de Vries Hein, Mudde Aart, Leijs Ingrid, Charlton Anne, Vartiainen Errki, Buijs Goof, Clemente Manuel Pais, Storm Hans, González Navarro Andrez, Nebot Manel, Prins Trudy, Kremers Stef
Department of Health Education, Maastricht University, 6200 MD Maastricht, The Netherlands.
Health Educ Res. 2003 Oct;18(5):611-26. doi: 10.1093/her/cyg031.
A smoking prevention project in six European countries (European Smoking prevention Framework Approach) was developed, featuring activities for adolescents, schools and parents, including out-of-school activities. Consensus meetings resulted in agreement between the countries on goals, objectives and theoretical methods. Countries' specific objectives were also included. National diversities required country-specific methods to realize the goals and objectives. The community intervention trial was used as the research design. Since interventions took place at the community level, communities or regions were allocated at random to the experimental or control conditions. Complete randomization was achieved in four countries. At baseline, smoking prevalence among 23 125 adolescents at the start of the project was 5.6% for regular smoking and 4.0% for daily smoking. Smoking prevalence rates were higher among girls than boys in all countries as far as weekly smoking was concerned. Process evaluations revealed that the project's ambitions were high, but were limited by various constraints including time and delays in receiving funds. Future smoking prevention projects should aim to identify the effective components within the social influence approach as well as within broader approaches and on reaching sustained effects.
在六个欧洲国家开展了一项预防吸烟项目（欧洲预防吸烟框架方法），该项目以针对青少年、学校和家长的活动为特色，包括校外活动。共识会议促成了各国在目标、目的和理论方法上达成一致。各国的具体目标也被纳入其中。由于存在国家差异，需要采用各国特有的方法来实现这些目标。该社区干预试验被用作研究设计。由于干预是在社区层面进行的，社区或地区被随机分配到实验组或对照组。四个国家实现了完全随机化。在基线时，项目开始时23125名青少年中的吸烟率为：经常吸烟5.6%，每日吸烟4.0%。就每周吸烟情况而言，所有国家女孩的吸烟率均高于男孩。过程评估表明，该项目的抱负很高，但受到包括时间和资金延迟发放等各种限制。未来的预防吸烟项目应旨在确定社会影响方法以及更广泛方法中的有效组成部分，并实现持续效果。
