic reviews also consistently find that 'multilevel' interventions, which address both individual and environmental determinants of behaviour simultaneously, are most effective for improving young people's health outcomes.…”

Section: Effective Smoking Prevention Methods and Approachesmentioning

confidence: 99%

“…Systematic reviews also consistently find that 'multilevel' interventions, which address both individual and environmental determinants of behaviour simultaneously, are most effective for improving young people's health outcomes. 20,23,25,26 These interventions, which include 'higher-level' environmental components, also tend to be more cost-effective, 27 and are less likely to generate inequalities than individually focused components alone. 28,29 However, if such interventions are to deliver major public health gains, they must also be feasible to deliver and sustain.…”

Section: Effective Smoking Prevention Methods and Approachesmentioning

confidence: 99%

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Pilot trial and process evaluation of a multilevel smoking prevention intervention in further education settings

et al. 2017

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Background Preventing smoking uptake among young people is a public health priority. Further education (FE) settings provide access to the majority of 16- to 18-year-olds, but few evaluations of smoking prevention interventions have been reported in this context to date. Objectives To evaluate the feasibility and acceptability of implementing and trialling a new multilevel smoking prevention intervention in FE settings. Design Pilot cluster randomised controlled trial and process evaluation. Setting Six UK FE institutions. Participants FE students aged 16–18 years. Intervention ‘The Filter FE’ intervention. Staff working on Action on Smoking and Health Wales’ ‘The Filter’ youth project applied existing staff training, social media and youth work resources in three intervention settings, compared with three control sites with usual practice. The intervention aimed to prevent smoking uptake by restricting the sale of tobacco to under-18s in local shops, implementing tobacco-free campus policies, training FE staff to deliver smoke-free messages, publicising The Filter youth project’s online advice and support services, and providing educational youth work activities. Main outcome measures (1) The primary outcome assessed was the feasibility and acceptability of delivering and trialling the intervention. (2) Qualitative process data were analysed to explore student, staff and intervention team experiences of implementing and trialling the intervention. (3) Primary, secondary and intermediate (process) outcomes and economic evaluation methods were piloted. Data sources New students at participating FE settings were surveyed in September 2014 and followed up in September 2015. Qualitative process data were collected via interviews with FE college managers (n = 5) and the intervention team (n = 6); focus groups with students (n = 11) and staff (n = 5); and observations of intervention settings. Other data sources were semistructured observations of intervention delivery, intervention team records, ‘mystery shopper’ audits of local shops and college policy documents. Results The intervention was not delivered as planned at any of the three intervention settings, with no implementation of some community- and college-level components, and low fidelity of the social media component across sites. Staff training reached 28 staff and youth work activities were attended by 190 students across the three sites (< 10% of all eligible staff and students), with low levels of acceptability reported. Implementation was limited by various factors, such as uncertainty about the value of smoking prevention activities in FE colleges, intervention management weaknesses and high turnover of intervention staff. It was feasible to recruit, randomise and retain FE settings. Prevalence of weekly smoking at baseline was 20.6% and was 17.2% at follow-up, with low levels of missing data for all pilot outcomes. Limitations Only 17% of eligible students participated in baseline and follow-up surveys; the representativeness of student and staff focus groups is uncertain. Conclusions In this study, FE settings were not a supportive environment for smoking prevention activities because of their non-interventionist institutional cultures promoting personal responsibility. Weaknesses in intervention management and staff turnover also limited implementation. Managers accept randomisation but methodological work is required to improve student recruitment and retention rates if trials are to be conducted in FE settings. Trial registration Current Controlled Trials ISRCTN19563136. Funding This project was funded by the National Institute for Health Research (NIHR) Public Health Research programme and will be published in full in Public Health Research; Vol. 5, No. 8. See the NIHR Journals Library website for further project information. It was also funded by the Big Lottery Fund.

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Section: Effective Smoking Prevention Methods and Approachesmentioning

confidence: 99%

Section: Effective Smoking Prevention Methods and Approachesmentioning

confidence: 99%

Pilot trial and process evaluation of a multilevel smoking prevention intervention in further education settings

et al. 2017

View full text Add to dashboard Cite

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“…Some interventions listed actually increase tobacco use and need to be modified or eliminated to minimize their effects on smoking. [61][62][63][64][65][66][67] Each of the interventions in the table has been evaluated for its effectiveness in preventing (or promoting) consumption of tobacco by youth. Conclusions about program or policy effectiveness have been reached using the widely accepted evidence hierarchies, with randomized trials purported to provide the strongest evidence.…”

Section: How Can We Apply These Recommendations To Generate Stronger mentioning

confidence: 99%

“…64 Implementing smoke-free indoor spaces and excise taxes on tobacco products are two promising interventions. 62 But mixed results have been found for the effectiveness of laws to limit youth access to tobacco via restrictions on retailers. 66 Not only does the strength of evidence for these myriad programs vary but no programs, except for the multi-component community programs that include several "sectors" within a given community, also have been examined for joint effects of efforts to prevent youth tobacco consumption.…”

Section: How Can We Apply These Recommendations To Generate Stronger mentioning

confidence: 99%

Are We Producing the Right Kind of Actionable Evidence for the Social Determinants of Health?

O’Campo

2012

J Urban Health

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“…Bu mücadele için-de kişilerin bilgilendirilmesi, kapsamlı bir reklam, sponsorluk ve promosyon yasağı, tütün fiyatının yükseltilmesi, tütün kullanımını bırakmak isteyenlere yardım ve tütün dumanın-dan pasif etkilenimin önlenmesi temel stratejilerdir [7]. Toplumda davranış değişikliği sağlanabilmesi için "tütünün zararları hakkında bilgilendirilmesi" ön koşullar arasında yer almaktadır [1,[10][11][12]. Tütünün zararları hakkında bilgilendirme müdahalesinde farklı yöntemler kullanılmaktadır.…”

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Some Opinions of Governmental Employees about Anti-Tobacco Advertisement Movies on TV

Özcebe¹,

Attila²,

Bolat³

et al. 2013

Tur Toraks Der

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AmAç: Tütün ile mücadele yöntemleri arasında toplumun bilgilendirilmesi önemli bir yere sahiptir. En yeni bilgilendirme yöntemler-den birisi televizyonda tütün karşıtı reklam filmlerinin gösterilme-sidir. Ülkemizde Sağlık Bakanlığı tütünün sağlık etkileri hakkında halkı bilgilendirmek amacıyla televizyonda sigara karşıtı filmleri başlatmıştır. Bu çalışmada kamu çalışanlarının televizyondaki tü-tün karşıtı reklamlar hakkındaki bazı görüşlerini öğrenmek amacıyla yapılmıştır.GEREç VE YÖNTEmLER: Bu tanımlayıcı çalışma sırasında bir devlet kuruluşunda çalışan 202 idari personele ulaşılmıştır. Araştırma sırasında araştırmacılar tarafından geliştirilen anket formu yüz yüze anket uygulama tekniği ile uygulanmıştır. Anket uygulaması sırasında katılımcılara filmleri hatırlatan fotoğraflar gösterilmiştir.BULGULAR: Katılımcılara bu resimlerin herhangi bir televizyon reklamı hatırlatma durumu sorulmuştur. Katılımcıların çoğu erkek ve lise ve üstü öğrenim düzeyine sahiptirler. Ortalama yaşları 40±8.7 yıldır. Katılımcıların yaklaşık yarısı sigara kullanmaktadır (%45.5). Erkekler arasında sigara kullanma sıklığı %45.9 iken kadınlarda bu oran %41.2'dir. Tütün karşıtı filmleri izledikten sonra en fazla hissedildiği belirtilen duygu "üzgün olma"dır (%85.3). Katılımcılar tütün karşıtı filmlerin sigara bırakmayı motive ettiğini (%75.5) ve bu filmlerin insanları tütünün sağlık etkileri hakkında bilgilendirdiğini (%85.7) düşünmektedirler. Her 10 sigara kullanandan altısı sigara bırakmayı düşünmekte ve 3 kişi sigara kullanmayı bırakmıştır.SONUç: Tütün karşıtı reklam filmleri insanları tütünün zararları hakkında bilgilendirme ve sigara bırakma hakkında motive ettiği düşünülmektedir. ANAhTAR SÖzcükLER: Tütün karşıtı reklam filmi, televizyon, erişkinGeliş Tarihi: 09.04.2012 Kabul Tarihi: 29.06.2012 OBJEcTIVE: Informing the community has an important place among the methods of tobacco struggle. One of the newest information techniques is anti-tobacco advertisements on TV. The Ministry of Health in Turkey has initiated anti-tobacco advertisements on TV to inform the community about the health effects of tobacco. This study aimed to identify some opinions of government employees about anti-tobacco advertisements. mATERIAL AND mEThODS:In this descriptive study, 202 administrative employees working at a governmental institution were reached. The questionnaire developed by the researchers was applied to the participants by using face-to-face interview techniques. During the interview, the picture of a moment from the advertisement was shown to the participants. The participants were asked if the picture reminded them of any advertisement on TV. RESULTS:Most of the participants were men who had graduated from high school or university. Their mean age was 40±8.7. Almost half of the participants were smokers (45.5%). The prevalence of smoking among men was 45.9%, compared to 41.2% for women. The most common emotion felt after watching the antitobacco films was "sorry" (85.3%). The participants thought that the anti-tobacco advertisement films wer...

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Community interventions for preventing smoking in young people

Abstract: Community interventions for preventing smoking in young people.

Cited by 84 publications

References 133 publications

Pilot trial and process evaluation of a multilevel smoking prevention intervention in further education settings

Pilot trial and process evaluation of a multilevel smoking prevention intervention in further education settings

Are We Producing the Right Kind of Actionable Evidence for the Social Determinants of Health?

Some Opinions of Governmental Employees about Anti-Tobacco Advertisement Movies on TV

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