Curbing Tobacco Use in Suburban and Rural Schools
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Smoking Cessation |
| Therapuetic Areas: | Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 14 - 16 |
| Updated: | 2/8/2017 |
| Start Date: | July 2006 |
| End Date: | January 2019 |
Primary, secondary, and tertiary specific aims are to answer the following questions about
interactive, Internet-based tobacco control intervention directed towards 10th-graders:
1. Smoking Prevention (primary): Does the intervention result in a lower incidence of
smoking initiation compared to standard care?
2. Smoking Cessation (primary): Does the intervention result in higher rates of smoking
cessation compared to standard care?
3. Reduction of Spit Tobacco Use (secondary): Does the intervention have an impact on spit
tobacco use compared to standard care?
4. Stages of Change (tertiary): Does the intervention have an impact on progression
through the stages of smoking and spit tobacco acquisition and cessation compared to
standard care?
5. Mediating Variables (tertiary): How are mediating variables associated with tobacco-use
onset and cessation?
6. Testing Predictors: Investigate established and recently elucidated predictors of
susceptibility to smoking at baseline and 12-month follow-up.
7. Develop/Validate Spit Tobacco Measures: Investigate predictors of susceptibility of
spit tobacco use at baseline and 12-month follow-up
8. Testing Measures Across Race/Ethnicity: Explore predictors of susceptibility to smoking
at baseline and 12-month follow-up to determine whether predictors differ among White,
African-American, and Hispanic students.
interactive, Internet-based tobacco control intervention directed towards 10th-graders:
1. Smoking Prevention (primary): Does the intervention result in a lower incidence of
smoking initiation compared to standard care?
2. Smoking Cessation (primary): Does the intervention result in higher rates of smoking
cessation compared to standard care?
3. Reduction of Spit Tobacco Use (secondary): Does the intervention have an impact on spit
tobacco use compared to standard care?
4. Stages of Change (tertiary): Does the intervention have an impact on progression
through the stages of smoking and spit tobacco acquisition and cessation compared to
standard care?
5. Mediating Variables (tertiary): How are mediating variables associated with tobacco-use
onset and cessation?
6. Testing Predictors: Investigate established and recently elucidated predictors of
susceptibility to smoking at baseline and 12-month follow-up.
7. Develop/Validate Spit Tobacco Measures: Investigate predictors of susceptibility of
spit tobacco use at baseline and 12-month follow-up
8. Testing Measures Across Race/Ethnicity: Explore predictors of susceptibility to smoking
at baseline and 12-month follow-up to determine whether predictors differ among White,
African-American, and Hispanic students.
The proposed study will test the effectiveness of the Internet-based cigarette smoking and
spit tobacco (ST) prevention and cessation in-class curriculum for rural teens. Supplemented
by "cyber-support" (chat room and bulletin board), the intervention program also will make
use of a human social support environment (via trained school personnel, chat rooms,
bulletin boards). The study will use a nested cohort design in which high schools are the
unit of design, allocation, and analysis. Tenth-grade students (ages 14-16) within each
intervention school will receive a 7-week interactive, Internet-based tobacco prevention and
cessation curriculum. Using computerized surveys, study participants will be evaluated at
baseline, 6-month, 12-month, and 18-month follow-ups. The study has been designed to permit
analyses sensitive enough to detect differences for the two primary hypotheses: reductions
in smoking initiation and smoking cessation. Trends in ST use after exposure to the
intervention program will also be assessed. The design will also permit analysis of
stage-of-change dynamics and mediators for both acquisition and cessation of both forms of
tobacco.
spit tobacco (ST) prevention and cessation in-class curriculum for rural teens. Supplemented
by "cyber-support" (chat room and bulletin board), the intervention program also will make
use of a human social support environment (via trained school personnel, chat rooms,
bulletin boards). The study will use a nested cohort design in which high schools are the
unit of design, allocation, and analysis. Tenth-grade students (ages 14-16) within each
intervention school will receive a 7-week interactive, Internet-based tobacco prevention and
cessation curriculum. Using computerized surveys, study participants will be evaluated at
baseline, 6-month, 12-month, and 18-month follow-ups. The study has been designed to permit
analyses sensitive enough to detect differences for the two primary hypotheses: reductions
in smoking initiation and smoking cessation. Trends in ST use after exposure to the
intervention program will also be assessed. The design will also permit analysis of
stage-of-change dynamics and mediators for both acquisition and cessation of both forms of
tobacco.
Inclusion Criteria:
1. Subjects aged 14-16 years of age (9th and 10th-graders) who speak, read and write
English
2. Subjects are students from schools located in suburban and rural communities
approximately 200 miles from Houston.
3. Subjects with approved parental consent
Exclusion Criteria:
1) Disruptive individuals who are not able to work with the program
We found this trial at
1
site
1515 Holcombe Blvd
Houston, Texas 77030
Houston, Texas 77030
713-792-2121
University of Texas M.D. Anderson Cancer Center The mission of The University of Texas MD...
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