Efficacy of a Web-Based Computer-Tailored Smoking Prevention Intervention for Dutch Adolescents: A Randomized Controlled Trial
Background: Preventing smoking initiation among adolescents is crucial to reducing tobacco-caused death and disease. This study focuses on the effectiveness of a Web-based computer-tailored smoking prevention intervention aimed at adolescents. Objective: The intent of the study was to describe the intervention characteristics and to show the effectiveness and results of a randomized controlled trial. We hypothesized that the intervention would prevent smoking initiation among Dutch secondary school students aged 10-20 years and would have the largest smoking prevention effect among the age coh... Mehr ...
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Dokumenttyp: | Artikel |
Erscheinungsdatum: | 2014 |
Reihe/Periodikum: | de Josselin de Jong , S , Candel , M , Segaar , D , Cremers , H P & de Vries , H 2014 , ' Efficacy of a Web-Based Computer-Tailored Smoking Prevention Intervention for Dutch Adolescents: A Randomized Controlled Trial ' , Journal of Medical Internet Research , vol. 16 , no. 3 , e82 , pp. 107-118 . https://doi.org/10.2196/jmir.2469 |
Schlagwörter: | computer tailoring / Web-based intervention / Internet / smoking prevention / smoking initiation / adolescents / randomized controlled trial / FRAMEWORK APPROACH ESFA / HEALTH INTERVENTIONS / CESSATION CURRICULUM / PHYSICAL-ACTIVITY / EDUCATION / PROGRAM / COMMUNICATION / BEHAVIORS / EXPOSURE |
Sprache: | Englisch |
Permalink: | https://search.fid-benelux.de/Record/base-28612933 |
Datenquelle: | BASE; Originalkatalog |
Powered By: | BASE |
Link(s) : | https://cris.maastrichtuniversity.nl/en/publications/fb0dda54-74f6-4957-a438-37257431c6d3 |
Background: Preventing smoking initiation among adolescents is crucial to reducing tobacco-caused death and disease. This study focuses on the effectiveness of a Web-based computer-tailored smoking prevention intervention aimed at adolescents. Objective: The intent of the study was to describe the intervention characteristics and to show the effectiveness and results of a randomized controlled trial. We hypothesized that the intervention would prevent smoking initiation among Dutch secondary school students aged 10-20 years and would have the largest smoking prevention effect among the age cohort of 14-16 years, as smoking uptake in that period is highest. Methods: The intervention consisted of a questionnaire and fully automated computer-tailored feedback on intention to start smoking and motivational determinants. A total of 89 secondary schools were recruited via postal mail and randomized into either the computer-tailored intervention condition or the control condition. Participants had to complete a Web-based questionnaire at baseline and at 6-month follow-up. Data on smoking initiation were collected from 897 students from these schools. To identify intervention effects, multilevel logistic regression analyses were conducted using multiple imputation. Results: Smoking initiation among students aged 10-20 years was borderline significantly lower in the experimental condition as compared to the control condition 6 months after baseline (OR 0.25, 95% CI 0.05-1.21, P=.09). Additional analyses of the data for the 14-16 year age group showed a significant effect, with 11.5% (24/209) of the students in the control condition reporting initiation compared to 5.7% (10/176) in the experimental condition (OR 0.22, 95% CI 0.05-1.02, P=.05). No moderation effects were found regarding gender and educational level. Conclusions: The findings of this study suggest that computer-tailored smoking prevention programs are a promising way of preventing smoking initiation among adolescents for at least 6 months, in particular ...