Three-month effects of Project EX: A smoking intervention pilot program with Korean adolescents

Yu, Sheila; Galimov, Artur; Sussman, Steve; Jeong, Goo-Churl; Shin, Sung Rae

doi:10.1016/j.abrep.2018.100152

Cited by 4 publications

(7 citation statements)

References 23 publications

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“…Based on control groups in previous studies, we anticipated that 5% of participants in the control group would also quit tobacco spontaneously. An effect size of.40 between the control group and the EX groups would correspond to an increase in cessation rates from 5% to 17%, which is consistent with previous EX trials (Chansatitporn et al, 2016;Espada et al, 2015Espada et al, , 2017Idrisov et al, 2013;Isralowitz et al, 2016;Sussman et al, 2001Sussman et al, , 2004Yu et al, 2019;Zheng et al, 2004). To achieve maximum diversity, we planned to recruit from 27 American Indian Education Centers (AIECs) and Urban Centers located throughout the state.…”

Section: Original Study Design and Modificationssupporting

confidence: 67%

“…One strategy for developing effective and culturally resonant smoking cessation programs is to adapt existing evidence-based programs for varying cultural contexts. Project EX, an empirically validated teen commercial tobacco use cessation program, has been adapted to meet the needs of culturally diverse populations and has been implemented and evaluated in Thailand, Spain, Russia, Israel, the United States, Korea, and China (Chansatitporn et al, 2016;Espada et al, 2015Espada et al, , 2017Idrisov et al, 2013;Isralowitz et al, 2016;Sussman et al 2001Sussman et al , 2004Yu et al, 2019;Zheng et al, 2004). Activities are tailored to teens (e.g., through games, role play, "talk shows", alternative medicine activities [deep breathing, relaxation, meditation, yoga], and the use of visuals) to motivate teens to attempt to quit tobacco use, cope with withdrawal and negative moods, and seek other non-tobacco using activities.…”

Section: Smoking Cessation Evidence-based Treatments For Aian Youthmentioning

confidence: 99%

“…Youth discuss social concerns, relations of tobacco use to stress, and environmental and physical dangers of tobacco use. Culturally adapted versions of Project EX have produced favorable program quality and process ratings, increases in motivation and intentions to quit, reductions in weekly and monthly smoking, and cessation across multiple cultural contexts (Chansatitporn et al, 2016;Espada et al, 2015Espada et al, , 2017Idrisov et al, 2013;Isralowitz et al, 2016;Sussman et al, 2001Sussman et al, , 2004Yu et al, 2019;Zheng et al, 2004).…”

Section: Smoking Cessation Evidence-based Treatments For Aian Youthmentioning

confidence: 99%

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Project SUN: Pilot Study of a Culturally Adapted Smoking Cessation Curriculum for American Indian Youth

et al. 2022

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American Indian Alaska Native (AIAN) youth have disproportionately higher rates of commercial tobacco product use compared to other racial and ethnic groups in the U.S. These rates underscore a need for commercial tobacco product cessation interventions that are culturally informed. This project studied the development, implementation, and some impact data of an adapted version of Project EX, an evidence-based intervention for teen smoking cessation. Implementation challenges resulted in a change from a three-arm to a single-arm trial with 37 AIAN youth who participated in an eight-week curriculum. Intent-to-treat analysis with biochemical validation results indicated that 32% (N = 12/37) of youth quit smoking at the three-month follow-up. Participants reported being satisfied with the program overall and enjoying the culturally adapted activities. This study detailed the program's adaptation and lessons learned during implementation.

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Section: Original Study Design and Modificationssupporting

confidence: 67%

Section: Smoking Cessation Evidence-based Treatments For Aian Youthmentioning

confidence: 99%

Section: Smoking Cessation Evidence-based Treatments For Aian Youthmentioning

confidence: 99%

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Project SUN: Pilot Study of a Culturally Adapted Smoking Cessation Curriculum for American Indian Youth

et al. 2022

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“…School-based smoking prevention interventions, two of these journals are a follow-up of a school-based smoking prevention intervention conducted to determine the short-term and long-term benefits of the intervention on the knowledge, attitudes, and behavior of teenage students about smoking. Short-term gains received an evaluation after 3 months of intervention and long-term benefits after 6 months of intervention [15], [16]. Tobacco consumption in this review is not only by traditional methods but also tobacco consumption in other forms such as waterpipe tobacco smoking or shisha, SLT, and betel quid or betel [17], [18].…”

Section: Resultsmentioning

confidence: 99%

School-based Smoking Prevention in Adolescents in Developing Countries: A Literature Review

Huriah

Lestari

2020

Open Access Maced J Med Sci

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BACKGROUND: The incidence of diseases due to tobacco consumption has increased, especially in developing countries, where around 90% of smokers start consuming tobacco before the age of 18 years. School-based smoking prevention programs can prevent smoking among adolescents. This program is often implemented in developing countries because it is considered cost-effective, and the results are promising. At present, the school-based smoking prevention program is expanding with many methods. AIM: This study aims to describe the various types of school-based smoking prevention interventions in developing countries. METHODS: This research applied a literature review approach with the process of collecting data through the Science Direct, ProQuest, EBSCO, and NCBI databases. Search literature was by keyword “smoking AND prevention AND school-based AND adolescent AND randomized controlled trials or randomized controlled trials.” Inclusion criteria used for data collection were studies on school-based smoking prevention interventions, full text, and journal publishing from 2015 to 2019, using English. The research conducted in developing countries and prevention interventions was not only for smoking in the traditional way but also in the form of other than the consumption of tobacco such as cigars, smokeless tobacco, and hookah or shisha. Exclusion criteria in this review were publication articles not in the form of original publications such as letters to editors, only abstracts, and books. RESULTS: The literature search results found 594 journals with details of 99 Science direct journals, ProQuest 385 journals, NCBI 85 journals, and 25 EBSCO journals. The entire database belongs to the inclusion criteria and only seven articles meet the requirements. The results of the analysis revealed that interventions conducted in school-based smoking prevention programs for adolescents in developing countries included the application of the anti-smoking curriculum, behavior change intervention (BCI), and peer education. CONCLUSION: Interventions considered useful for preventing smoking in adolescents are the anti-smoking curriculum, BCI, and peer education.

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“…Although there were many studies examining smoking cessation among South Korean adolescents, none satisfied all the inclusion criteria. However, if the RCT on the Project EX group counseling program for South Korean adolescents conducted by Yu et al [ 23 ] had at least 6 months of follow-up, it would have been included in the analysis. It is noted that adequate research has not been conducted to identify the effectiveness of smoking cessation programs targeting adolescents in the South Korean context.…”

Section: Discussionmentioning

confidence: 99%

Behavioral interventions for smoking cessation among adolescents: a rapid review and meta-analysis for the Korea Preventive Services Task Force

Choi

Lee

Cho

et al. 2021

Osong Public Health Res Perspect

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Objectives:The aim of this study was to evaluate the effectiveness of behavioral smoking cessation interventions among adolescents. Methods: MEDLINE, CENTRAL, Embase, CINAHL, KoreaMed, and KMbase were searched from inception to June 2020. Systematic reviews (SRs) or meta-analyses of randomized controlled trials (RCTs) were initially searched to perform a rapid SR. After selecting the final SR, RCTs after the publication year of the selected SR were searched. The primary outcome was smoking status after at least 6 months of follow-up, and the secondary outcome was smoking status at 4 weeks. Two reviewers independently assessed the selected studies' quality using the Cochrane risk of bias tool. The meta-analysis utilized a Mantel-Haenszel fixed-effect model reporting the relative risk (RR) and 95% confidence interval (CI). The subgroup analysis utilized Cochrane's Q. Results: Thirty-two RCTs (11,637 participants) from a single SR were meta-analyzed. After 6 months of follow-up, the intervention group had significantly higher abstinence rates (RR, 1.30; 95% CI, 1.20−1.41; I 2 =26.46%). At 4 weeks of follow-up, the intervention group also had significantly higher abstinence rates (RR, 1.92; 95% CI, 1.49-2.47; I 2 =0.00%). The subgroup analysis indicated a significant difference in the abstinence rate according to the study setting and the period between intervention completion and follow-up. Conclusion:This review showed that adolescent behavioral smoking cessation intervention programs significantly increased abstinence rates compared to the usual care.

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Three-month effects of Project EX: A smoking intervention pilot program with Korean adolescents

Cited by 4 publications

References 23 publications

Project SUN: Pilot Study of a Culturally Adapted Smoking Cessation Curriculum for American Indian Youth

Project SUN: Pilot Study of a Culturally Adapted Smoking Cessation Curriculum for American Indian Youth

School-based Smoking Prevention in Adolescents in Developing Countries: A Literature Review

Behavioral interventions for smoking cessation among adolescents: a rapid review and meta-analysis for the Korea Preventive Services Task Force

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