Print Email Facebook Twitter Does a smoking prevention program in elementary schools prepare children for secondary school? Title Does a smoking prevention program in elementary schools prepare children for secondary school? Author Crone, M.R. Spruijt, R. Dijkstra, N.S. Willemsen, M.C. Paulussen, T.G.W.M. TNO Kwaliteit van Leven Publication year 2011 Abstract A smoking prevention program was developed to prepare children in elementary school for secondary school. This study assessed the effects on smoking in secondary school. Methods: In 2002, 121 schools in The Netherlands were randomly assigned to the intervention or control group. The intervention group received 3 lessons in 5th grade of elementary school and a second 3 lessons in 6th grade. The control group received "usual care". Students completed 5 questionnaires: before and after the lessons in 5th and 6th grade and in the first class of secondary school. At baseline, 3173 students completed the questionnaire; 57% completed all questionnaires. Results: The program had limited effect at the end of elementary school. One year later in secondary school significant effects on behavioral determinants and smoking were found. The intervention group had a higher intention not to smoke (β= 0.13, 95% confidence interval = 0.01-0.24) and started to smoke less often than the control group (odds ratio = 0.59, 95% confidence interval = 0.35-0.99): smoking increased from 2.5% to 3.6% in the intervention group and from 3.2% to 6.5% in the control group. Girls showed the largest differences in smoking between intervention and control condition. Conclusions: A prevention program in elementary school seems to be effective in preventing smoking. © 2010 Elsevier Inc. Subject HumanLS - Life StyleBSS - Behavioural and Societal SciencesHealthAdolescentsPreventionSmokingTransition To reference this document use: http://resolver.tudelft.nl/uuid:d84964be-b5e9-4bab-8df7-7ae13b083fc0 DOI https://doi.org/10.1016/j.ypmed.2010.11.003 TNO identifier 426209 ISSN 0091-7435 Source Preventive Medicine, 52 (1), 53-59 Document type article Files To receive the publication files, please send an e-mail request to TNO Library.