A smoking prevention program delivered by medical students to secondary schools in Brazil called “Education Against Tobacco” : randomized controlled trial.

dc.contributor.authorLisboa, Oscar Campos
dc.contributor.authorSouza, Breno Bernardes
dc.contributor.authorXavier, Luiz Eduardo de Freitas
dc.contributor.authorAlmeida, Matheus Rocha
dc.contributor.authorCorrêa, Paulo César Rodrigues Pinto
dc.contributor.authorBrinker, Titus Josef
dc.date.accessioned2020-04-29T15:03:25Z
dc.date.available2020-04-29T15:03:25Z
dc.date.issued2019
dc.description.abstractBackground: Smoking is the largest preventable cause of mortality in Brazil. Education Against Tobacco (EAT) is a network of more than 3500 medical students and physicians across 14 countries who volunteer for school-based smoking prevention programs. EAT educates 50,000 adolescents per year in the classroom setting. A recent quasi-experimental study conducted in Germany showed that EAT had significant short-term smoking cessation effects among adolescents aged 11 to 15 years. Objective: The aim is to measure the long-term effectiveness of the most recent version of the EAT curriculum in Brazil. Methods: A randomized controlled trial was conducted among 2348 adolescents aged 12 to 21 years (grades 7-11) at public secondary schools in Brazil. The prospective experimental design included measurements at baseline and at 6 and 12 months postintervention. The study groups comprised randomized classes receiving the standardized EAT intervention (90 minutes of mentoring in a classroom setting) and control classes in the same schools (no intervention). Data were collected on smoking status, gender, social aspects, and predictors of smoking. The primary endpoint was the difference in the change in smoking prevalence between the intervention group and the control group at 12-month follow-up. Results: From baseline to 12 months, the smoking prevalence increased from 11.0% to 20.9% in the control group and from 14.1% to 15.6% in the intervention group. This difference was statistically significant (P<.01). The effects were smaller for females (control 12.4% to 18.8% vs intervention 13.1% to 14.6%) than for males (control 9.1% to 23.6% vs intervention 15.3% to 16.8%). Increased quitting rates and prevented onset were responsible for the intervention effects. The differences in change in smoking prevalence from baseline to 12 months between the intervention and control groups were increased in students with low school performance. Conclusions: To our knowledge, this is the first randomized trial on school-based tobacco prevention in Brazil that shows significant long-term favorable effects. The EAT program encourages quitting and prevents smoking onset, especially among males and students with low educational background.pt_BR
dc.identifier.citationLISBOA, O. C. et al. A smoking prevention program delivered by medical students to secondary schools in Brazil called “Education Against Tobacco”: randomized controlled trial. Journal of Medical Internet Research, v. 21, p. e12854, 2019. Disponível em: <https://www.jmir.org/2019/2/e12854/>. Acesso em: 10 fev. 2020.pt_BR
dc.identifier.doihttps://doi.org/10.2196/12854pt_BR
dc.identifier.issn1438-8871
dc.identifier.urihttp://www.repositorio.ufop.br/handle/123456789/12134
dc.language.isoen_USpt_BR
dc.rightsabertopt_BR
dc.rights.licenseThis is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included. Fonte: o próprio artigo.pt_BR
dc.titleA smoking prevention program delivered by medical students to secondary schools in Brazil called “Education Against Tobacco” : randomized controlled trial.pt_BR
dc.typeArtigo publicado em periodicopt_BR
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