Health Education & Behavior

 

Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

The Diabetes Educator

Click here to sign up for SAGE Journal Email Alerts today!

Sign In to gain access to subscriptions and/or personal tools.
This Article
Right arrow Abstract Freely available
Right arrow Free Full Text (Free PDF) Free
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Côté, F.
Right arrow Articles by Gagné, C.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Côté, F.
Right arrow Articles by Gagné, C.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?
This version was published on December 1, 2006
Health Education & Behavior, Vol. 33, No. 6, 747-759 (2006)
DOI: 10.1177/1090198105285616

Efficiency of an Evidence-Based Intervention to Promote and Reinforce Tobacco Abstinence Among Elementary Schoolchildren in a School Transition Period

Françoise Côté, PhD

Research Group on Behaviors in the Health Field, Paul-Comtois Building, Room 4108, Laval University, Québec, G1K 7P4 Canada; phone: (418) 656-2131, ext. 5666;Francoise.Cote{at}fsi.ulaval.ca

Gaston Godin, PhD

Camille Gagné, PhD

Laval University, Québec, Canada

This study reports the evaluation of an intervention designedto reinforcetobacco abstinence amongelementary schoolchildren in a school transition period. This intervention was developed according to the principles of Intervention Mapping. A total of 765 grade 5 students (ages 10-12) was recruited in 32 elementary schools. A quasi-experimental longitudinal design was used to evaluate the outcomes. Results observed 2 and 8 months postintervention are reported here. It is shown that although the behavior remained largely unchanged by the intervention, some of its determinants were modified. Behavioral intention, behavioral and normative beliefs, perceived self-efficacy, and role beliefs were changed at one or both postintervention measures. An interesting feature of these results relates to the fact that the most positive outcomes were seen among at-risk children. Discussion considers the advisability to develop, implement, and evaluate evidence-based interventions targeting the psychosocial factors underlying maintenance of tobacco smoking abstinence in elementary school.

Key Words: promotion of tobacco abstinence • Intervention Mapping • evidence-based intervention • elementary school • school transition period • evaluation • Johnson-Neyman technique

References

  • Ajzen, I. (1991). The theory of planned behaviour. Organizational Behaviour and Human Decision Processes, 50, 179-211.[CrossRef]
  • Ajzen, I. (2001). Constructing a TPB questionnaire: Conceptual and methodological considerations. Retrieved from http://www-unix.oit.umass.edu/aizen/
  • Ausems, M., Mesters, I., van Breukelen, G., & De Vries, H. (2002). Short-term effects of a randomized computer-based out-of-school smoking prevention trial aimed at elementary schoolchildren. Preventive Medicine, 34 (6), 581-589.[CrossRef][ISI][Medline] [Order article via Infotrieve]
  • Austin, S. B., & Gortmaker, S. L. (2001). Dieting and smoking initiation in early adolescent girls and boys: A prospective study. American Journal of Public Health, 91 (3), 446-450.[Abstract/Free Full Text]
  • Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84 (2), 191-215.[CrossRef][ISI][Medline] [Order article via Infotrieve]
  • Bandura, A. (1986). Social foundation of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice Hall.
  • Bartholomew, L. K., Parcel, G. S., & Kok, G. (1998). Intervention mapping: A process for developing theoryand evidence-based health education programs. Health Education Behavior, 25 (5), 545-563.[Abstract]
  • Bartholomew, L. K., Parcel, G. S., Kok, G., & Gottlieb, N. H. (2001). Intervention mapping: Designing theory-and evidence-based health promotion programs. Mountain View, CA: Mayfield.
  • Cameron, R., Brown, K. S., Best, J. A., Pelkman, C. L., Madill, C. L., Manske, S. R., et al. (1999). Effectiveness of a social influences smoking prevention program as a function of provider type, training method, and school risk. American Journal of Public Health, 89 (12), 1827-1831.[Abstract/Free Full Text]
  • Clayton, R. R., Cattarello, A. M., & Johnstone, B. M. (1996). The effectiveness of drug abuse resistance education (project dare): 5-year follow-up results. Preventive Medicine, 25 (3), 307-318.[CrossRef][ISI][Medline] [Order article via Infotrieve]
  • Clayton, R. R., Scutchfield, F. D., & Wyatt, S. W. (2000). Hutchinson smoking prevention project: A new gold standard in prevention science requires new transdisciplinary thinking. Journal of the National Cancer Institute, 92 (24), 1964-1965.[Free Full Text]
  • Cook, T. D., & Campbell, D. T. (1979). Quasi-experimentation: Design + analysis issues for field settings. Chicago: Rand McNally College.
  • Côté, F., Godin, G., & Gagné, C. (2004). Identification of factors promoting abstinence from smoking in a cohort of elementary schoolchildren. Preventive Medicine, 39 (4), 695-703.[CrossRef][ISI][Medline] [Order article via Infotrieve]
  • Cruz, I. Y., & Dunn, M. E. (2003). Lowering risk for early alcohol use by challenging alcohol expectancies in elementary school children. Journal of Consulting and Clinical Psychology, 71 (3), 493-503.[CrossRef][ISI][Medline] [Order article via Infotrieve]
  • Dalton, M. A., Sargent, J. D., Beach, M. L., Bernhardt, A. M., & Stevens, M. (1999). Positive and negative outcome expectations of smoking: Implications for prevention. Preventive Medicine, 29 (6 Pt 1), 460-465.[CrossRef][ISI][Medline] [Order article via Infotrieve]
  • Davidson, A. R., Jaccard, J. J., Triandis, H. C., Morales, M. L., & Diaz-Guerrero, R. (1976). Crosscultural model testing: Toward a solution of the etic-emic dilemma. International Journal of Psychology, 11, 1-13.[Medline] [Order article via Infotrieve]
  • Déry, V., & Renaud, L. (2000). Réflexion critique sur la prévention du tabagisme en milieu scolaire [Critical reflection on school-based tobacco use prevention]. Montréal: Régie régionale de la santé et des services sociaux de Montréal-Centre.
  • Dorsey, S. G., & Soeken, K. L. (1996). Use of the Johnson-Neyman technique as an alternative to analysis of covariance. Nursing Research, 45 (6), 363-366.[CrossRef][ISI][Medline] [Order article via Infotrieve]
  • Dusenbury, L., & Falco, M. (1995). Eleven components of effective drug abuse prevention curricula. Journal of School Health, 65, 420-425.[ISI][Medline] [Order article via Infotrieve]
  • Emery, S., White, M. M., & Pierce, J. P. (2001). Does cigarette price influence adolescent experimentation? Journal of Health Economy, 20 (2), 261-270.
  • Ennett, S. T., Flewelling, R. L., Lindrooth, R. C., & Norton, E. C. (1997). School and neighborhood characteristics associated with school rates of alcohol, cigarette, and marijuana use. Journal of Health and Social Behavior, 38 (1), 55-71.[CrossRef][ISI][Medline] [Order article via Infotrieve]
  • Fergusson, D. M., & Horwood, L. J. (1995). Transitions to cigarette smoking during adolescence. Addictive Behaviors, 20 (5), 627-642.[CrossRef][ISI][Medline] [Order article via Infotrieve]
  • Ferrence, R. (2000). Prévention de l'usage du tabac chez les jeunes: Une optique différente [Preventing tobacco use among youths: A different view]. In V. Déry & L. Renaud (Eds.), Réflexion critique sur la prévention du tabagisme en milieu scolaire primaire [Critical reflection on school-based tobacco use prevention] (pp. 34-39). Montréal: Régie Régionale de la Santé et des Services Sociaux de Montréal-Centre.
  • Flay, B. R., Hu, F. B., Siddiqui, O., Day, L. E., Hedeker, D., Petraitis, J., et al. (1994). Differential influence of parental smoking and friends' smoking on adolescent initiation and escalation of smoking. Journal of Health and Social Behavior, 35 (3), 248-265.[CrossRef][ISI][Medline] [Order article via Infotrieve]
  • Flay, B. R., Phil, D., Hu, F. B., & Richardson, J. (1998). Psychosocial predictors of different stages of cigarette smoking among high school students. Preventive Medicine, 27 (5 Pt 3), A9-A18.[CrossRef][ISI][Medline] [Order article via Infotrieve]
  • Godin, G. (1991). L'éducation pour la santé: Les fondements psychosociaux de la définition des messages éducatifs [Education for health: Psychosocial bases of the definition of educational messages]. Sciences Sociales et Santé, 9 (1), 67-94.
  • Gorman, D. M. (1998). The irrelevance of evidence in the development of school-based drug prevention policy, 1986-1996. Evaluation Review, 22 (1), 118-146.[Abstract/Free Full Text]
  • Huitema, B. E. (1980). The analysis of covariance and alternatives. New York: Wiley.
  • Institut de la statistique du Québec. (2003). Où en sont les jeunes face au tabac, à l'alcool et au jeu. Enquête québécoise sur le tabagisme chez les élèves du secondaire [Québec survey of tobacco use in high school students]. Québec: Gouvernement du Québec.
  • Jackson, C. (1998). Cognitive susceptibility to smoking and initiation of smoking during childhood: A longitudinal study. Preventive Medicine, 27 (1), 129-134.[CrossRef][ISI][Medline] [Order article via Infotrieve]
  • Kok, G., Schaalma, H., Ruiter, R. A., van Empelen, P., & Brug, J. (2004). Intervention mapping: Protocol for applying health psychology theory to prevention programmes. Journal of Health Psychology, 9 (1), 85-98.[Abstract]
  • Lantz, P. M., Jacobson, P. D., Warner, K. E., Wasserman, J., Pollack, H. A., Berson, J., et al. (2000). Investing in youth tobacco control: A review of smoking prevention and control strategies. Tobacco Control, 9 (1), 47-63.[Abstract/Free Full Text]
  • McGuire, W. J. (1964). Inducing resistance to persuasion: Some contemporary approaches. In L. Berkowitz (Ed.), Advances in experimental social psychology (pp. 191-229). New York: Academic Press.
  • Ministry of Education. (2000). La réussite scolaire au Québec: Une étude sur l'état du cheminement sans retard et de l'obtention d'un diplôme chez les élèves des écoles primaires et secondaires [School success in Québec]. Québec: Gouvernement du Québec.
  • Pederson, L. L., Koval, J. J., & O'Connor, K. (1997). Are psychosocial factors related to smoking in grade-6 students? Addictive Behaviors, 22 (2), 169-181.[CrossRef][ISI][Medline] [Order article via Infotrieve]
  • Peterson, A. V., Jr., Kealey, K. A., Mann, S. L., Marek, P. M., & Sarason, I. G. (2000). Hutchinson smoking prevention project: Long-term randomized trial in school-based tobacco use prevention—results on smoking. Journal of the National Cancer Institute, 92 (24), 1979-1991.[Abstract/Free Full Text]
  • Pfau, M., van Bockern, S., & Kang, J. G. (1992). Use of inoculation to promote resistance to smoking initiation among adolescents. Communication Monographs, 59, 213-230.
  • Rugkasa, J., Kennedy, O., Barton, M., Abaunza, P. S., Treacy, M. P., & Knox, B. (2001). Smoking and symbolism: Children, communication and cigarettes. Health Education Research, 16 (2), 131-142.[Abstract/Free Full Text]
  • SAS/STAT. (1990). User's guide (Version 6). Cary, NC: SAS Institute.
  • Schaalma, H., Kok, G., & Peters, L. (1993). Determinants of consistent condom use by adolescents: The impact of experience of sexual intercourse. Health Education Research, 8 (2), 255-269.[Abstract/Free Full Text]
  • Shadel, W. G., Shiffman, S., Niaura, R., Nichter, M., & Abrams, D. B. (2000). Current models of nicotine dependence: What is known and what is needed to advance understanding of tobacco etiology among youth. Drug and Alcohol Dependence, 59 (Suppl. 1), S9-S22.
  • Soldz, S., & Cui, X. (2002). Pathways through adolescent smoking: A 7-year longitudinal grouping analysis. Health Psychology, 21 (5), 495-504.[CrossRef][ISI][Medline] [Order article via Infotrieve]
  • Stewart-Brown, S. (2001). Evaluating health promotion in schools: Reflections. In I. Rootman, M. Goodstadt, B. Hyndman, D. V. McQueen, L. Potvin, J. Springett, & E. Ziglio (Eds.), Evaluation in health promotion principles and perspectives (European Series, pp. 271-284). Denmark: WHO Regional Publications.
  • Triandis, H. C. (1980). Values, attitudes, and interpersonal behavior. Paper presented at the Nebraska Symposium on Motivation.
  • Unger, J. B., & Chen, X. (1999). The role of social networks and media receptivity in predicting age of smoking initiation: A proportional hazards model of risk and protective factors. Addictive Behaviors, 24 (3), 371-381.[CrossRef][ISI][Medline] [Order article via Infotrieve]
  • van Bokhoven, M. A., Kok, G., & van der Weijden, T. (2003). Designing a quality improvement intervention: A systematic approach. Quality & Safety in Health Care, 12 (3), 215-220.

Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?



This Article
Right arrow Abstract Freely available
Right arrow Free Full Text (Free PDF) Free
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Côté, F.
Right arrow Articles by Gagné, C.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Côté, F.
Right arrow Articles by Gagné, C.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?