A systematic review of school-based smoking prevention trials with long-term follow-up

Forfatter(e)

Wiehe, S. E. Garrison, M. M. Christakis, D. A. Ebel, B. E. Rivara, F. P.

År

2005

DOI

10.1016/j.jadohealth.2004.12.003

Tidsskrift

Journal of Adolescent Health

Sider

162-169

Kategori(er)

Tiltakstype(r)

Skole/barnehagebaserte tiltak

Abstract

Background: Several systematic reviews of school-based smoking prevention trials have shown short-term decreases in smoking prevalence but have not examined long-term follow-up evaluation. The purpose of this study was to conduct a systematic review of rigorously evaluated interventions for school-based smoking prevention with long-term follow-up data.

Methods: We searched online bibliographic databases and reference lists from review articles and selected studies. We included all school-based, randomized, controlled trials of smoking prevention with follow-up evaluation to age 18 or 12th grade and at least 1 year after intervention ended, and that had smoking prevalence as a primary outcome. The primary outcome was current smoking prevalence (defined as at least I cigarette in the past month).

Results: The abstracts or full-text articles of 177 relevant studies were examined, of which 8 met the selection criteria. The 8 articles included studies differing in intervention intensity, presence of booster sessions, follow-up periods, and attrition rates. Only one study showed decreased smoking prevalence in the intervention group.

Conclusions: Few studies have evaluated the long-term impact of school-based smoking prevention programs rigorously. Among the 8 programs that have follow-up data to age 18 or 12th grade, we found little to no evidence of long-term effectiveness.