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BMC Public Health
Published in: BMC Public Health 1/2012

Open Access 01-12-2012 | Study protocol

A web-based computer-tailored smoking prevention programme for primary school children: intervention design and study protocol

Authors: Henricus-Paul Cremers, Liesbeth Mercken, Anke Oenema, Hein de Vries

Published in: BMC Public Health | Issue 1/2012

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Abstract

Background

Although the number of smokers has declined in the last decade, smoking is still a major health problem among youngsters and adolescents. For this reason, there is a need for effective smoking prevention programmes targeting primary school children. A web-based computer-tailored feedback programme may be an effective intervention to stimulate youngsters not to start smoking, and increase their knowledge about the adverse effects of smoking and their attitudes and self-efficacy regarding non-smoking.

Methods & design

This paper describes the development and evaluation protocol of a web-based out-of-school smoking prevention programme for primary school children (age 10-13 years) entitled ‘Fun without Smokes’. It is a transformation of a postal mailed intervention to a web-based intervention. Besides this transformation the effects of prompts will be examined. This web-based intervention will be evaluated in a 2-year cluster randomised controlled trial (c-RCT) with three study arms. An intervention and intervention + prompt condition will be evaluated for effects on smoking behaviour, compared with a no information control condition. Information about pupils’ smoking status and other factors related to smoking will be obtained using a web-based questionnaire. After completing the questionnaire pupils in both intervention conditions will receive three computer-tailored feedback letters in their personal e-mail box. Attitudes, social influences and self-efficacy expectations will be the content of these personalised feedback letters. Pupils in the intervention + prompt condition will - in addition to the personalised feedback letters - receive e-mail and SMS messages prompting them to revisit the ‘Fun without Smokes’ website. The main outcome measures will be ever smoking and the utilisation of the ‘Fun without Smokes’ website. Measurements will be carried out at baseline, 12 months and 24 months of follow-up.

Discussion

The present study protocol describes the purpose, intervention design and study protocol of ‘Fun without Smokes’. Expectations are that pupils receiving tailored advice will be less likely to smoke after 24 months in contrast to pupils in the control condition. Furthermore, tailored feedback letters and prompting is expected to be more effective than providing tailored feedback letters only.

Trial registration

Dutch Trial Register NTR3116
Appendix
Available only for authorised users
Literature
1.
WHO: Health Behavior in School-aged Children (HSBC) study: a cross national survey. 1996, World Health Organization: Health Policy for Children and Adolescents edition, Copenhagen: Edinburgh
2.
WHO: Chapter 5 “combating the tobacco epidemic”. In The World Health Report 1999 “making a difference”. World Health Organization; 1999:65–76.
3.
WHO: Health and health behavior among young people. In WHO Policy Series: Health Policy for Children and Adolescents (HEPCA) Report No:EUR/ICP/IVST 06 03 05 (A). World Health Organizatio. 2000, , , -.
4.
STIVORO: Roken, de harde feiten: Jeugd 2010 [Smoking, the firm facts: Youth 2010]. 2010, Stichting Volksgezondheid en Roken [Dutch Foundation on Smoking and Health], Den Haag
5.
De Vries H, Kok GJ: From determinants of smoking behavior to the implications for a prevention programme. Health Educ Res. 1986, 1 (2): 85-94. 10.1093/her/1.2.85.CrossRef
6.
Hirschman RS, Leventhal H, Glynn K: The development of smoking behavior: Conceptualization and supportive cross-sectional survey data. J Appl Soc Psychol. 1984, 14 (3): 184-206. 10.1111/j.1559-1816.1984.tb02231.x.CrossRef
7.
Tyas SL, Pederson LL: Psychosocial factors related to adolescent smoking: a critical review of the literature. Tob Control. 1998, 7 (4): 409-420. 10.1136/tc.7.4.409.CrossRefPubMedPubMedCentral
8.
Kelder SH, Perry CL, Klepp KI, Lytle LL: Longitudinal tracking of adolescent smoking, physical activity, and food choice behaviors. Am J Public Health. 1994, 84 (7): 1121-1126. 10.2105/AJPH.84.7.1121.CrossRefPubMedPubMedCentral
9.
Ausems M, Mesters I, van Breukelen G, De Vries H: Short-term effects of a randomized computer-based out-of-school smoking prevention trial aimed at elementary schoolchildren. Prev Med. 2002, 34 (6): 581-589. 10.1006/pmed.2002.1021.CrossRefPubMed
10.
Sussman S, Dent C, Burton D, Stacy A, Flay B: Developing School-Based Tobacco Use Prevention and Cesstion Programs. 1995, Sage, London
11.
De Vries H, Candel M, Engels R, Mercken L: Challenges to the peer influence paradigm: results from 12–13 year olds from six European countries from the European Smoking Prevention Framework Approach Study. Tob Control. 2006, 15 (2): 83-89. 10.1136/tc.2003.007237.CrossRefPubMedPubMedCentral
12.
Hansen WB: School-based substance abuse prevention: a review of the state of the art in curriculum, 1980–1990. Health Educ Res. 1992, 7 (3): 403-430. 10.1093/her/7.3.403.CrossRefPubMed
13.
Thomas R, Perera R: School-based programmes for preventing smoking. Cochrane Database of Syst Rev. 2006, 3: CD001293-
14.
Rooney B, Murray D: A meta-analysis of smoking prevention programs after adjustment for errors in the unit analysis. Health Educ Q. 1996, 23: 48-64. 10.1177/109019819602300104.CrossRefPubMed
15.
Thomas R: School-based programmes for preventing smoking. Cochrane Database Syst Rev. 2002, 4: CD001293-PubMed
16.
Botvin GJ: School based smoking prevention: The teacher training process. Prev Med. 1989, 18: 280-289. 10.1016/0091-7435(89)90075-3.CrossRefPubMed
17.
Goldberg ME, Fishbein M, Middlestadt SE: Social Marketing: Theoretical and Practical Perspectives. 1997, Lawrence Erlbaum Associates, Mahwah
18.
Bullock AD, De Vries H, Lopez ML, Thomas H, et al: Smoking prevention and young people: Using research to identify out-of-school intervention sites in three countries. Educ Rev. 1996, 48 (2): 143-152. 10.1080/0013191960480204.CrossRef
19.
De Vries H, Van’t Riet J, Panday S, Reubsaet A: Access point analysis in smoking and non-smoking adolescents: findings from the ESFA study. Eur J Cancer Prev. 2007, 16 (3): 257-265. 10.1097/01.cej.0000243855.89856.06.CrossRefPubMed
20.
Berg-Kelly K: Adolescent health, school health activities, community contexts, and health surveys in Sweden. J Adolesc Health. 2003, 33 (4): 226-230. 10.1016/S1054-139X(03)00098-3.CrossRefPubMed
21.
McCready C: At-risk youth and leisure: an ecological perspective. J Leasurability. 1997, 24: 31-36.
22.
Ausems M, Mesters I, Van Breukelen G, De Vries H: Do Dutch 11–12 years olds who never smoke, smoke experimentally or smoke regularly have different demographic backgrounds and perceptions of smoking?. Eur J Public Health. 2003, 13: 160-167. 10.1093/eurpub/13.2.160.CrossRefPubMed
23.
Ausems M, Mesters I, van Breukelen G, De Vries H: Effects of in-school and tailored out-of-school smoking prevention among Dutch vocational school students. Health Educ Res. 2004, 19 (1): 51-63. 10.1093/her/cyg001.CrossRefPubMed
24.
25.
Bennett GG, Glasgow RE: The delivery of public health interventions via the Internet: actualizing their potential. Annu Rev Public Health. 2009, 30: 273-292. 10.1146/annurev.publhealth.031308.100235.CrossRefPubMed
26.
27.
Gilbert H, Nazareth I, Sutton S, Morris R, Godfrey C: Effectiveness of computer-tailored Smoking Cessation Advice in Primary Care (ESCAPE): a randomised trial. Trials. 2008, 9: 23-10.1186/1745-6215-9-23.CrossRefPubMedPubMedCentral
28.
De Vries H, Kremers SP, Smeets T, Brug J, Eijmael K: The effectiveness of tailored feedback and action plans in an intervention addressing multiple health behaviors. Am J Health Promot. 2008, 22 (6): 417-425. 10.4278/ajhp.22.6.417.CrossRefPubMed
29.
Crutzen R, de Nooijer J, Brouwer W, Oenema A, Brug J, de Vries NK: Strategies to facilitate exposure to internet-delivered health behavior change interventions aimed at adolescents or young adults: a systematic review. Health Educ Behav. 2011, 38 (1): 49-62. 10.1177/1090198110372878.CrossRefPubMed
30.
Fry JP, Neff RA: Periodic prompts and reminders in health promotion and health behavior interventions: systematic review. J Med Internet Res. 2009, 11 (2): e16-10.2196/jmir.1138.CrossRefPubMedPubMedCentral
31.
De Vries H, Lezwijn J, Hol M, Honing C: Skin cancer prevention: behaviour and motives of Dutch adolescents. Eur J Cancer Prev. 2005, 14 (1): 39-50. 10.1097/00008469-200502000-00006.CrossRefPubMed
32.
De Vries H, Engels R, Kremers S, Wetzels J, Mudde A: Parents‘and friends’ smoking status as predictors of smoking onset: findings from six European countries. Health Educ Res. 2003, 18 (5): 627-636. 10.1093/her/cyg032.CrossRefPubMed
33.
De Vries H, Mesters I, van de Steeg H, Honing C: The general public’s information needs and perceptions regarding hereditary cancer: an application of the Integrated Change Model. Patient Educ Couns. 2005, 56 (2): 154-165. 10.1016/j.pec.2004.01.002.CrossRef
34.
Bartholomew LK, Parcel GS, Kok G, Gottlieb NH, Fernández ME: Planning Health Promotion Programs. 2011, Jossey-Bass, San Francisco
35.
Abraham C, Michie S: A taxonomy of behavior change techniques used in interventions. Health Psychol. 2008, 27 (3): 379-387.CrossRefPubMed
36.
37.
Raudenbush SW: Statistical analysis and optimal design for cluster randomized trials. Psychol Methods. 1997, 2 (2): 173-185.CrossRef
38.
Ausems M, et al: In-school and out-of-school smoking prevention. 2009, controlled trial, Submitted for publication
39.
Currie C, Molcho M, Boyce W, Holstein B, Torsheim T, Richter M: Researching health inequalities in adolescents: the development of the Health Behaviour in School-Aged Children (HBSC) family affluence scale. Soc Sci Med. 2008, 66 (6): 1429-1436. 10.1016/j.socscimed.2007.11.024.CrossRefPubMed
40.
Boudreau B, Poulin C: An examination of the validity of the Family Affluence Scale II (FAS II) in a general adolescent population of Canada. Soc Indic Res. 2009, 94: 29-42. 10.1007/s11205-008-9334-4.CrossRef
41.
Ajzen I, Fishbein M: Attitudes and the attitude-behavior relation: reasoned and automatic processes. Eur Rev Soc Psychol. 2000, 11 (1): 1-33. 10.1080/14792779943000116.CrossRef
42.
Ajzen I: Perceived behavioral control, self-efficacy, locus of control, and the theory of planned behavior. J Applied Soc Psy. 2002, 32 (4): 665-683. 10.1111/j.1559-1816.2002.tb00236.x.CrossRef
43.
De Vries H, Backbier E, Dijkstra M, Van Breukelen G, Parcel G, Kok G: A Dutch social influence smoking prevention approach for vocational school students. Health Educ Res. 1994, 9 (3): 365-374. 10.1093/her/9.3.365.CrossRef
44.
De Vries H, Mudde A, Kremers S, Wetzels J, Uiters E, Ariza C, Vitoria PD, Fielder A, Holm K, Janssen K, et al: The European Smoking Prevention Framework Approach (ESFA): short-term effects. Health Educ Res. 2003, 18 (6): 649-663. 10.1093/her/cyg033. discussion 664–677CrossRefPubMed
45.
Malmberg M, Overbeek G, Kleinjan M, Vermulst A, Monshouwer K, Lammers J, Volleberg WAM, Engels RCME: Effectiveness of the universal prevention program ‘Healthy School and Drugs’: study protocol of a randomized clustered trial. BMC Publ Health. 2010, 10: 541-10.1186/1471-2458-10-541.CrossRef
46.
Dolcini MM, Adler NE, Lee P, Bauman KE: An assessment of the validity of adolescent self-reported smoking using three biological indicators. Nicotine Tob Res. 2003, 5 (4): 473-483.CrossRefPubMed
Metadata
Title
A web-based computer-tailored smoking prevention programme for primary school children: intervention design and study protocol
Authors
Henricus-Paul Cremers
Liesbeth Mercken
Anke Oenema
Hein de Vries
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2012
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-12-277

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