Journalartikel
Autorenliste: Brinker, Titus J.; Krieghoff-Henning, Eva I.; Suhre, Janina L.; Silchmueller, Marc Phillipp; Divizieva, Evgenia; Wilhelmd, Jilada; Hillebrand, Gabriel; Haney, Ailis C.; Srivastava, Aayushi; Haney, Caela M.; Seeger, Werner; Penka, Dominik; Gall, Henning; Gaim, Benedikt; Glisic, Lazar; Stark, Tobias; Swoboda, Susanne M.; Baumermanni, Sonja; Brieskej, Christian M.; Jakob, Lena; Fahrnerk, Hannah Maria; Anhuefl, Ole; Schmidt, Selina Marisa; Alfitian, Jonas; Taha, Lava; Beisswenger, Hanna; Groneberg, David A.; Thomas, Roger E.; Frohling, Stefan; von Kalle, Christof; Baudson, Tanja Gabriele; Buslaffu, Fabian; Mons, Ute
Jahr der Veröffentlichung: 2024
Zeitschrift: European Journal of Cancer
Bandnummer: 209
ISSN: 0959-8049
eISSN: 1879-0852
Open Access Status: Hybrid
DOI Link: https://doi.org/10.1016/j.ejca.2024.114255
Verlag: Elsevier
Abstract:
Background: To reduce smoking uptake in adolescents, the medical students' network Education Against Tobacco (EAT) has developed a school-based intervention involving a face-aging mobile app (Smokerface). Methods: A two-arm cluster-randomized controlled trial was conducted, evaluating the 2016 EAT intervention, which employed the mobile app Smokerface and which was delivered by medical students. Schools were randomized to intervention or control group. Surveys were conducted at baseline (pre-intervention) and at 9, 16, and 24 months post-intervention via paper & pencil questionnaires. The primary outcome was the difference in within-group changes in smoking prevalence between intervention and control group at 24 months. Results: Overall, 144 German secondary schools comprising 11,286 pupils participated in the baseline survey, of which 100 schools participated in the baseline and at least one of the follow-up surveys, yielding 7437 pupils in the analysis sample. After 24 months, smoking prevalence was numerically lower in the intervention group compared to control group (12.9 % vs. 14.3 %); however, between-group differences in change in smoking prevalence between baseline and 24-months follow-up (OR=0.83, =0.83, 95 %-CI: 0.64-1.09) were not statistically significant (p = 0.176). Intention to start smoking among baseline non-smokers declined non-significantly in the intervention group (p = 0.064), and remained essentially unchanged in the control group, but between-group differences in changes at the 24-months follow-up (OR=0.88, =0.88, 0.64-1.21) were not statistically significant (p = 0.417). Conclusion: While a trend towards beneficial effects of the intervention regarding smoking prevalence as well as intention to start smoking among baseline non-smokers was observed, our smoking prevention trial demonstrated no significant effect of the intervention.
Zitierstile
Harvard-Zitierstil: Brinker, T., Krieghoff-Henning, E., Suhre, J., Silchmueller, M., Divizieva, E., Wilhelmd, J., et al. (2024) Evaluation of a medical student-delivered smoking prevention program utilizing a face-aging mobile app for secondary schools in Germany: The Education Against Tobacco cluster-randomized controlled trial, European Journal of Cancer, 209, Article 114255. https://doi.org/10.1016/j.ejca.2024.114255
APA-Zitierstil: Brinker, T., Krieghoff-Henning, E., Suhre, J., Silchmueller, M., Divizieva, E., Wilhelmd, J., Hillebrand, G., Haney, A., Srivastava, A., Haney, C., Seeger, W., Penka, D., Gall, H., Gaim, B., Glisic, L., Stark, T., Swoboda, S., Baumermanni, S., Brieskej, C., ...Mons, U. (2024). Evaluation of a medical student-delivered smoking prevention program utilizing a face-aging mobile app for secondary schools in Germany: The Education Against Tobacco cluster-randomized controlled trial. European Journal of Cancer. 209, Article 114255. https://doi.org/10.1016/j.ejca.2024.114255
Schlagwörter
Prevention Smoking prevention; Schools; Tobacco prevention
