Cost-effectiveness of a School-Based Tobacco-Use Prevention Program

Wang, Li Yan; Crossett, Linda; Lowry, Richard; Sussman, Steve; Dent, Clyde W.

doi:10.1001/archpedi.155.9.1043

Cited by 55 publications

(72 citation statements)

References 20 publications

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“…In order to achieve greater effectiveness, it is widely recognized that a smoking prevention programme should contain the following components (Raczynski and Di Clemente 1997): sustained treatment, characterized by booster sessions over several years (such as considering the intervention as a dose of vaccine to be administered each year for a certain period); reinforcement of the treatment within the community, involving parents and the mass media; and programming smoking prevention activities within a more comprehensive school health promotion programme. Lastly, Wang et al (2001) have demonstrated that a school-based tobacco-use prevention programme, the Project Toward No Tobacco Use (TNT) designed to prevent tobacco use among high school students, is highly cost-effective, if compared with other prevention interventions. Such results have to be taken into serious consideration by policy makers and programme planners.…”

Section: Discussionmentioning

confidence: 99%

School-based smoking prevention in children and adolescents: review of the scientific literature

2005

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The aim of this study was to review all systematic reviews and meta-analyses of school-based interventions to prevent children and adolescents starting smoking. We searched MEDLINE, EMBASE, The Cochrane Database and Tobacco Review group registers, Psyclnfo, and the ERIC database. The keywords used for the search were: school-based, smoking prevention, children, adolescents, meta-analysis, systematic review. We found seven specifically relevant meta-analyses. They give evidence of a decreased prevalence of smoking among students exposed to social influence programmes compared to students in control groups. The mean difference between groups exposed to the programmes and those not exposed (at the school or classroom level) ranges from 5% to 60%, with a duration of 1-4 years. In conclusion, in order to achieve a higher level of effectiveness it is widely recognized that smoking prevention programmes should have the following components: sustained application, booster sessions over several years; reinforcement in the community; involvement of parents and the mass media; programming smoking prevention activities within a more comprehensive school health promotion programme.

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Section: Discussionmentioning

confidence: 99%

School-based smoking prevention in children and adolescents: review of the scientific literature

2005

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“…Despite its relevance, CEA has been sparsely utilized in the public health literature, in general, and with behavioral interventions for youth, in particular (Wagner and Goldstein 2004). We are aware of only two studies that have assessed the costeffectiveness of tobacco-use prevention programs implemented in US schools (Tengs et al 2001;Wang et al 2001).…”

Section: Introductionmentioning

confidence: 99%

Cost-Effectiveness Analysis of the Not On Tobacco Program for Adolescent Smoking Cessation

et al. 2008

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Public health researchers and practitioners emphasize the need for effective, adoptable, and available youth smoking cessation interventions. Scarce resources demand that such interventions also be cost effective. This study describes a cost-effectiveness analysis (CEA) of the American Lung Association's Not On Tobacco (N-O-T) national and international teen smoking cessation program. N-O-T has been rigorously evaluated as an effective and adoptable program, and was recently found to be the most frequently-used teen smoking cessation program in the nation. N-O-T studies show intent-to-treat quit rates between 15% and 19%, among the highest reported in the literature. The current CEA resulted from a 2-year state-wide demonstration study in Florida, comparing the effectiveness of N-O-T with a 20-min brief intervention (BI). The CEA utilized a Markov transition model of decision analysis to explain stage progression of smoking cessation among participants from the age of 17 to 25 years. The Markov simulation predicted that out of a cohort of 100 N-O-T students, 10 will quit smoking and remain smoke-free at the age of 25 years and 14 will reduce smoking, resulting in 102.22 life years saved and a total of 20.11 years discounted life years (DLY) saved. Among BI youth, six will quit smoking and nine will reduce, indicating 64.31 life years saved and a total 12.65 DLY saved. The incremental DLY saved is 7.46 years. Results indicate that N-O-T is a very cost-effective option school-based smoking cessation, as cost effective as school-based primary tobacco prevention, and potentially more cost effective than adult tobacco use cessation.

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“…The cost-effectiveness study of Wang et al (2001) evaluates the school-based prevention programme "Project Towards No Tobacco Use (TNT)" (Dent et al 1995) which was designed to prevent the tobacco consumption of students. The programme was only effective in the combination of social influence curricula (health consequences, informational social influence and a normative social influence) for preventing the continuous use of tobacco.…”

Section: Resultsmentioning

confidence: 99%

“…Tengs et al (2001) consider the analysed anti-tobacco education to be beneficial to health and cost-effective for most plausible scenarios. Interestingly, Wang et al (2001) evaluate the same school-based prevention programme as cost saving regarding the medical savings for smokingrelated diseases and even more cost-effective without medical savings in all scenarios. The cost-effectiveness of US $481 up to US $2,770 per life year saved (excluding medical care cost savings) is also comparable with the costeffectiveness of smoking cessation programmes for adults.…”

Section: Discussionmentioning

confidence: 99%

Cost-effectiveness of smoking prevention measures in adolescents

Rasch

Greiner

2007

J Public Health

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Introduction In view of the serious health risks and high costs to the health care system of tobacco consumption, getting young people to avoid smoking is an important element of preventive health care. The aim of this study was to give an overview of the scientific literature on costeffectiveness in smoking preventive interventions within this age group. Methods A literature search was conducted in publicly available databases. Results Eight studies confirming the cost-effectiveness of those programmes were identified. These publications evaluate behaviour-based as well as environment-related interventions. Depending on the specific measures used, the results varied enormously. Nevertheless, in most scenarios the cost-effectiveness was favourable with less than 20,000 euros per life year gained (LYG) or qualityadjusted life year (QALY). In the long-term perspective some studies estimate significant cost savings from a societal perspective. Conclusion According to the available evidence, the authors assume that smoking prevention in adolescents is cost-effective. Due to the small number of comparable studies, there is a lack of reliable evidence regarding the economic aspects of primary tobacco prevention.

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Cost-effectiveness of a School-Based Tobacco-Use Prevention Program

Abstract: The TNT is highly cost-effective compared with other widely accepted prevention interventions. School-based prevention programs of this type warrant careful consideration by policy makers and program planners.

Cited by 55 publications

References 20 publications

School-based smoking prevention in children and adolescents: review of the scientific literature

School-based smoking prevention in children and adolescents: review of the scientific literature

Cost-Effectiveness Analysis of the Not On Tobacco Program for Adolescent Smoking Cessation

Cost-effectiveness of smoking prevention measures in adolescents

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