Intervention study for smoking cessation in Spanish college students: pragmatic randomized controlled trial

Pardavila‐Belio, Miren Idoia; García-Vivar, Cristina; Pimenta, Adriano Marçal; Canga‐Armayor, Ana; Pueyo‐Garrigues, Sara; Canga‐Armayor, Navidad

doi:10.1111/add.13009

Cited by 28 publications

(51 citation statements)

References 40 publications

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“…BMIs have been shown to effectively reduce tobacco use among college students [33], yet the treatment remains understudied. One BMI has recently been shown to increase smoking cessation at 6-month follow-up in a sample of 255 Spanish college students who reported smoking at least one cigarette per week for the last 6 months [34]. The intervention consisted of a 50-minute in-person session in which MI and self-help materials were used to address motivation, self-concept, and self-efficacy.…”

Section: Tobaccomentioning

confidence: 99%

Addictive Behavior Interventions Among College Students

et al. 2016

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Purpose of review Addictive behaviors among college students are a significant public health concern. This manuscript reviews the past two years of literature on prevention and treatment approaches for college students who engage in addictive behaviors. Recent findings In-person skills-based interventions and motivational interventions that incorporate personalized feedback are effective in the short-term but little support was found for long-term effects. Although web-based interventions reduced certain addictive behaviors (e.g., alcohol, problematic gambling), in-person interventions that include motivational interviewing components and personalized feedback appear to be more efficacious. Summary Research has largely focused on alcohol and little is known about the utility of interventions for students who use tobacco or illicit substances or who engage in problematic gambling. Research on interventions for these high-risk behaviors is recommended.

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Section: Tobaccomentioning

confidence: 99%

Addictive Behavior Interventions Among College Students

et al. 2016

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“…introducción El consumo de tabaco representa la primera causa prevenible de morbilidad y mortalidad, siendo el responsable de más de veinte millones de muertes prematuras en el mundo 1 . Entre los efectos más inmediatos del tabaco sobre la salud de los jóvenes se incluyen un incremento de las enfermedades respiratorias y cardiovasculares 2-3 .…”

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Attitudes, self-efficacy and intention towards tobacco cessation in Spanish college students

Pardavila‐Belio

Lizarbe-Chocarro²,

Canga‐Armayor

2019

An Sist Sanit Navar

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artículos originales breves0 actitudes, autoeficacia e intención hacia la cesación tabáquica en universitarios españolesAttitudes, self-efficacy and intention towards tobacco cessation in Spanish college students https:// doi.org/10.23938/ASSN.0588 M.i. Pardavila-belio 1,2 , M. lizarbe-chocarro 3,4 , n. canga-armayor 1,2 resuMen Fundamento. Conocer las actitudes hacia el tabaco, la percepción de autoeficacia ante el cese y la intención de abandono tabáquico en universitarios fumadores, y su variación según la etapa del proceso de abandono tabáquico.Material y métodos. Estudio transversal con 255 universitarios (18-24 años) fumadores (≥1 cigarrillo/semana). Instrumentos empleados: entrevista personal, test de Fageström, modelo transteórico de cambio, escala Actitudes, auto-eficacia e intención de abandono tabáquico de los estudiantes y CO en aire espirado.resultados. Muestra con mayoría de mujeres (62%), edad media 20,3 años, consumidores de 9,2 cigarrillos/día desde hace 5,7 años, con dependencia leve a la nicotina. El 69% se encontraba en etapas de precontemplación y contemplación. Aunque más del 70% consideró que el tabaquismo es negativo para la salud y el medio ambiente, y el 96,7% presentan actitudes negativas hacia el tabaco, solo el 45,1% era consciente de la morbimortalidad asociada. Más del 60% consideró que el tabaco es un facilitador social, por lo que el nerviosismo (72,6%) y tener amigos fumadores (69,4%) son factores considerados negativos para el abandono tabáquico. El 91% creía que fumaría el próximo año, pero el 86% declaró que no sería fumador en cinco años. El 100% de los sujetos en precontemplación consideraron que fumarán durante el próximo año frente al 83,5% de aquellos en etapa de preparación.conclusiones. Los universitarios fumadores muestran actitudes positivas, creencias erróneas y una baja percepción de auto-eficacia ante el cese del hábito tabáquico. En fase de precontemplación todos los estudiantes creen que fumarán el próximo año.Palabras clave. Estudiantes. Tabaco. Autoeficacia. Actitudes. Intención. abstract background. To determine attitudes towards smoking, perception of self-efficacy, and the intention of smoking cessation in college student smokers, and their variation according to the stage of the tobacco cessation process.Methods. Cross-sectional study with 255 college students (18-24 years old) smokers of ≥1 cigarette per week. Instruments used: a personal interview, Fageström test, transtheoretical change model, scale of Attitudes, self-efficacy and intention to quit smoking in college smokers and CO in exhaled air.results. Sample with a majority of women (62%), average age 20.3 years, users of 9.2 cigarettes/day for 5.7 years, with mild dependence on nicotine; 69% were in the stages of pre-contemplation and contemplation. Although smoking was considered to be negative for health and the environment for more than 70%, and 96.7% had negative attitudes towards tobacco, only 45.1% were aware of the associated morbidity and mortality. More than 60% considered tobacco to be a s...

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Commentary on Pardavila-Belio et al (2015): Reporting on randomized control trials or giving details on how the cake was made-the list of ingredients and the implementation process When reporting on complex behaviour change interventions it is essential to follow published guidance such as that provided by the UK Medical Research Council and journals should require clear descriptions of implementation of the interventions.Evaluating the effectiveness of smoking cessation programmes is a particularly thorny issue, especially when we evaluate multi-component interventions such as that of Pardavila-Belio et al [1]. The main challenge for evaluations is that many elements, actions and activities are at stake.

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mentioning

confidence: 99%

“…Commentary on Pardavila-Belio et al (2015): Reporting on randomized control trials or giving details on how the cake was made-the list of ingredients and the implementation process When reporting on complex behaviour change interventions it is essential to follow published guidance such as that provided by the UK Medical Research Council and journals should require clear descriptions of implementation of the interventions.…”

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confidence: 99%

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Commentary on Pardavila-Belioet al. (2015): Reporting on randomized control trials or giving details on how the cake was made-the list of ingredients and the implementation process

Martínez

Fernández

2015

Addiction

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Commentary on Pardavila-Belio et al. (2015): Reporting on randomized control trials or giving details on how the cake was made-the list of ingredients and the implementation process When reporting on complex behaviour change interventions it is essential to follow published guidance such as that provided by the UK Medical Research Council and journals should require clear descriptions of implementation of the interventions.Evaluating the effectiveness of smoking cessation programmes is a particularly thorny issue, especially when we evaluate multi-component interventions such as that of Pardavila-Belio et al. [1]. The main challenge for evaluations is that many elements, actions and activities are at stake. In the designing process, the intervention has been made up of many interacting components, operating at different levels, with different potential outcomes and mechanisms [2]; in the implementation process important changes from the intended intervention could occur; and at the evaluation point, all these elements should be taken into account to draw sensible conclusions [3]. However, complex interventions have been developed to maximize the likelihood that knowledge generated with the ultimate evidence will obtain the best health outcomes. However, how must we report the evaluation of complex interventions?The Medical Research Council published guidance to assist researchers on how to investigate complex health-care interventions [2,4]. In this guide, randomized controlled trials are regarded as the gold standard for establishing the effectiveness of interventions when randomization is feasible (as in this case). The guide also suggests that the effect of sizes does not make sense without the information on how the intervention was designed (if it were a cake, the ingredients) and implemented (or the way in which the cake was made, including the mixing process, the baking temperature, etc.). Some authors have considered that to grasp the complexity of the implementation we also need to know information about past experience, context, characteristics and profile of clients and practitioners [5].In this paper, authors designed an intervention model based on two major components: (1) existing recommendations made by the US Department of Health and Human Services and (2) a coherent theory that supports the proposed intervention (Theory of Triadic Influence). One might ask that if an intervention is evidence-based, then why conduct further research? Indeed, this is the virtue of the PardavilaBelio et al. study, that gathers several tested interventions and adopts them in a new context (Spain), to be addressed to a specific group of participants (college students) and be delivered by an expert nurse in motivational interviewing and smoking cessation (in brief, la crème de la crème).All these ingredients within the intervention and how they exert the effect can be understood only if we break down the results in several intermediate outcomes and outputs. The sum of their cumulative effect will disclose the 'effecti...

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Intervention study for smoking cessation in Spanish college students: pragmatic randomized controlled trial

Abstract: A multi-component intervention tailored to college students and managed by a nurse is effective in increasing smoking cessation among college students.

Cited by 28 publications

References 40 publications

Addictive Behavior Interventions Among College Students

Addictive Behavior Interventions Among College Students

Attitudes, self-efficacy and intention towards tobacco cessation in Spanish college students

Commentary on Pardavila-Belioet al. (2015): Reporting on randomized control trials or giving details on how the cake was made-the list of ingredients and the implementation process

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