The development and implementation of a peer-led intervention to prevent smoking among secondary school students using their established social networks.
The development and implementation of a peer-led intervention to prevent smoking among secondary school students using their established social networks.
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DOI：
10.1177/001789690406300307
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发表时间：
2004-01-01
影响因子：
1.3
通讯作者：
Campbell, R.
中科院分区：
文献类型：
--
作者：
Audrey, S.;Cordall, K.;Campbell, R.
目标：设计、实施和评估同伴主导的干预措施，以减少中学生吸烟。设计：使用具有并行过程和经济评估的整群随机对照试验来评估将同伴教育与创新理论传播相结合的健康促进干预措施的有效性。背景：英国英格兰西南部和威尔士南部的 30 所中学的 8 年级学生（12 至 13 岁）（2001 年 10 月至 2002 年 5 月）。方法：大约 15% 的被同龄人认为在学校内有影响力的学生接受了干预日常生活情况并鼓励同学不要吸烟的培训。这些“同伴支持者”在训练场馆接受了专业健康教育者带领的培训师团队为期2天的强化培训，并在学校接受了4次后续课程。培训旨在让同伴支持者掌握鼓励同伴不吸烟的知识、技能和信心。结果：该干预措施被证明是可行的并且为学校所接受。基线试验招募了 10731 名八年级学生。在整个 10 周的干预期间，同伴支持者的保留率很高。 82%（835 名中的 687 名）同意充当同伴支持者的学生完成了该计划并履行了这一角色。每所学校实施干预措施的平均成本为 4702。 结论：实施该计划成本高昂，但如果有效，可以带来可观的长期健康收益，并有助于减少健康不平等。
Objective: To design, implement and evaluate a peer-led intervention to reduce smoking amongst secondary school students. Design: The effectiveness of a health promotion intervention combining peer education with diffusion of innovation theory was evaluated using a cluster randomized controlled trial with concurrent process and economic evaluations. Setting: Year 8 students (aged 12-13 years) in 30 secondary schools in south-west England and south Wales, UK (October 2001-May 2002). Method: Approximately 15% of students, identified by their peers as being influential within the school, were trained to intervene in everyday situations and encourage their fellow students not to smoke. These 'peer supporters' received 2 days of intensive training from a team of trainers led by professional health educators at training venues and 4 follow-up sessions back at school. The training aimed to equip the peer supporters with the knowledge, skills and confidence to encourage their peers not to smoke. Results: The intervention proved feasible and acceptable to schools. 10731 year 8 students were recruited to the trial at baseline. Retention of peer supporters throughout the 10-week intervention period was high. 82% (687 of 835) of students who consented to act as peer supporters completed the programme and fulfilled the role. The average cost per school of delivering the intervention was 4702. Conclusion: Implementing this programme is expensive but, if effective, could yield substantial long-term health gains and help in reducing health inequalities.