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Randomized Trials on Consider This, a Tailored, Internet-Delivered Smoking Prevention Program for Adolescents

Klein Buendel, Inc., Golden, Colorado, dbuller{at}kleinbuendel.com

Ron Borland, PhD

The Cancer Council Victoria, Carlton South, Victoria, Australia

W. Gill Woodall, PhD

University of New Mexico, Albuquerque

John R. Hall, PhD

University of Arizona Health Sciences Center, Tucson

Joan M. Hines, MPH

Children's Hospital, Denver, Colorado

Patricia Burris-Woodall, PhD

University of New Mexico, Albuquerque

Gary R. Cutter, PhD

University of Alabama, Birmingham

Caroline Miller, MPH

The Cancer Council Victoria and Adelaide University, Adelaide, South Australia, Australia

James Balmford

The Cancer Council Victoria, Carlton South, Victoria, Australia

Randall Starling, PhD

University of New Mexico, Albuquerque

Bryan Ax, BA

Guardian Mortgage Documents, Inc., Denver, Colorado

Laura Saba, BS

University of Colorado at Denver and Health Sciences Center, Colorado

The Internet may be an effective medium for delivering smoking prevention to children. Consider This, an Internet-based program, was hypothesized to reduce expectations concerning smoking and smoking prevalence. Group-randomized pretest-posttest controlled trials were conducted in Australia (n = 2,077) and the United States (n = 1,234) in schools containing Grades 6 through 9. Australian children using Consider This reported reduced 30-day smoking prevalence. This reduction was mediated by decreased subjective norms. The amount of program exposure was low in many classes, but program use displayed a dose-response relationship with reduced smoking prevalence. American children only reported lower expectations for smoking in the future. Intervening to prevent smoking is a challenge, and this data suggest small benefits from an Internet-based program that are unlikely to be of practical significance unless increased by improved implementation. Implementation remains the major challenge to delivering interventions via the Internet, both for health educators and researchers.

Key Words: smoking • prevention • adolescents • Internet

This version was published on April 1, 2008

Health Education & Behavior, Vol. 35, No. 2, 260-281 (2008)
DOI: 10.1177/1090198106288982


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