Abstract
BackgroundTo evaluate the public health efficacy of a community-based smoking cessation program (TABADO) among vocational school trainees (15 to 20 years old).MethodsThis prospective, controlled, quasi-experimental study was conducted in eight vocational training centres (VTC) in France. The intervention group underwent the TABADO program, which included a general information session for all students and small-group sessions plus individual counselling and nicotine therapy, if needed, for volunteers in an enhanced program. The control group received no specific intervention other than the educational services usually available. The primary outcome was 30-day point prevalence abstinence at 12 months.ResultsThe mean age of the 1,814 students included was 16.9 years (SD = 1.0); 84.7% were males. At baseline, 52% were smokers and 5.7% ex-smokers. In the intervention group, 24.6% of smokers volunteered for the enhanced program and 18.1% could be included. By 12-month follow-up, with participants lost to follow-up considered non-abstinent, 10.6% of smokers in the intervention group had become abstinent versus 7.4% in the control group (adjusted p = 0.03; odds ratio [OR] = 1.8; 95% confidence interval [CI] = 1.05–3.0); considering lost to follow-up as missing data, 17% of intervention group participants were abstinent versus 11.9% in the control group (univariate p = 0.08; adjusted p = 0.008; OR = 2.1; 95% CI = 1.2–3.6).ConclusionThe TABADO program, targeting teenagers in vocational schools, was effective in producing a higher 12-month abstinence rate among all smokers in the intervention group.Trial registrationClinical trial identification number is NTC00973570.
Highlights
To evaluate the public health efficacy of a community-based smoking cessation program (TABADO) among vocational school trainees (15 to 20 years old)
The success of a smoking cessation program depends on a support strategy for smokers and other factors [4,8,9] as: the manner to deliver first lecture, the accessibility of treatment programs, the anonymity of the program and the voluntary inclusion in the program
Of the 2,197 students in these vocational training centres (VTC) who were in a two-year program and in classes with more than 10 students, 297 were either absent on the day of the visit by the research assistant administering the questionnaire or chose not to respond to the questionnaire
Summary
To evaluate the public health efficacy of a community-based smoking cessation program (TABADO) among vocational school trainees (15 to 20 years old). Considering that most teenagers have already experimented smoking, and that dependence occurs very early even in occasional smokers [1], it is important to help these adolescents quit with an adapted smoking cessation program. The success of a smoking cessation program depends on a support strategy for smokers and other factors [4,8,9] as: the manner to deliver first lecture (informative but not preachy), the accessibility of treatment programs (geographical by implementing them within schools -integrating the programs during school hours- and financial with their cost-free character- for consultation and nicotine replacement substances), the anonymity of the program and the voluntary inclusion in the program
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