The European Smoking prevention Framework Approach (EFSA): an example of integral prevention
The European Smoking prevention Framework Approach (EFSA): an example of integral prevention
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DOI：
10.1093/her/cyg031
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发表时间：
2003-10-01
影响因子：
2.4
通讯作者：
Kremers, S
中科院分区：
文献类型：
--
作者：
deVries, H;Mudde, A;Kremers, S
在六个欧洲国家制定了一个预防吸烟项目（欧洲预防吸烟框架方法），其特点是为青少年、学校和家长开展活动，包括校外活动。协商一致会议导致各国就目标、目的和理论方法达成协议。各国的具体目标也包括在内。国家发展需要采取针对具体国家的方法来实现各项目标和目的。研究设计采用社区干预试验。由于干预措施是在社区一级进行的，社区或地区被随机分配到实验或控制条件。在4个国家实现了完全随机化。在基线时，在项目开始时，23125名青少年的吸烟率为5.6%，经常吸烟和4.0%，每天吸烟。就每周吸烟而言，所有国家的女孩吸烟率都高于男孩。过程评价显示，该项目的目标很高，但受到各种制约因素的限制，包括时间和收到资金的延误。未来的吸烟预防项目应旨在确定社会影响方法以及更广泛方法中的有效成分，并达到持续效果。
A smoking prevention project in six European countries (European Smoking prevention Framework Approach) was developed, featuring activities for adolescents, schools and parents, including out-of-school activities. Consensus meetings resulted in agreement between the countries on goals, objectives and theoretical methods. Countries' specific objectives were also included. National diversities required country-specific methods to realize the goals and objectives. The community intervention trial was used as the research design. Since interventions took place at the community level, communities or regions were allocated at random to the experimental or control conditions. Complete randomization was achieved in four countries. At baseline, smoking prevalence among 23 125 adolescents at the start of the project was 5.6% for regular smoking and 4.0% for daily smoking. Smoking prevalence rates were higher among girls than boys in all countries as far as weekly smoking was concerned. Process evaluations revealed that the project's ambitions were high, but were limited by various constraints including time and delays in receiving funds. Future smoking prevention projects should aim to identify the effective components within the social influence approach as well as within broader approaches and on reaching sustained effects.