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Tobacco Intervention/Prevention Plan

for EPSY 661 At-Risk Students

James Woodend

on 2 October 2015

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Transcript of Tobacco Intervention/Prevention Plan

Teens and Tobacco
Overview of Tobacco
Towards No Tobacco Use
Prevention program
Target: Adolescents age 11-18
10 forty minute lessons and 2 follow up lessons
Peer pressure
Decision Making Skills
Negative effects
How to say "no"
Effectiveness of
Project TNT
Recently adopted for high schools
Reduced initiation of cigarette use by 26%
Regular use of cigarettes decreased by 50% to 60%
Follow-up after two years
Maintenance of lower trial and
weekly use of cigarettes
Minnesota Smoking Prevention Project
Prevention program
Target: adolescents 11-18
All levels of school
School-, Home-, and Community-Based
Lasting Effects
6 sessions, 4 follow-up sessions
Peer mentors
Social Influence
Effectiveness of MSPP
Positive, statistically significant results
Longer lasting effects
End of 10th grade: 13.1 percent of students in the intervention community were current smokers compared with 22.7 percent of students in the control group
End of the 12th grade: 14.6 percent of intervention community students were weekly smokers compared with 24.1 percent of the control group students
Not On Tobacco Program
American Lung Association
Voluntary group intervention program
Target: adolescent smokers
School- and community- based
Helps youth quit smoking
10 weekly sessions, 4 follow-up
Has facilitators
Effectiveness of NOT
What doesn't work:
Tobacco will kill you.
What does work:
Adolescent tobacco use at its lowest since the early 1990’s
More than 6 thousand children try their first cigarette every day
More than 3 thousand adolescents become daily users every day
Nicotine is as addictive as Heroine and Cocaine
400,000 people die every year from cigarette use alone
What does work:
Social resistance skills and anti-drug norms
Emphasize skills training
De-emphasize health consequence information
*Students who were able to informally discuss the problems of adolescence ("personal" group) showed stronger resistance and awareness to help them cope with difficult decisions
Intervention program
Target: current and nonsmokers age 11-18
8 sessions over 6 week period
Motivation, coping skills
Self control, anger management, goal-setting
Stress, withdrawal, relapses
Adverse Effects of Scare Tactics
Cause some to tune out the message
Create mistrust
May even encourage students to to the opposite of intended effect
When threatened, defensive mindset is established
Frontal lobe still in development until mid-20's
Project EX-4
Effectiveness of Project EX-4
Most researched, most widely used, and most successful
21% quit rate, higher than any other similar program
NOT smoking cessation and reduction outcomes were significantly better than those of the brief intervention
More quit or reduced smoking
Study of 4 groups: Control, Scared, Factual, Personal
Control: 3.6% use = natural rate of increase
Factual: higher @ 4.6%
Warning/Scared: double control @ 7.3%
Personal: lower than control @ 2.6%*
Reduce smoking on both a monthly and a weekly basis
6 month: 7.6% and 6.0% reduction
1 year: 5.1% and 6.9% reduction
Smoking quit rates
Control group: 12.8%, 24.8%, and 24.3% at the immediate posttest, 6-month, and 1-year follow-ups
Program group: 25.3%, 30.6%, and 30.7%
Instead of talking about drug use, discuss adolescent issues
About N-O-T. (2011). American Lung Association. Retrieved November 21, 2012, from
Ashton, M. (1999). The danger of warnings. Drug and alcohol findings, 1, 22-24.
Asper, K. (2006). Scared straight? Why to avoid scare tactics. Prevention Forum 26(3), 18-19
Prevention First (2008). Ineffectiveness of fear appeals in youth alcohol, tobacco, and other drug (atod) prevention. Springfield, IL: Prevention First.
Dino, G., Horn, K., Goldcamp, J., Fernandes, A., Kalsekar, I., & Massey, C. (2001). A 2-year efficacy study of Not On Tobacco in Florida: An overview of program successes in changing teen smoking behavior. Preventive Medicine: An International Journal Devoted To Practice And Theory, 33(6), 600-605. doi:10.1006/pmed.2001.0932
Exemplary & Promising: Safe, Disciplined, and Drug-Free Schools. (2001). U.S. Department of Education. Retrieved November 21, 2012, from http://www2.ed.gov/admins/lead/safety/exemplary01/exemplary01.pdf
Flay, B.R. (2009). School-based smoking prevention programs with the promise of long-term effects. National Center for Biotechnology Information: U.S. National Library of Medicine. Retrieved November 21, 2012, from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2667427/
Minnesota Smoking Prevention Program (MSPP). (2011). National Cancer Institute: Research-tested Intervention Programs. Retrieved November 3, 2012, from http://rtips.cancer.gov/rtips/programDetails.do?programId=614342
Not-On-Tobacco Program (N-O-T). (2011). National Cancer Institute: Research-tested Intervention Programs. Retrieved November 3, 2012, from http://rtips.cancer.gov/rtips/programDetails.do?programId=269048
OJJDP Model Programs Guide: Minnesota Smoking Prevention Program. (n.d.). Office of Juvenile Justice and Delinquency Prevention. Retrieved November 17, 2012, from http://www.ojjdp.gov/mpg/Minnesota%20Smoking%20Prevention%20Program-MPGProgramDetail-671.aspx
Project EX-4. (2011). National Cancer Institute: Research-tested Intervention Programs. Retrieved November 3, 2012, fromhttp://rtips.cancer.gov/rtips/programDetails.do?programId=534937
Project Toward No Tobacco Use (TNT). (2011). National Cancer Institute: Research-tested Intervention Programs. Retrieved November 3, 2012, from http://rtips.cancer.gov/rtips/programDetails.do?programId=116931
Sussman, S., Miyano, J., Rohrbach, L., Dent, C. W., & Sun, P. (2007). Six-month and one-year effects of Project EX-4: A classroom-based smoking prevention and cessation intervention program. Addictive Behaviors, 32(12), 3005-3014. doi:10.1016/j.addbeh.2007.06.016
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