Randomized trials on consider this, a tailored, Internet-delivered smoking prevention program for adolescents

被引:56
作者
Buller, David B. [1 ]
Borland, Ron [2 ]
Woodall, W. Gill [3 ]
Hall, John R. [4 ]
Hines, Joan M. [5 ]
Burris-Woodall, Patricia [3 ]
Cutter, Gary R. [6 ]
Miller, Caroline [7 ,8 ]
Balmford, James [2 ]
Starling, Randall [3 ]
Ax, Bryan [9 ]
Saba, Laura [10 ,11 ]
机构
[1] Klein Buendel Inc, Golden, CO 80401 USA
[2] Canc Council Victoria, Carlton, Vic, Australia
[3] Univ New Mexico, Albuquerque, NM 87131 USA
[4] Univ Arizona, Hlth Sci Ctr, Tucson, AZ USA
[5] Childrens Hosp, Denver, CO 80218 USA
[6] Univ Alabama Birmingham, Birmingham, AL USA
[7] Canc Council Victoria, Adelaide, SA, Australia
[8] Univ Adelaide, Adelaide, SA, Australia
[9] Guardian Mortgage Documents Inc, Denver, CO USA
[10] Univ Colorado, Denver, CO 80202 USA
[11] Hlth Sci Ctr, Denver, CO USA
关键词
smoking; prevention; adolescents; Internet;
D O I
10.1177/1090198106288982
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 [公共卫生与预防医学]; 120402 [社会医学与卫生事业管理];
摘要
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.
引用
收藏
页码:260 / 281
页数:22
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