| One High School Study |
Effectiveness of a High School Smoking Cessation Program:
Adelman, Duggan, Hauptman, and Joffe. Division of General Pediatrics and Adolescent Medicine, Johns Hopkins Medical Institutions, Baltimore, Maryland; and the Baltimore City Health Department, Baltimore, Maryland. accepted Nov 1, 2000.
Objective: Evaluate the results of a school-based smoking cessation program targeting teenagers interested in quitting.
Design: Random clinical trials over one school year.
Geography: Large public high school.
Subjects: Students interested in quitting smoking.
Approach: 74 students were selected to receive either
1.) 6-week, 8-session, classroom smoking cessation curriculum designed for teenagers.
2.) Information pamphlet on how to quit smoking with a promise of classroom instruction in 3 months.
Results of Behavior: Change in behavior was measured by:
1.) Testimony of having quit and exhale carbon monoxide less than 6 parts per million
2.) Testimony of quit attempts; and
3.) Lowered daily cigarettes at the end of 6 weeks. Daily cigarettes after 4, 10, and 20 weeks. Cotinine in saliva was also measured.
Analyze results: Treatment offered to pamphlet group was provided.
Results of Study: Subjects in classroom group attended 4.4 sessions average. At the end of the curriculum, the classroom group:
- was significantly more likely to be smoke-free than the pamphlet group, 59% vs 17%.
- to have tried to quit smoking than the pamphlet group ,82% vs 54%,
- and cigarettes smoked daily was reduced more than the pamphlet group 7.0 vs 1.0.
- Four weeks later, these differences remained significant: smoke-free 52% vs 20%, quit attempts 85% vs 60%, and reduction daily cigarettes 6.6 vs 1.6.
- Smoke-free subjects had a significant reduction in saliva cotinine at the end of classroom, and at 4 weeks.
- At 10 weeks after the curriculum 41% of the classroom group remained smoke-free.
- At 20 weeks after the curriculum 31% of the classroom group remained smoke-free.
- The pamphlet group achieved similar quit rates after
attending the classroom instruction, 31% at the end of classroom
and 27% 10 weeks afterwards.
Conclusion: School-based curriculum for teenagers who want to quit smoking is more effective than an informational pamphlet alone. More research is needed to reproduce results, measure sustained smoke-free rates, and fine tune the curriculum to offer more options to more teenagers.
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