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

التفاصيل البيبلوغرافية
العنوان: Process Evaluation of a Medical Student-Delivered Smoking Prevention Program for Secondary Schools: Protocol for the Education Against Tobacco Cluster Randomized Trial.
المؤلفون: Brinker TJ; Department of Translational Oncology, National Center for Tumor Diseases, German Cancer Research Center (DKFZ), University of Heidelberg, Heidelberg, Germany.; Department of Dermatology, University Hospital Heidelberg, Heidelberg, Germany., Buslaff F; Department of Translational Oncology, National Center for Tumor Diseases, German Cancer Research Center (DKFZ), University of Heidelberg, Heidelberg, Germany., Suhre JL; Faculty of Medicine, University of Bonn, Bonn, Germany., Silchmüller MP; Faculty of Medicine, University of Hannover, Hannover, Germany., Divizieva E; Faculty of Medicine, University of Düsseldorf, Düsseldorf, Germany., Wilhelm J; Faculty of Medicine, University of Düsseldorf, Düsseldorf, Germany., Hillebrand G; National Center for Tumor Diseases, German Cancer Research Center (DKFZ), University of Heidelberg, Heidelberg, Germany., Penka D; Faculty of Medicine, Justus-Liebig-University of Gießen, Gießen, Germany., Gaim B; Faculty of Medicine, University of Regensburg, Regensburg, Germany., Swoboda S; Faculty of Medicine, University of Regensburg, Regensburg, Germany., Baumermann S; Faculty of Medicine, University of Bochum, Bochum, Germany., Walther JW; Institute for Prevention and Occupational Medicine of the German Social Accident Insurance, Institute of the Ruhr-University Bochum (IPA), Bochum, Germany., Brieske CM; Faculty of Medicine, University of Essen, Essen, Germany., Jakob L; Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany., Baumert HM; Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany., Anhuef O; Department of Psychiatry and Psychotherapy, University Hospital of Tuebingen, Tübingen, Germany., Schmidt SM; Department of Psychiatry and Psychotherapy, University Hospital of Tuebingen, Tübingen, Germany., Alfitian J; Department of Anaesthesiology and Intensive Care Medicine, University Hospital of Cologne, Cologne, Germany., Batra A; Department of Psychiatry and Psychotherapy, University Hospital of Tuebingen, Tübingen, Germany., Taha L; Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Erlangen, Erlangen, Germany., Mons U; Cancer Prevention Unit, German Cancer Research Center (DKFZ), Heidelberg, Germany., Hofmann FJ; Faculty of Medicine, Justus-Liebig-University of Gießen, Gießen, Germany., Haney AC; National Center for Tumor Diseases, German Cancer Research Center (DKFZ), University of Heidelberg, Heidelberg, Germany., Haney CM; National Center for Tumor Diseases, German Cancer Research Center (DKFZ), University of Heidelberg, Heidelberg, Germany., Schaible S; National Center for Tumor Diseases, German Cancer Research Center (DKFZ), University of Heidelberg, Heidelberg, Germany., Tran TA; National Center for Tumor Diseases, German Cancer Research Center (DKFZ), University of Heidelberg, Heidelberg, Germany., Beißwenger H; Faculty of Medicine, University of Göttingen, Göttingen, Germany., Stark T; Faculty of Medicine, University of Regensburg, Regensburg, Germany., Groneberg DA; Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe-University of Frankfurt am Main, Frankfurt am Main, Germany., Seeger W; Faculty of Medicine, Justus-Liebig-University of Gießen, Gießen, Germany., Srivastava A; National Center for Tumor Diseases, German Cancer Research Center (DKFZ), University of Heidelberg, Heidelberg, Germany., Gall H; Faculty of Medicine, Justus-Liebig-University of Gießen, Gießen, Germany., Holzapfel J; Faculty of Medicine, Justus-Liebig-University of Gießen, Gießen, Germany., Rigotti NA; Division of General Internal Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States., Baudson TG; Cognitive Science and Assessment Institute, University of Luxembourg, Luxembourg, Luxembourg., Enk AH; Department of Dermatology, University Hospital Heidelberg, Heidelberg, Germany., Fröhling S; National Center for Tumor Diseases, German Cancer Research Center (DKFZ), University of Heidelberg, Heidelberg, Germany., von Kalle C; Department of Translational Oncology, National Center for Tumor Diseases, German Cancer Research Center (DKFZ), University of Heidelberg, Heidelberg, Germany., Bernardes-Souza B; School of Medicine, Federal University of Ouro Preto, Ouro Preto, Brazil., Pereira RMOS; School of Medicine, Federal University of Ouro Preto, Ouro Preto, Brazil., Thomas R; Health Sciences Centre, University of Calgary, Calgary, AB, Canada.
المصدر: JMIR research protocols [JMIR Res Protoc] 2019 Apr 11; Vol. 8 (4), pp. e13508. Date of Electronic Publication: 2019 Apr 11.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: JMIR Publications Country of Publication: Canada NLM ID: 101599504 Publication Model: Electronic Cited Medium: Print ISSN: 1929-0748 (Print) Linking ISSN: 19290748 NLM ISO Abbreviation: JMIR Res Protoc Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Toronto : JMIR Publications
مستخلص: 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.
International Registered Report Identifier (irrid): DERR1-10.2196/13508.
(©Titus Josef Brinker, Fabian Buslaff, Janina Leonie Suhre, Marc Philipp Silchmüller, Evgenia Divizieva, Jilada Wilhelm, Gabriel Hillebrand, Dominik Penka, Benedikt Gaim, Susanne Swoboda, Sonja Baumermann, Jörg Werner Walther, Christian Martin Brieske, Lena Jakob, Hannah Maria Baumert, Ole Anhuef, Selina Marisa Schmidt, Jonas Alfitian, Anil Batra, Lava Taha, Ute Mons, Felix Johannes Hofmann, Ailís Ceara Haney, Caelán Max Haney, Samuel Schaible, Thien-An Tran, Hanna Beißwenger, Tobias Stark, David A Groneberg, Werner Seeger, Aayushi Srivastava, Henning Gall, Julia Holzapfel, Nancy A Rigotti, Tanja Gabriele Baudson, Alexander H Enk, Stefan Fröhling, Christof von Kalle, Breno Bernardes-Souza, Rayanna Mara de Oliveira Santos Pereira, Roger Thomas. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 11.04.2019.)
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فهرسة مساهمة: Keywords: medical school; medical students; schools; smoking prevention; tobacco prevention
تواريخ الأحداث: Date Created: 20190412 Latest Revision: 20200930
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC6482400
DOI: 10.2196/13508
PMID: 30973348
قاعدة البيانات: MEDLINE
الوصف
تدمد:1929-0748
DOI:10.2196/13508