Process Evaluation of a Medical Student-Delivered Smoking Prevention Program for Secondary Schools: Protocol for the Education Against Tobacco Cluster Randomized Trial

被引：4

作者：

Brinker, Titus Josef ^{[1
,2
]}

Buslaff, Fabian ^{[1
]}

Suhre, Janina Leonie ^{[3
]}

Silchmueller, Marc Philipp ^{[4
]}

Divizieva, Evgenia ^{[5
]}

Wilhelm, Jilada ^{[5
]}

Hillebrand, Gabriel ^{[6
]}

Penka, Dominik ^{[7
]}

Gaim, Benedikt ^{[8
]}

Swoboda, Susanne ^{[8
]}

Baumermann, Sonja ^{[9
]}

Walther, Joerg Werner ^{[10
]}

Brieske, Christian Martin ^{[11
]}

Jakob, Lena ^{[12
]}

Baumert, Hannah Maria ^{[12
]}

Anhuef, Ole ^{[13
]}

Schmidt, Selina Marisa ^{[13
]}

Alfitian, Jonas ^{[14
]}

Batra, Anil ^{[13
]}

Taha, Lava ^{[15
]}

Mons, Ute ^{[16
]}

Hofmann, Felix Johannes ^{[7
]}

Haney, Ailis Ceara ^{[6
]}

Haney, Caelan Max ^{[6
]}

Schaible, Samuel ^{[6
]}

Thien-An Tran ^{[6
]}

Beisswenger, Hanna ^{[17
]}

Stark, Tobias ^{[8
]}

Groneberg, David A. ^{[18
]}

Seeger, Werner ^{[7
]}

Srivastava, Aayushi ^{[6
]}

Gall, Henning ^{[7
]}

Holzapfel, Julia ^{[7
]}

Rigotti, Nancy A. ^{[19
]}

Baudson, Tanja Gabriele ^{[20
]}

Enk, Alexander H. ^{[2
]}

Froehling, Stefan ^{[6
]}

von Kalle, Christof ^{[1
]}

Bernardes-Souza, Breno ^{[21
]}

de Oliveira Santos Pereira, Rayanna Mara ^{[21
]}

Thomas, Roger ^{[22
]}

机构：

[1] Heidelberg Univ, German Canc Res Ctr DKFZ, Natl Ctr Tumor Dis, Dept Translat Oncol, Heidelberg, Germany

[2] Univ Hosp Heidelberg, Dept Dermatol, Heidelberg, Germany

[3] Univ Bonn, Fac Med, Bonn, Germany

[4] Leibniz Univ Hannover, Fac Med, Hannover, Germany

[5] Univ Dusseldorf, Fac Med, Dusseldorf, Germany

[6] Heidelberg Univ, German Canc Res Ctr DKFZ, Natl Ctr Tumor Dis, Heidelberg, Germany

[7] Justus Liebig Univ Giessen, Fac Med, Giessen, Germany

[8] Univ Regensburg, Fac Med, Regensburg, Germany

[9] Univ Bochum, Fac Med, Bochum, Germany

[10] Inst Ruhr Univ Bochum IPA, German Social Accid Insurance, Inst Prevent & Occupat Med, Bochum, Germany

[11] Univ Essen Gesamthsch, Fac Med, Essen, Germany

[12] Univ Freiburg, Fac Med, Freiburg, Germany

[13] Univ Hosp Tuebingen, Dept Psychiat & Psychotherapy, Tubingen, Germany

[14] Univ Hosp Cologne, Dept Anaesthesiol & Intens Care Med, Cologne, Germany

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

[16] German Canc Res Ctr, Canc Prevent Unit, Heidelberg, Germany

[17] Univ Gottingen, Fac Med, Gottingen, Germany

[18] Goethe Univ Frankfurt Main, Instt Occupat Med Social Med & Environm Med, Frankfurt, Germany

[19] Harvard Med Sch, Massachusetts Gen Hosp, Div Gen Internal Med, Boston, MA 02115 USA

[20] Univ Luxembourg, Cognit Sci & Assessment Inst, Luxembourg, Luxembourg

[21] Univ Fed Ouro Preto, Sch Med, Ouro Preto, Brazil

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

来源：

JMIR RESEARCH PROTOCOLS | 2019年 / 8卷 / 04期

关键词：

schools; tobacco prevention; smoking prevention; medical students; medical school; CLASS COMPETITION; ADOLESCENTS; INTERVENTION; CESSATION; BEHAVIOR; PREDICTORS; EXPOSURE; SMOKERS; IMPACT; ONSET;

D O I：

10.2196/13508

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background: Most smokers start smoking during their early adolescence under the impression that smoking entails positive attributes. Given the addictive nature of cigarettes, however, many of them might end up as long-term smokers and suffering from tobacco-related diseases. To prevent tobacco use among adolescents, the large international medical students' network Education Against Tobacco (EAT) educates more than 40,000 secondary school students per year in the classroom setting, using evidence-based self-developed apps and strategies. Objective: This study aimed to evaluate the long-term effectiveness of the school-based EAT intervention in reducing smoking prevalence among seventh-grade students in Germany. Additionally, we aimed to improve the intervention by drawing conclusions from our process evaluation. Methods: We conduct a cluster-randomized controlled trial with measurements at baseline and 9, 16, and 24 months postintervention via paper-and-pencil questionnaires administered by teachers. The study groups consist of randomized schools receiving the 2016 EAT curriculum and control schools with comparable baseline data (no intervention). The primary outcome is the difference of change in smoking prevalence between the intervention and control groups at the 24-month follow-up. Secondary outcomes are between-group differences of changes in smoking-related attitudes and the number of new smokers, quitters, and never-smokers. Results: A total of 11,268 students of both sexes, with an average age of 12.32 years, in seventh grade of 144 secondary schools in Germany were included at baseline. The prevalence of cigarette smoking in our sample was 2.6%. The process evaluation surveys were filled out by 324 medical student volunteers, 63 medical student supervisors, 4896 students, and 141 teachers. Conclusions: The EAT cluster randomized trial is the largest school-based tobacco-prevention study in Germany conducted to date. Its results will provide important insights with regards to the effectiveness of medical student-delivered smoking prevention programs at school.

引用

页数：20

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