Oregon Research Institute, Eugene, OR;
Nicotine Tob Res. 2014 Jan;16(1):33-41. doi: 10.1093/ntr/ntt106. Epub 2013 Jul 24.
Click City (®) : Tobacco is an innovative, computer-based tobacco prevention program designed to be implemented in 5th-grade classrooms with a booster in 6th grade. The program targets etiological mechanisms predictive of future willingness and intentions to use tobacco and initiation of tobacco use. Each component was empirically evaluated to assure that it changed its targeted mechanism. This paper describes long-term outcomes for students who participated in a randomized controlled efficacy trial of the program.
A total of 26 middle schools were stratified and randomly assigned to the Click City (®) : Tobacco program or Usual Curriculum. The 47 elementary schools that fed into each middle school were assigned to the same condition as their respective middle school. In Click City (®) : Tobacco schools, 1,168 students from 24 elementary schools and 13 middle schools participated. In Usual Curriculum schools, 1,154 students from 23 elementary schools and 13 middle schools participated. All participating students completed baseline, post-6th grade program, and 7th grade assessments.
As compared to students in schools that continued with their usual curriculum, intentions and willingness to smoke increased less from baseline to 6th grade and from baseline to 7th grade, among students in schools that used the Click City (®) : Tobacco curriculum. Changes in mechanisms were also in the expected direction. The program was particularly efficacious for at-risk students.
Results provide evidence to support the long-term efficacy of Click City (®) : Tobacco. Program development, based on an empirical evaluation of each component, most likely played a role in the success of the program.
点击城市(®):烟草是一个创新的、基于计算机的烟草预防计划,旨在 5 年级课堂上实施,并在 6 年级进行强化。该计划针对的是未来使用烟草的意愿和意图以及开始使用烟草的预测病因机制。每个组成部分都经过了实证评估,以确保它改变了其目标机制。本文描述了参与该计划随机对照功效试验的学生的长期结果。
共有 26 所中学按层随机分配到点击城市(®):烟草计划或常规课程。为每个中学提供生源的 47 所小学也被分配到与各自中学相同的条件。在点击城市(®):烟草学校中,有 24 所小学和 13 所中学的 1168 名学生参与。在常规课程学校中,有 23 所小学和 13 所中学的 1154 名学生参与。所有参与的学生都完成了基线、6 年级后和 7 年级的评估。
与继续使用常规课程的学校的学生相比,使用点击城市(®):烟草课程的学校的学生,从基线到 6 年级和从基线到 7 年级,吸烟的意愿和意愿增加较少。机制的变化也朝着预期的方向发展。该计划对高风险学生尤其有效。
结果为点击城市(®):烟草的长期疗效提供了证据。基于对每个组成部分的实证评估的计划开发,可能在该计划的成功中发挥了作用。