Randomized controlled trial of the ACTION smoking cessation curriculum in tobacco-growing communities.
Randomized controlled trial of the ACTION smoking cessation curriculum in tobacco-growing communities.
复制标题
烟草种植社区行动戒烟课程的随机对照试验。
DOI：
10.1016/j.addbeh.2009.04.016
复制
发表时间：
2009
影响因子：
4.4
通讯作者：
Meyer,Michael
中科院分区：
文献类型：
--
作者：
Stein-Seroussi,Al;Stockton,Laurie;Brodish,Paul;Meyer,Michael
我们进行了一项基于游戏的互动戒烟计划（ACTION）的随机分组试验，旨在帮助生活在烟草种植社区的青少年停止使用烟草。超过260名高中生参加了这项研究，在三个州的14所学校。我们收集了自我报告的香烟和无烟烟草使用的措施，并在三个时间点（测试前，测试后立即和90天随访）对自我报告的使用进行了生化验证。我们使用多层次建模来解释学校和教室层面的组内聚类，并使用意向治疗方法和按协议方法分析我们的结果。使用符合方案分析方法，ACTION参与者比对照参与者更有可能在90天随访时实现禁欲。我们没有发现程序对我们的次要结果或中介因素的影响。这项研究表明，行动有希望作为一个相对有效的青少年戒烟计划，虽然必须承认的青少年戒烟计划的整体有限的有效性。
We conducted a group randomized trial of an interactive, games-based, tobacco cessation program (ACTION) designed to help adolescents who live in tobacco-growing communities to stop using tobacco. More than 260 high school students participated in this study, in 14 schools across three states. We collected self-reported measures of cigarette and smokeless tobacco use and conducted biochemical validation of self-reported use at three time points (pre-test, immediate post-test, and 90-day follow-up). We used multi-level modeling to account for intraclass clustering at the school and classroom levels, and we analyzed our results using an intent-to-treat approach and a per protocol approach. Using the per protocol analytic approach, ACTION participants were more likely than comparison participants to achieve abstinence at 90-day follow-up. We found no program effects on our secondary outcomes or mediating factors. This study suggests that ACTION has promise as a relatively effective adolescent cessation program, although the overall limited effectiveness of cessation programs for adolescents must be acknowledged.