Titre : | The promise of long-term effectiveness of school-based smoking prevention programs: a critical review of reviews (2009) |
Auteurs : | B. R. FLAY |
Type de document : | Article : Périodique |
Dans : | Tobacco Induced Diseases (Vol.5, n°7, 2009) |
Article en page(s) : | 12 p. |
Langues: | Anglais |
Discipline : | PRE (Prévention - RdRD / Prevention - Harm reduction) |
Mots-clés : |
Thésaurus mots-clés TABAC ; PREVENTION ; MILIEU SCOLAIRE ; EFFICACITE ; PROGRAMME ; INTERVENTION |
Résumé : | I provide a review and critique of meta-analyses and systematic reviews of school-based smoking prevention programs that focus on long-term effects. Several of these reviews conclude that the effects of school-based smoking prevention programs are small and find no evidence that they have significant long-term effects. I find that these reviews all have methodological problems limiting their conclusions. These include severe limiting of the studies included because of performance bias, student attrition, non-reporting of ICCs, inappropriate classification of intervention approach, and inclusion of programs that had no short-term effects. The more-inclusive meta-analyses suggest that school-based smoking prevention programs can have significant and practical effects in both the short- and the long-term. Findings suggest that school-based smoking prevention programs can have significant long-term effects if they: 1) are interactive social influences or social skills programs; that 2) involve 15 or more sessions, including some up to at least ninth grade; that 3) produce substantial short-term effects. The effects do decay over time if the interventions are stopped or withdrawn, but this is true of any kind of intervention. |
Domaine : | Tabac / Tobacco / e-cigarette |
Sous-type de document : | Revue de la littérature / Literature review |
Refs biblio. : | 120 |
Affiliation : | Department of Public Health, Oregon State University, Corvallis, Oregon, USA |
Lien : | http://dx.doi.org/10.1186/1617-9625-5-7 |
Accueil