Evaluation of a medical student-delivered smoking prevention program utilizing a face-aging mobile app for secondary schools in Germany: The Education Against Tobacco cluster-randomized controlled trial

被引：3

作者：

Brinker, Titus J. ^{[1
]}

Krieghoff-Henning, Eva I. ^{[1
]}

Suhre, Janina L. ^{[2
]}

Silchmueller, Marc Phillipp ^{[3
]}

Divizieva, Evgenia ^{[4
]}

Wilhelmd, Jilada ^{[4
]}

Hillebrand, Gabriel ^{[5
]}

Haney, Ailis C. ^{[6
]}

Srivastava, Aayushi ^{[5
]}

Haney, Caela M. ^{[5
]}

Seeger, Werner ^{[7
]}

Penka, Dominik ^{[7
]}

Gall, Henning ^{[7
]}

Gaim, Benedikt ^{[8
]}

Glisic, Lazar ^{[8
]}

Stark, Tobias ^{[8
]}

Swoboda, Susanne M. ^{[8
]}

Baumermanni, Sonja ^{[9
]}

Brieskej, Christian M. ^{[10
]}

Jakob, Lena ^{[11
]}

Fahrnerk, Hannah Maria ^{[11
]}

Anhuefl, Ole ^{[12
]}

Schmidt, Selina Marisa ^{[12
]}

Alfitian, Jonas ^{[13
,14
]}

Taha, Lava ^{[15
]}

Beisswenger, Hanna ^{[16
]}

Groneberg, David A. ^{[17
]}

Thomas, Roger E. ^{[18
]}

Frohling, Stefan ^{[19
,20
]}

von Kalle, Christof ^{[21
]}

Baudson, Tanja Gabriele ^{[22
]}

Buslaffu, Fabian ^{[23
,24
]}

Mons, Ute ^{[14
,25
,26
,27
]}

机构：

[1] Heidelberg Univ, German Canc Res Ctr DKFZ, Digital Biomarkers Oncol Grp, Heidelberg, Germany

[2] Univ Bonn, Bonn, Germany

[3] Leibniz Univ Hannover, Univ Hosp Hannover, Hannover, Germany

[4] Heinrich Heine Univ, Dept Radiat Oncol, Dusseldorf, Germany

[5] Heidelberg Univ, Heidelberg, Germany

[6] Heidelberg Univ Hosp, Dept Cardiol Angiol & Pneumol, Heidelberg, Germany

[7] Justus Liebig Univ, Univ Giessen & Marburg Lung Ctr UGMLC, Cardiopulm Inst CPI, Inst Lung Hlth ILH,Dept Internal Med, Giessen, Germany

[8] Univ Regensburg, Regensburg, Germany

[9] Ruhr Univ Bochum, Bochum, Germany

[10] Univ Hosp Essen, Dept Transfus Med, Essen, Germany

[11] Univ Freiburg, Med Ctr, Dept Anesthesiol & Crit Care, Freiburg, Germany

[12] Univ Tubingen, Univ Hosp Tuebingen, Tubingen, Germany

[13] Univ Cologne, Fac Med, Dept Anaesthesiol & Intens Care Med, Cologne, Germany

[14] Univ Hosp Cologne, Univ Cologne, Cologne, Germany

[15] Univ Erlangen Nurnberg, Dept Otorhinolaryngol Head & Neck Surg, Erlangen, Germany

[16] Univ Goettingen, Gottingen, Germany

[17] Goethe Univ, Inst Occupat Med Social Med & Environm Med, Frankfurt, Germany

[18] Univ Calgary, Hlth Sci Ctr, Calgary, AB, Canada

[19] German Canc Res Ctr, Div Translat Med Oncol, Heidelberg, Germany

[20] Natl Ctr Tumor Dis NCT Heidelberg, Heidelberg, Germany

[21] Charite Univ Med Berlin, Berlin Inst Hlth, Clin Study Ctr, Berlin, Germany

[22] Vinzenz Pallotti Univ, Inst Psychol, Vallendar, Germany

[23] Univ Bielefeld, Protestant Hosp Bethel Fdn, Dept Urol, Univ Hosp OWL, Campus Bielefeld Bethel, Bielefeld, Germany

[24] Univ Bielefeld, Protestant Hosp Bethel Fdn, Ctr Comp assisted & Robot Urol, Univ Hosp OWL, Campus Bielefeld Bethel, Bielefeld, Germany

[25] Univ Cologne, Fac Med, Dept Cardiol, Cologne, Germany

[26] German Canc Res Ctr, Div Primary Canc Prevent, Heidelberg, Germany

[27] Heidelberg Univ, Med Fac Mannheim, Heidelberg, Germany

来源：

EUROPEAN JOURNAL OF CANCER | 2024年 / 209卷

关键词：

Prevention Smoking prevention; Smoking; Schools; Tobacco prevention; ADOLESCENTS;

D O I：

10.1016/j.ejca.2024.114255

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Background: To reduce smoking uptake in adolescents, the medical students' network Education Against Tobacco (EAT) has developed a school-based intervention involving a face-aging mobile app (Smokerface). Methods: A two-arm cluster-randomized controlled trial was conducted, evaluating the 2016 EAT intervention, which employed the mobile app Smokerface and which was delivered by medical students. Schools were randomized to intervention or control group. Surveys were conducted at baseline (pre-intervention) and at 9, 16, and 24 months post-intervention via paper & pencil questionnaires. The primary outcome was the difference in within-group changes in smoking prevalence between intervention and control group at 24 months. Results: Overall, 144 German secondary schools comprising 11,286 pupils participated in the baseline survey, of which 100 schools participated in the baseline and at least one of the follow-up surveys, yielding 7437 pupils in the analysis sample. After 24 months, smoking prevalence was numerically lower in the intervention group compared to control group (12.9 % vs. 14.3 %); however, between-group differences in change in smoking prevalence between baseline and 24-months follow-up (OR=0.83, =0.83, 95 %-CI: 0.64-1.09) were not statistically significant (p = 0.176). Intention to start smoking among baseline non-smokers declined non-significantly in the intervention group (p = 0.064), and remained essentially unchanged in the control group, but between-group differences in changes at the 24-months follow-up (OR=0.88, =0.88, 0.64-1.21) were not statistically significant (p = 0.417). Conclusion: While a trend towards beneficial effects of the intervention regarding smoking prevalence as well as intention to start smoking among baseline non-smokers was observed, our smoking prevention trial demonstrated no significant effect of the intervention.

引用

页数：7

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