Brinker, Titus Josef ORCID: 0000-0002-3620-5919, Buslaff, Fabian ORCID: 0000-0003-3621-4396, Suhre, Janina Leonie, Silchmueller, Marc Philipp, Divizieva, Evgenia, Wilhelm, Jilada, Hillebrand, Gabriel, Penka, Dominik, Gaim, Benedikt, Swoboda, Susanne, Baumermann, Sonja, Walther, Joerg Werner, Brieske, Christian Martin, Jakob, Lena, Baumert, Hannah Maria ORCID: 0000-0003-3692-6182, Anhuef, Ole, Schmidt, Selina Marisa, Alfitian, Jonas, Batra, Anil, Taha, Lava, Mons, Ute, Hofmann, Felix Johannes ORCID: 0000-0002-5395-3652, Haney, Ailis Ceara, Haney, Caelan Max, Schaible, Samuel, Beisswenger, Hanna, Stark, Tobias, Groneberg, David A., Seeger, Werner ORCID: 0000-0003-1946-0894, Srivastava, Aayushi, Gall, Henning, Holzapfel, Julia, Rigotti, Nancy A., Baudson, Tanja Gabriele, Enk, Alexander H., Froehling, Stefan, von Kalle, Christof, Bernardes-Souza, Breno ORCID: 0000-0003-1806-2501, de Oliveira Santos Pereira, Rayanna Mara and Thomas, Roger (2019). Process Evaluation of a Medical Student-Delivered Smoking Prevention Program for Secondary Schools: Protocol for the Education Against Tobacco Cluster Randomized Trial. JMIR RES. Protoc., 8 (4). TORONTO: JMIR PUBLICATIONS, INC. ISSN 1929-0748

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Abstract

Background: Most smokers start smoking during their early adolescence under the impression that smoking entails positive attributes. Given the addictive nature of cigarettes, however, many of them might end up as long-term smokers and suffering from tobacco-related diseases. To prevent tobacco use among adolescents, the large international medical students' network Education Against Tobacco (EAT) educates more than 40,000 secondary school students per year in the classroom setting, using evidence-based self-developed apps and strategies. Objective: This study aimed to evaluate the long-term effectiveness of the school-based EAT intervention in reducing smoking prevalence among seventh-grade students in Germany. Additionally, we aimed to improve the intervention by drawing conclusions from our process evaluation. Methods: We conduct a cluster-randomized controlled trial with measurements at baseline and 9, 16, and 24 months postintervention via paper-and-pencil questionnaires administered by teachers. The study groups consist of randomized schools receiving the 2016 EAT curriculum and control schools with comparable baseline data (no intervention). The primary outcome is the difference of change in smoking prevalence between the intervention and control groups at the 24-month follow-up. Secondary outcomes are between-group differences of changes in smoking-related attitudes and the number of new smokers, quitters, and never-smokers. Results: A total of 11,268 students of both sexes, with an average age of 12.32 years, in seventh grade of 144 secondary schools in Germany were included at baseline. The prevalence of cigarette smoking in our sample was 2.6%. The process evaluation surveys were filled out by 324 medical student volunteers, 63 medical student supervisors, 4896 students, and 141 teachers. Conclusions: The EAT cluster randomized trial is the largest school-based tobacco-prevention study in Germany conducted to date. Its results will provide important insights with regards to the effectiveness of medical student-delivered smoking prevention programs at school.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Brinker, Titus JosefUNSPECIFIEDorcid.org/0000-0002-3620-5919UNSPECIFIED
Buslaff, FabianUNSPECIFIEDorcid.org/0000-0003-3621-4396UNSPECIFIED
Suhre, Janina LeonieUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Silchmueller, Marc PhilippUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Divizieva, EvgeniaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wilhelm, JiladaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hillebrand, GabrielUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Penka, DominikUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gaim, BenediktUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Swoboda, SusanneUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Baumermann, SonjaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Walther, Joerg WernerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Brieske, Christian MartinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jakob, LenaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Baumert, Hannah MariaUNSPECIFIEDorcid.org/0000-0003-3692-6182UNSPECIFIED
Anhuef, OleUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schmidt, Selina MarisaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Alfitian, JonasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Batra, AnilUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Taha, LavaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mons, UteUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hofmann, Felix JohannesUNSPECIFIEDorcid.org/0000-0002-5395-3652UNSPECIFIED
Haney, Ailis CearaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Haney, Caelan MaxUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schaible, SamuelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Beisswenger, HannaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Stark, TobiasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Groneberg, David A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Seeger, WernerUNSPECIFIEDorcid.org/0000-0003-1946-0894UNSPECIFIED
Srivastava, AayushiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gall, HenningUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Holzapfel, JuliaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rigotti, Nancy A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Baudson, Tanja GabrieleUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Enk, Alexander H.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Froehling, StefanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
von Kalle, ChristofUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bernardes-Souza, BrenoUNSPECIFIEDorcid.org/0000-0003-1806-2501UNSPECIFIED
de Oliveira Santos Pereira, Rayanna MaraUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Thomas, RogerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-151495
DOI: 10.2196/13508
Journal or Publication Title: JMIR RES. Protoc.
Volume: 8
Number: 4
Date: 2019
Publisher: JMIR PUBLICATIONS, INC
Place of Publication: TORONTO
ISSN: 1929-0748
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
CLASS COMPETITION; ADOLESCENTS; INTERVENTION; CESSATION; BEHAVIOR; PREDICTORS; EXPOSURE; SMOKERS; IMPACT; ONSETMultiple languages
Health Care Sciences & ServicesMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/15149

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