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Published in: BMC Public Health 1/2018

Open Access 01-12-2018 | Study protocol

Preventing tobacco in vocational high schools: study protocol for a randomized controlled trial of P2P, a peer to peer and theory planned behavior-based program

Authors: Florence Cousson-Gélie, Olivier Lareyre, Maryline Margueritte, Julie Paillart, Marie-Eve Huteau, Kela Djoufelkit, Bruno Pereira, Anne Stoebner

Published in: BMC Public Health | Issue 1/2018

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Abstract

Background

In France, the issue of youth smoking remains a major challenge for public health. School failure, socio-economic and socio-cultural backgrounds influence the initiation and maintenance of smoking behavior in adolescents. Vocational students are at particularly high risk of using psychoactive substances, including tobacco. One of the most important factors is the environment, whether family, friends or peers. Therefore, peer education has a positive potential to change smoking behavior of adolescents. It has also been demonstrated that the Theory of Planned Behavior (TPB) has yielded the best prediction of intentions and behavior, in several health domains, including on tobacco. However, it is usually confined to the measurement of processes by which interventions change behavior, rather than to the development of these interventions. The objective of this paper is to describe the protocol for a randomized controlled trial of a peer intervention based on the TPB on a highly exposed young population.

Methods/designs

This is a cluster randomized controlled trial comparing an intervention group to a control group, randomized into clusters (professional schools and classes) and stratified in three departments (Hérault, Aude and Gard) in the Languedoc-Roussillon region. The primary issue is the prevalence of daily smoking at 24 months, defined by a daily tobacco use of at least 1 cigarette, validated by CO levels in exhaled air. The primary hypothesis is that intervention will lead to decrease the daily smoking prevalence of 10% between the intervention group and the control group during a 2-year follow-up.

Discussion

The results from this trial will provide evidence on the effectiveness of an innovative peer-to-peer intervention based on the TPB.

Trial registration

ISRCTN:​ 37336035, Retrospectively registered 11/12/2015.
Literature
1.
Spilka S, Le Nézet O, Tovar M-L. Les drogues à 17 ans - premiers résultats de l’enquête ESCAPAD 2011. Tendances 2012;79.
2.
Anderson Johnson C, Palmer PH, Chou C-P, Pang Z, Zhou D, Dong L, et al. Tobacco use among youth and adults in mainland China: the China seven cities study. Public Health. 2006;120(12):1156–69.CrossRefPubMed
3.
Dappen A, Schwartz RH, O’Donnell RA. Survey of adolescent smoking patterns. J AmBoard Family Practice. 1996;9(1):7–13.
4.
Kaminski A, Nauerth A, Pfefferle PI. Health status and health behaviour of apprentices in the first year of apprenticeship - first results of a survey in vocational training schools in Bielefeld. Gesundheitswesen. 2008;70(1):38–46.CrossRefPubMed
5.
6.
Minary L, Martini H, Wirth N, Thouvenot F, Acouetey S, Maire C, et al. Tobacco use characteristics among apprentices in vocational centers. Rev Epid Sant Publique. 2011;59(4):270–6.CrossRef
7.
8.
Turner L, Mermelstein R, Flay B. Individual and contextual influences on adolescent smoking. Ann N Y Acad Sci. 2004;1021:175–97.CrossRefPubMed
9.
10.
Legleye S, Spilka S, Le Nézet O, Laffiteau C. Les drogues à 17 ans - résultats de l’enquête ESCAPAD 2008. Tendances OFDT. 2009;66:6.
11.
Bloch D, Chamonard D, Hocquaux C. Les parcours scolaires et l’âge des bacheliers. Education et Formations. 2001;6:67–9.
12.
13.
Conrad KM, Flay BR, Hill D. Why children start smoking cigarettes: predictors of onset. Br J Addict. 1992;87:1711–24.CrossRefPubMed
14.
Peers KK. Adolescent smoking. Addiction. 2003;98(suppl 1):37–55.
15.
Leventhal H, Cleary PD. The smoking problem: a review of the research and theory in behavioral risk modification. Psychol Bull. 1980;88:370–405.CrossRefPubMed
16.
17.
Jacobson PD, Lantz PM, Warner KE, Wasserman J, Pollack HA, Ahlstrom AK. Combating teen smoking: research and policy strategies: The University of Michigan Press; 2001.
18.
19.
Jensen Arnett J. The myth of peer influence in adolescent smoking initiation. Health Educ Behav. 2007;34:594–607.CrossRef
20.
Moan IS, Quitting Smoking RJ. Applying an extended version of the theory of planned behavior to predict intention and behavior. J Appl Biobehav Res. 2005;10:39–68.CrossRef
21.
Pageau M, Choinière R, Ferland M, Sauvageau Y. Portrait de santé - Le Québec et ses régions. Édition 2001. In: Les publications du Québec; 2001.
22.
23.
24.
Kim S, Crutchfield C, Williams C, Hepler N. Toward a new paradigm in substance abuse and other problem behavior prevention for youth : youth development and empowerment approach. J Drug Educ. 1998;28:1–17.CrossRefPubMed
25.
26.
Huteau M-E, Granier A, Arino A, Davy-Aubertin C, Bénézis C, Stoebner-Delbarre A. « Sans clope, je suis au top ! » : quand l’éducation par les pairs fait un tabac. La Santé de. L’Homme. 2012;421:30–1.
27.
Huteau M-E, Granier A, Arino A, Davy-Aubertin C, Bénézis C, Stoebner-Delbarre A. Sans clope, je suis au top ! : un projet de prévention communautaire. Revue de la santé scolaire et universitaire de l’AFPSSU. 2012;15:27–30.
28.
29.
Aveyard P, Cheng KK, Almond J, Sherratt E, Lancashire R, Lawrence T, et al. Cluster randomised controlled trial of expert system based on the transtheoretical (stages of change) model for smoking prevention and cessation in schools. BMJ. 1999;319:948–53.CrossRefPubMedPubMedCentral
30.
Cameron R, Brown KS, Best JA, Pelkman CL, Madill CL, Manske SR, Payne ME. Effectiveness of a social influences smoking prevention program as a function of provider type, training method, and school risk. Am J Public Health. 1999;8912:1827–31.CrossRef
31.
Peterson AV, Kealey KA, Mann SL, Marek PM, Sarason IG. Hutchinson smoking prevention project : long-term randomized trial in school-based tobacco use prevention-results on smoking. J Natl Cancer Inst. 2000;92:1979–91.CrossRefPubMed
32.
Villet H, Lefebvre A, Frappier M. Les « Suricates » - Projet de formation par les pairs dans le cadre de la prévention du tabagisme chez les jeunes : évaluation d’impact. ORS Haute-Normandie et CRES Haute-Normandie: Rouen; 2007. http://​www.​bdsp.​ehesp.​fr/​Base/​398850/​. Accessed 25 Mar 2013
33.
Koumi I, Tsiantis J. Smoking trends in adolescence: report on a Greek school-based, peer-led intervention aimed at prevention. Health Promot Int. 2001;16:65–72.CrossRefPubMed
34.
35.
Audrey S, Cordall K, Moore L, Cohen D, Campbell R. The development and implementation of a peer-led intervention to prevent smoking among secondary school students using their established social networks. Health Educ J. 2004;63:266–84.CrossRef
36.
Audrey S, Holliday J, Campbell R. It’s Good to talk : adolescent perspectives of an informal, peer-led intervention to reduce smoking. Soc Sci Med. 2006;63:320–34.CrossRefPubMed
37.
Campbell R, Starkey F, Holliday J, Audrey S, Bloor M, Parry-Langdon N, et al. An informal school-based peer-led intervention for smoking prevention in adolescence (ASSIST): a cluster randomised trial. Lancet. 2008;371:1595–602.CrossRefPubMedPubMedCentral
38.
Starkey F, Audrey S, Holliday J, Moore L, Campbell R. Identifying influential young people to undertake effective peer-led health promotion: the example of a stop smoking in schools trial (ASSIST). Health Educ Res. 2009;24:977–88.CrossRefPubMed
39.
Azorin J-C, Burcheri L, Lhomost M. Face à l’éducation par les pairs, quel positionnement pour les adultes référents ? La Santé de. L’Homme. 2012;421:27–9.
40.
Godin G, Kok G. The theory of planned behavior: a review of its applications to health-related behaviors. Am J Health Promo. 1996;11:87–98.CrossRef
41.
Schwenk G, Möser G. Intention and behavior: a Bayesian meta-analysis with focus on the Ajzen–Fishbein model in the field of environmental behavior. Qual Quan. 2009;43:743–55.CrossRef
42.
Topa G, Moriano JA. Theory of planned behavior and smoking: meta-analysis and SEM model. Subst Abuse Rehabil. 2010:23.
43.
Trafimow D, Sheeran P, Conner M, Finlay KA. Evidence that perceived behavioural control is a multidimensional construct: perceived control and perceived difficulty. Br J Soc Psychol. 2002;41:101–21.CrossRefPubMed
44.
McEachan RRC, Conner M, Taylor NJ, Lawton RJ. Prospective prediction of health-related behaviours with the theory of planned behaviour: a meta-analysis. Health Psychol Rev. 2011;5:97–144.CrossRef
45.
Moan IS. Smoking or not smoking? How well does the theory of planned behaviour predict intention and behaviour? [Oslo]: Norwegian Institute for Alcohol and Drug Research. Department of Psychology: University of Oslo; 2005.
46.
Conner M, Sandberg T, McMillan B, Higgins A. Role of anticipated regret, intentions and intention stability in adolescent smoking initiation. Br J Of Health Psychol. 2006;11:85–101.CrossRef
47.
Higgins A, Conner M. Understanding adolescent smoking: the role of the theory of planned behaviour and implementation intentions. Psychol health med. 2003;8:173–86.CrossRef
48.
McMillan B, Higgins AR, Conner M. Using an extended theory of planned behaviour to understand smoking amongst schoolchildren. Addict Res Theory. 2005;13:293–306.CrossRef
49.
Wiium N, Breivik K, Wold B. The relationship between smoker role models and intentions to smoke among adolescents. J Youth Adolesc. 2006;35:551–62.CrossRef
50.
Webb TL, Sniehotta FF, Michie S. Using theories of behaviour change to inform interventions for addictive behaviours. Addiction. 2010;105:1879–92.CrossRefPubMed
51.
Michie S, Abraham C. Advancing the science of behaviour change: a plea for scientific reporting. Addiction. 2008;103:1409–10.CrossRefPubMed
52.
Hardeman W, Johnston M, Johnston DW, Bonetti D, Wareham NJ, Kinmonth AL. Application of the theory of planned behaviour in behaviour change interventions: a systematic review. Psychol Health. 2002;17:123–58.CrossRef
53.
Quine L, Rutter DR, Arnold L. Predicting and understanding safety helmet use among schoolboy cyclists: a comparison of the theory of planned behaviour and the health belief model. Psychol Health. 1998;13:251–69.CrossRef
54.
Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50:179–211.CrossRef
55.
Webb TL, Joseph J, Yardley L, Michie S. Using the internet to promote health behavior change: a systematic review and meta-analysis of the impact of theoretical basis, use of behavior change techniques, and mode of delivery on efficacy. J Med Internet Res. 2010;12(1):97–114.CrossRef
56.
Cooke R, French DP. How well do the theory of reasoned action and theory of planned behaviour predict intentions and attendance at screening programmes? A meta-analysis. Psychol Health. 2008;23:745–65.CrossRefPubMed
57.
Albarracín D, Johnson BT, Fishbein M, Muellerleile PA. Theories of reasoned action and planned behavior as models of condom use: a meta-analysis. Psychol Bull. 2001;127:142–61.CrossRefPubMedPubMedCentral
58.
Armitage CJ, Conner M. Social cognition models and health behaviour: a structured review. Psychol Health. 2000;15:173.CrossRef
59.
Schulze R, Wittmann WW. A meta-analysis of the theory of reasoned action and the theory of planned behavior: the principle of compatibility and multidimensionality of beliefs as moderators. In: Schulze R, Holling H, Böhning D, éditeurs. Meta-analysis: new developments and applications in medical and social sciences. Ashland: Hogrefe & Huber Publishers; 2003. p. 219–250.
60.
Armitage CJ, Conner M. Efficacy of the theory of planned behaviour: a meta-analytic review. Br J Soc Psycho. 2001;40:471.CrossRef
61.
Hagger MS, Chatzisarantis NLD, Biddle SJH. A meta-analytic review of the theories of reasoned action and planned behavior in physical activity: predictive validity and the contribution of additional variables. J Sport Exerc Psychol. 2002;24:3–32.CrossRef
62.
Bazillier C. Etude longitudinale des effets de facteurs psychosociaux et d’interventions de prévention sur la susceptibilité de fumer d’enfants de huit à onze ans : le cas de la Théorie du Comportement Planifié et du Réseau Amical. Paris 10; 2009. http://​www.​theses.​fr/​2009PA100153. Accessed 21 Mar 2013.
63.
Kothe EJ, Mullan BA, Butow P. Promoting fruit and vegetable consumption. Testing an intervention based on the theory of planned behaviour. Appetite. 2012;58:997–1004.CrossRefPubMed
64.
Elliott MA, Armitage CJ. Promoting drivers’ compliance with speed limits: testing an intervention based on the theory of planned behaviour. Br J Psychol. 2009;100:111–32.CrossRefPubMed
65.
66.
67.
Stoebner-Delbarre A, Djoufelkit K, Nguyen C, Adam de Villiers M, Bousquet M, Lemonnier G. Enquête DAST décembre 2006 «Devenir Académie sans Tabac» Lycées sans tabac en Languedoc-Roussillon. In: Epidaure; 2007.
68.
69.
Stoebner-Delbarre A, Nguyen C. Projet Arrêt tabac jeunes libres comme L’R. Rapport Epidaure. Epidaure; 2004 juill.
70.
Stoebner-Delbarre A, Nguyen C, Couralet D. Action 5+1 : Smoking cessation program for youth. Caen; 2004.
71.
DiFranza JR, Savageau JA, Rigotti NA, Fletcher K, Ockene JK, McNeill AD, et al. Development of symptoms of tobacco dependence in youths: 30 month follow up data from the DANDY study. Tob Control. 2002;11(3):228–35.CrossRefPubMedPubMedCentral
72.
73.
74.
75.
Verbeke G, Molenberghs G, Thijs H, Lesaffre E, Kenward MG. Sensitivity analysis for non-random dropout: a local influence approach. Biometrics. 2000;57:43–50.
76.
Hawe P, Shiell A, Riley T, Gold L. Methods for exploring implementation variation and local context within a cluster randomised community intervention trial. J Epidemiol Community Health. 2004;58:788–93.CrossRefPubMedPubMedCentral
77.
Dagnaud M, Génération Y. Les jeunes et les réseaux sociaux, de la dérision à la subversion: Les Presses de Sciences Po; 2011.
Metadata
Title
Preventing tobacco in vocational high schools: study protocol for a randomized controlled trial of P2P, a peer to peer and theory planned behavior-based program
Authors
Florence Cousson-Gélie
Olivier Lareyre
Maryline Margueritte
Julie Paillart
Marie-Eve Huteau
Kela Djoufelkit
Bruno Pereira
Anne Stoebner
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2018
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-018-5226-y

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