Evaluation of a novel intervention providing insight into the tobacco industry to prevent the uptake of smoking in school-aged children: a mixed-methods study

Objectives: Evidence from the US Truth® campaign suggests that interventions focusing on tobacco industry practices and ethics may be effective in preventing youth smoking uptake. We developed, piloted and evaluated a school-based intervention based on this premise. Methods: Exploratory study Stu...

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Main Authors: Szatkowski, Lisa, Taylor, John, Fuller, Amy, Lewis, Sarah, Qi, Wu, Parrott, Steve, McNeill, Ann, Britton, John, Bauld, Linda, Jones, Laura L., Bains, Manpreet
Format: Article
Published: BMJ Publishing Group Ltd 2017
Online Access:https://eprints.nottingham.ac.uk/45521/
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author Szatkowski, Lisa
Taylor, John
Fuller, Amy
Lewis, Sarah
Qi, Wu
Parrott, Steve
McNeill, Ann
Britton, John
Bauld, Linda
Jones, Laura L.
Bains, Manpreet
author_facet Szatkowski, Lisa
Taylor, John
Fuller, Amy
Lewis, Sarah
Qi, Wu
Parrott, Steve
McNeill, Ann
Britton, John
Bauld, Linda
Jones, Laura L.
Bains, Manpreet
author_sort Szatkowski, Lisa
building Nottingham Research Data Repository
collection Online Access
description Objectives: Evidence from the US Truth® campaign suggests that interventions focusing on tobacco industry practices and ethics may be effective in preventing youth smoking uptake. We developed, piloted and evaluated a school-based intervention based on this premise. Methods: Exploratory study Students in Years 7–8 (aged 11–13) in two UK schools received Operation Smoke Storm, comprising three 50-minute classroom-based sessions in Year 7, an accompanying family booklet and a 1-hour classroom-based booster session in Year 8. We compared the risk and odds of ever smoking and susceptibility to smoking in Year 8 students in study schools post-intervention compared with students in control schools. Focus groups and interviews with students, teachers and parents evaluated the acceptability of the intervention. Results: In intervention schools the combined prevalence of ever smoking and susceptibility increased from 18.2% in Year 7 to 33.8% in Year 8. There was no significant difference in the odds of a Year 8 student in an intervention school being an ever smoker or susceptible never smoker compared with controls [adjusted OR 1.28, 95%CI 0.83-1.97, p=0.263] and no significant difference in the odds of ever smoking (aOR 0.82, 95%CI 0.42-1.58, p=0.549). Teachers highlighted differences by academic ability in how well the messages presented were understood. Use of the family component was low but was received positively by parents who engaged with it. Conclusions: Operation Smoke Storm is an acceptable resource for delivering smoking-prevention education but it does not appear to have reduced smoking and susceptibility.
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spelling nottingham-455212020-05-04T19:15:57Z https://eprints.nottingham.ac.uk/45521/ Evaluation of a novel intervention providing insight into the tobacco industry to prevent the uptake of smoking in school-aged children: a mixed-methods study Szatkowski, Lisa Taylor, John Fuller, Amy Lewis, Sarah Qi, Wu Parrott, Steve McNeill, Ann Britton, John Bauld, Linda Jones, Laura L. Bains, Manpreet Objectives: Evidence from the US Truth® campaign suggests that interventions focusing on tobacco industry practices and ethics may be effective in preventing youth smoking uptake. We developed, piloted and evaluated a school-based intervention based on this premise. Methods: Exploratory study Students in Years 7–8 (aged 11–13) in two UK schools received Operation Smoke Storm, comprising three 50-minute classroom-based sessions in Year 7, an accompanying family booklet and a 1-hour classroom-based booster session in Year 8. We compared the risk and odds of ever smoking and susceptibility to smoking in Year 8 students in study schools post-intervention compared with students in control schools. Focus groups and interviews with students, teachers and parents evaluated the acceptability of the intervention. Results: In intervention schools the combined prevalence of ever smoking and susceptibility increased from 18.2% in Year 7 to 33.8% in Year 8. There was no significant difference in the odds of a Year 8 student in an intervention school being an ever smoker or susceptible never smoker compared with controls [adjusted OR 1.28, 95%CI 0.83-1.97, p=0.263] and no significant difference in the odds of ever smoking (aOR 0.82, 95%CI 0.42-1.58, p=0.549). Teachers highlighted differences by academic ability in how well the messages presented were understood. Use of the family component was low but was received positively by parents who engaged with it. Conclusions: Operation Smoke Storm is an acceptable resource for delivering smoking-prevention education but it does not appear to have reduced smoking and susceptibility. BMJ Publishing Group Ltd 2017-11-01 Article PeerReviewed Szatkowski, Lisa, Taylor, John, Fuller, Amy, Lewis, Sarah, Qi, Wu, Parrott, Steve, McNeill, Ann, Britton, John, Bauld, Linda, Jones, Laura L. and Bains, Manpreet (2017) Evaluation of a novel intervention providing insight into the tobacco industry to prevent the uptake of smoking in school-aged children: a mixed-methods study. BMJ Open, 7 . e018031. ISSN 2044-6055 http://bmjopen.bmj.com/content/7/11/e018031 doi:10.1136/bmjopen-2017-018031 doi:10.1136/bmjopen-2017-018031
spellingShingle Szatkowski, Lisa
Taylor, John
Fuller, Amy
Lewis, Sarah
Qi, Wu
Parrott, Steve
McNeill, Ann
Britton, John
Bauld, Linda
Jones, Laura L.
Bains, Manpreet
Evaluation of a novel intervention providing insight into the tobacco industry to prevent the uptake of smoking in school-aged children: a mixed-methods study
title Evaluation of a novel intervention providing insight into the tobacco industry to prevent the uptake of smoking in school-aged children: a mixed-methods study
title_full Evaluation of a novel intervention providing insight into the tobacco industry to prevent the uptake of smoking in school-aged children: a mixed-methods study
title_fullStr Evaluation of a novel intervention providing insight into the tobacco industry to prevent the uptake of smoking in school-aged children: a mixed-methods study
title_full_unstemmed Evaluation of a novel intervention providing insight into the tobacco industry to prevent the uptake of smoking in school-aged children: a mixed-methods study
title_short Evaluation of a novel intervention providing insight into the tobacco industry to prevent the uptake of smoking in school-aged children: a mixed-methods study
title_sort evaluation of a novel intervention providing insight into the tobacco industry to prevent the uptake of smoking in school-aged children: a mixed-methods study
url https://eprints.nottingham.ac.uk/45521/
https://eprints.nottingham.ac.uk/45521/
https://eprints.nottingham.ac.uk/45521/