title: Effectiveness of a school-based intervention at changing preadolescents' tobacco use and attitudes.
abstract: This study evaluated the effectiveness of a tobacco intervention on preadolescents' tobacco use and attitudes. A tobacco assessment questionnaire was distributed to seventh-grade students in May 1997 (N = 229) and 1999 (N = 230). During the 1998-1999 academic year, sixth-grade students at the intervention school received a tobacco intervention. Though not statistically significant, the number of smokers at the intervention school decreased from 43.2% to 31.1% after the intervention (p = .09). These students predicted less smoking in five years (29.6% to 19.8%, p = .078) and 20 years (28.4% to 13.2%, p = .004). Because of the difficulty in reducing smoking rates at the population level, the nonsignificant results can be viewed as a success rather than a setback. When faced with increasing use trends, an intervention can at least hope to achieve a decrease or slow the rate of growth, and the program succeeded in that respect. School-based interventions can effectively influence preadolescent' attitudes concerning tobacco use. Future programs should begin earlier and be reinforced yearly.
authors.affiliation: Guthrie Clinic, 1-Red, Guthrie Square, Sayre, PA 18840, USA. evandyke@ghs.guthrie.org
authors.forename: Esther M
authors.initials: EM
authors.lastname: VanDyke
authors.forename: Lee Ann
authors.initials: LA
authors.lastname: Riesenberg
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D005194:Family Practice; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D007396:Internship and Residency; D008297:Male; D010414:Pennsylvania; D015397:Program Evaluation; D012424:Rural Population; D012572:School Health Services / Q000592:standards*; D012907:Smoking / Q000453:epidemiology; D016540:Smoking Cessation; D000074606:Smoking Prevention; D013334:Students / Q000523:psychology / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires