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Six-year follow-up of the first Waterloo school smoking prevention trial

Author

Listed:
  • Flay, B.R.
  • Koepke, D.
  • Thomson, S.J.
  • Santi, S.
  • Best, J.A.
  • Brown, K.S.

Abstract

This paper reports six-year follow-up data from the first large-scale randomized trial of the social influences approach to smoking prevention. In 1979, 22 schools were randomly assigned to program or control conditions. Students in program schools received a social influences curriculum in six core and two maintenance sessions in grade 6, two booster sessions in grade 7, and one booster session in grade 8. All students were assessed at pretest (T1), immediate posttest (T2), end of grade 6 (T3), beginning and end of grade 7 (T4 and T5), end of grade 8 (T6), and grades 11 and 12 (T7 and T8). Ninety percent of study students were relocated and data obtained from over 80 percent of them at T8. Program effects on experimental smoking observed in grades 7 and 8 had completely decayed by T8, six years after the beginning of the program. Grade 6 smoking experience and social risk were each strong predictors of T8 smoking behavior. Subjects who had left school were smoking at more than twice the rate of subjects still in high school (grade 12) at T8. We discuss implications of the results.

Suggested Citation

  • Flay, B.R. & Koepke, D. & Thomson, S.J. & Santi, S. & Best, J.A. & Brown, K.S., 1989. "Six-year follow-up of the first Waterloo school smoking prevention trial," American Journal of Public Health, American Public Health Association, vol. 79(10), pages 1371-1376.
    • Handle: RePEc:aph:ajpbhl:1989:79:10:1371-1376_1
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    Cited by:

    1. Brian R. Flay & Linda M. Collins, 2005. "Historical Review of School-Based Randomized Trials for Evaluating Problem Behavior Prevention Programs," The ANNALS of the American Academy of Political and Social Science, , vol. 599(1), pages 115-146, May.
    2. Toru Naito & Koichi Miyaki & Mariko Naito & Masahiro Yoneda & Nao Suzuki & Takao Hirofuji & Takeo Nakayama, 2009. "Parental Smoking and Smoking Status of Japanese Dental Hygiene Students: A Pilot Survey at a Dental Hygiene School in Japan," IJERPH, MDPI, vol. 6(1), pages 1-8, January.
    3. Wakefield, Melanie A PhD & Chaloupka, Frank J. PhD, 1999. "Effectiveness of Comprehensive Tobacco Control Programs in Reducing Teenage Smoking: A Review," University of California at San Francisco, Center for Tobacco Control Research and Education qt46n6b9mv, Center for Tobacco Control Research and Education, UC San Francisco.
    4. Ontario Tobacco Research Unit, 1999. "Monitoring the Ontario Tobacco Strategy: Progress Toward Our Goals 1998/1999: Fifth Annual Monitoring Report," University of California at San Francisco, Center for Tobacco Control Research and Education qt8j1411bk, Center for Tobacco Control Research and Education, UC San Francisco.
    5. William B. Hansen & Nancy S. Tobler & John W. Graham, 1990. "Attrition in Substance Abuse Prevention Research," Evaluation Review, , vol. 14(6), pages 677-685, December.

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