title: Appalachian teen smokers: not on tobacco 15 months later.
abstract: High school smokers from 2 central Appalachian states received the American Lung Association's 10-session Not On Tobacco (N-O-T) program or a 15-minute brief self-help intervention. Our study compared the efficacy of N-O-T with that of the brief intervention by examining group differences in the 15-month-postbaseline (12-month-postprogram) smoking quit rates. N-O-T youths had higher overall quit rates. Review of end-of-program (3-month-postbaseline) and 3-month-postprogram (6-month-postbaseline) follow-up data showed state-level differences and positive cessation trends over time, regardless of treatment intensity. Quit rates were lower than rates found in other N-O-T studies of nonrural youths, suggesting that Appalachian youths are a recalcitrant smoking sample. Findings suggest that N-O-T is one option for long-term smoking cessation among rural teens.
authors.affiliation: Office of Drug Abuse Intervention Studies, West Virginia University, Morgantown, WV 26505, USA. khorn@hsc.wvu.edu
authors.forename: Kimberly A
authors.initials: KA
authors.lastname: Horn
authors.forename: Geri A
authors.initials: GA
authors.lastname: Dino
authors.forename: Iftekhar D
authors.initials: ID
authors.lastname: Kalsekar
authors.forename: Ancilla W
authors.initials: AW
authors.lastname: Fernandes
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D001061:Appalachian Region / Q000453:epidemiology; D005260:Female; D015438:Health Behavior; D006266:Health Education / Q000379:methods*; D006801:Humans; D008297:Male; D017063:Outcome Assessment, Health Care; D015397:Program Evaluation; D015980:Public Health Practice; D012423:Rural Health; D012907:Smoking / Q000453:epidemiology; D016540:Smoking Cessation / Q000706:statistics & numerical data*; D000074606:Smoking Prevention