TY - JOUR PY - 2005// TI - A Systematic Review of School-Based Smoking Prevention Trials with Long-Term Follow-Up JO - Journal of Adolescent Health A1 - Rivara, Frederick P. A1 - Ebel, Beth E. A1 - Christakis, Dimitri A. A1 - Garrison, Michelle M. A1 - Wiehe, Sarah E. SP - 162 EP - 169 VL - 36 IS - 3 N2 - 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 1 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. (Abstract Adapted from Source: Journal of Adolescent Health, 2005. Copyright © 2005 by Elsevier Science) School Based Long-Term Effects Smoking Tobacco Use Prevention Child Substance Use Juvenile Substance Use Substance Use Prevention Program Effectiveness Program Evaluation 03-05

LA - en SN - 1054-139X UR - http://dx.doi.org/ ID - ref1 ER -