DESCRIPTION (Adapted from the Applicant's Abstract): This study is motivated by
the serious public health problems posed by cigarette smoking among youth, the
alarming increases in youth smoking prevalence since 1990, and the failure, to
date, of school-based prevention interventions to effect long-term reductions
in smoking. This project will evaluate the effectiveness of an innovative
adolescent smoking cessation intervention consisting of both person-directed
components (individually-tailored telephone cessation counseling, complementary
interactive Web site, and self-help materials) and environment-directed
components (student-led school-wide activities, events, and media, and school
tobacco policy reform).
This 5-year study, involving 30 high schools and 4,230 high school seniors, is
a randomized controlled trial with the high school as the experimental unit.
Half of the high schools will be randomized to the intervention arm of the
trial; the remaining 15 high schools will serve as no-intervention controls.
All smokers in one year's class of high school seniors in each of the 30
schools will be identified as study participants through an in-class baseline
survey. Subjects will be followed to endpoint, 3 months after graduation, to
assess their cessation status, quit attempts, reduction in level of smoking,
and readiness to quit.
It is clear from previous studies that a majority of teen smokers want to quit
and try to do so, but with little success. The primary goal of this randomized
trial is to develop and evaluate an innovative smoking cessation intervention
that will help teens succeed in quitting. A positive finding would have
significant implications for reducing youth smoking and, ultimately, for
improving the nation's health.
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- The DCCPS Team.