title: Effects of a single-lesson tobacco prevention curriculum on knowledge, skill identification and smoking intention.
abstract: One in five students report experimenting with tobacco before the age of 13 and most prevention efforts take place in the school setting. This study measures the effect of a single-lesson tobacco prevention curriculum, conducted by a health education center, focusing on knowledge of tobacco, ability to identify refusal techniques, and intent not to smoke. Data were collected, via electronic keypads, from students visiting a non-school, health education center in Michigan (n = 704 intervention and 85 comparison). Contingency table Chi-squared tests and t-tests demonstrated that a single lesson can improve general knowledge and ability to identify appropriate refusal techniques. Improvement in intent not to smoke was not significant because both groups had very high intent prior to implementation. Similar to results from other programs, multivariate logistic regression of gender, general knowledge, and skill identification revealed that only the skill variable was associated with intent not to smoke at pretest. Recommendations are given for further research and for designing more effective curricula or programs.
authors.affiliation: Southern Illinois University, Carbondale 62901-4632, USA. slbrown@siu.edu
authors.forename: Stephen
authors.initials: S
authors.lastname: Brown
authors.forename: David
authors.initials: D
authors.lastname: Birch
authors.forename: Sujan
authors.initials: S
authors.lastname: Thyagaraj
authors.forename: James
authors.initials: J
authors.lastname: Teufel
authors.forename: Cheryl
authors.initials: C
authors.lastname: Phillips
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D016022:Case-Control Studies; D002648:Child; D002652:Child Behavior / Q000523:psychology*; D005260:Female; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D033182:Intention; D016015:Logistic Models; D008297:Male; D008824:Michigan; D015999:Multivariate Analysis; D015397:Program Evaluation; D012572:School Health Services; D012907:Smoking / Q000523:psychology; D000074606:Smoking Prevention; D013334:Students / Q000523:psychology*; D014029:Tobacco Use Disorder / Q000517:prevention & control* / Q000523:psychology