The Short-term Effects of ASPIRA: A Web-based, Multimedia Smoking Prevention Program for Adolescents in Romania: A Cluster Randomized Trial.
The Short-term Effects of ASPIRA: A Web-based, Multimedia Smoking Prevention Program for Adolescents in Romania: A Cluster Randomized Trial.
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DOI：
10.1093/ntr/ntw308
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发表时间：
2017-08-01
期刊：
影响因子：
--
通讯作者：
Urbán R
中科院分区：
文献类型：
--
作者：
Nădăşan V;Foley KL;Pénzes M;Paulik E;Mihăicuţă Ș;Ábrám Z;Bálint J;Csibi M;Urbán R
虽然基于网络的多媒体吸烟预防计划已在几个高收入国家进行了测试，但其在中欧和东欧的有效性尚不清楚。本试验的目的是评估ASPIRA在罗马尼亚Tirgu穆雷斯讲罗马尼亚语和匈牙利语的九年级学生中的短期效果。ASPIRA是ASPIRE的罗马尼亚语首字母缩写，ASPIRE是“预防吸烟互动体验”的翻译和改编版本，这是一个以证据为基础的预防吸烟计划，最初是为了防止美国高中生吸烟而开发的。罗马尼亚Tirgu穆雷斯的16所高中被随机分配接受每周5次的ASPIRA网络多媒体课程或对照条件。在基线和6个月时，从学生中收集社会人口学数据、心理社会特征和吸烟行为。对1369名大学生的吸烟行为进行分层Logistic回归分析。干预组中从不吸烟的学生在基线评估后6个月报告开始吸烟的可能性降低了35%（OR = 0.65，95%CI：0.44-0.97）。减少吸烟开始观察到最显着的学生谁暴露于至少75%的ASPIRA计划。干预对当前烟草使用的影响无统计学意义（OR = 0.80，95%CI：0.44-1.46）。ASPIRA是最初在美国开发和测试的基于证据的多媒体ASPIRE计划的改编版本，可能会减少中欧和东欧多种族青少年的吸烟开始。（一）.基于网络的多媒体预防吸烟计划可能是有效的工具，以防止在中欧和东欧的多民族青少年社区开始吸烟。（二）、暴露的程度是至关重要的，只有高暴露于多媒体吸烟预防计划与减少吸烟开始。
Although web-based, multimedia smoking prevention programs have been tested in several high-income countries, their efficacy in Central and Eastern Europe is unknown. The aim of this trial was to assess the short-term effects of ASPIRA, among Romanian and Hungarian speaking ninth graders in Tirgu Mures, Romania. ASPIRA is the Romanian acronym for the translated and adapted version of ASPIRE, “A Smoking Prevention Interactive Experience,” an evidence-based smoking prevention program originally developed to prevent tobacco use among high school students in the United States. Sixteen high schools in Tirgu Mures, Romania were randomized to receive five weekly sessions of the ASPIRA web-based, multimedia program or to a control condition. Socio-demographic data, psychosocial characteristics, and smoking behavior were collected from students at baseline and at 6 months. A hierarchical logistic regression analysis was conducted to test the efficacy of the intervention on smoking initiation and current smoking among 1369 students. Never-smoker students in the intervention arm were 35% less likely to report smoking initiation 6 months after the baseline assessment (OR = 0.65, 95%CI: 0.44–0.97). Reduced smoking initiation was observed most notably among students who were exposed to at least 75% of the ASPIRA program. There was no statistically significant effect of the intervention on current tobacco use (OR = 0.80, 95%CI: 0.44–1.46). ASPIRA, an adapted version of the evidence-based, multimedia ASPIRE program that was originally developed and tested in the United States may decrease smoking initiation among multi-ethnic adolescents in Central and Eastern Europe. (1). Web-based, multimedia smoking prevention programs may be effective tools to prevent smoking initiation among multi-ethnic adolescent communities in Central and Eastern Europe. (2). The degree of exposure is critical, only high exposure to the multimedia smoking prevention program is associated with reduced smoking initiation.
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影响因子：
4.6
作者：
Nădăşan V;Foley KL;Pénzes M;Paulik E;Mihăicuţă Ş;Ábrám Z;Bálint J;Urbán R
通讯作者：
Urbán R
影响因子：
12.7
作者：
Farrelly, MC;Davis, KC;Healton, CG
通讯作者：
Healton, CG
影响因子：
105.7
作者：
Campbell, Marion K.;Piaggio, Gilda;Altman, Douglas G.
通讯作者：
Altman, Douglas G.
影响因子：
4.4
作者：
Plummer, BA;Velicer, WF;Meier, KS
通讯作者：
Meier, KS
影响因子：
4.2
作者：
Buller, David B.;Borland, Ron;Saba, Laura
通讯作者：
Saba, Laura