Preventing Adolescent Cigarette Smoking

Recent studies have supported the efficacy of approaches to smoking prevention that focus primary attention on social and psychological factors implicated in initiation of adolescent cigarette smoking. This article reports first year data from a large-scale smoking prevention study conducted within three geographic regions of New York State. The sample consists of 5,954 seventh graders from 56 middle/junior high schools. Schools were randomly assigned to (1) receive the Life Skills Training (LST) prevention program with a one-day teacher training workshop; (2) receive the LST prevention program with teacher training provided by video tape; or (3) serve as a comparison group. This study was designed to further test the efficacy of this type of smoking prevention program and to compare the relative effectiveness of two different types of provider training in an effort to learn more about the potential effectiveness of this prevention strategy when implemented under "real world" conditions. Pretest and posttest data were collected by questionnaire concerning self-reported tobacco use and several hypothesized mediating variables. Results indicate that the prevention program significantly impacted on several hypothesized mediating variables in a direction consistent with non-smoking. Within one region, the students in both experimental conditions reported significantly less current cigarette smoking and reported themselves less likely to smoke in the future than the students in the control condition.     

Initial behavior outcomes for the peacebuilders universal school-based violence prevention program

PeaceBuilders is a universal, elementary-school-based violence prevention program that attempts to alter the climate of a school by teaching students and staff simple rules and activities aimed at improving child social competence and reducing aggressive behavior. Eight matched schools (N > 4,000 students in Grades K-5) were randomly assigned to either immediate postbaseline intervention (PBI) or to a delayed intervention 1 year later (PBD). Hierarchical linear modeling was used to analyze results from assessments in the fall and spring of 2 consecutive school years. In Year 1, significant gains in teacher-rated social competence for students in Grades K-2, in childself-reported peace-building behavior in Grades K-5, and reductions in aggressive behavior in Grades 3-5 were found for PBI but not PBD schools. Differential effects in Year 1 were also observed for aggression and prosocial behavior. Most effects were maintained in Year 2 for PBI schools, including increases in child prosocial behavior in Grades K-2. Implications for early universal school-based prevention and challenges related toevaluating large-scale prevention trials are discussed.     

Implementation and Assessment of an Empirically Validated Intervention Program to Prevent Tobacco Use Among African-American Middle-School Youth

Evaluated Project Towards No Tobacco Use (TNT), a tobacco-use prevention program delivered in schools with primarily African-American students. Students were assigned randomly by classroom to either the intervention (n=58) or to a no-treatment control group (n=40). Students in the intervention group received a curriculum-based program over the course of 10 sessions. Pre-and post-assessments of tobacco knowledge, attitudes, communication, peer refusal, and smoking tendency were gathered. Students in the intervention group differed from their peers in the control group by evidencing greater knowledge and communication skills. We found this tobacco-use prevention program useful for African-American students.This investigation was supported in full by the American Cancer Society Grant Award ACS IRG 97-151.     

Effectiveness of two smoking prevention programs according to type of applicator

Although research on the prevention of drug use has shown that the effectiveness of programs depends partly on who applies them, the results of studies designed to clarify this issue are contradictory. This study compared the effects on smoking, in the short and medium term, of the implementation of two school-based prevention programs, depending on the type of applicator. The sample was made up of 200 seventh-grade students distributed among five experimental conditions: four of intervention, in which the programs were implemented by teachers from the school or by external psychologists, and one of control. The results show that teachers applying the Barbacana program and psychologists applying the Construyendo Salud (Building Health) program succeeded in reducing the incidence of cigarette smoking (BR-teachers 15%; C.S-psychologists 5%) and strengthening attitudes against smoking. An interaction effect between type of program and type of applicators was clearly observed.     

BULLY PREVENTION IN POSITIVE BEHAVIOR SUPPORT

Bullying behaviors are a growing concern in U.S. schools. We present here a behavioral approach to bully prevention utilizing a schoolwide intervention. Bully prevention in positive behavior support (BP‐PBS) teaches students to withhold the social rewards hypothesized to maintain bullying. A single‐subject multiple baseline design across 6 students and three elementary schools was implemented in an empirical evaluation of the intervention's effectiveness. Results indicated that implementation was functionally related to decreased incidents of bullying for all 6 students observed. In addition, we observed a decrease in the social responses from victims and bystanders. Finally, school staff implemented the program with a high degree of fidelity and rated the program as effective and efficient. Limitations and implications of these results are discussed.     

Adolescents' knowledge and beliefs about pregnancy: the impact of "ENABL"

Finding effective ways to prevent adolescent pregnancy is a concern of public health officials, educators, social workers, parents, and legislators. Numerous programs exist, but there is debate as to whether it is the specific program itself or other factors that are responsible for participants' successful outcomes. Using a quasi-experimental design, this study sought to determine which factors predicted changes in knowledge and beliefs among middle school students (N = 1,450) after exposure to Postponing Sexual Involvement (PSI), the curricular component of Education Now and Babies Later (ENABL), a pregnancy prevention program. It was found that the single most important predictor of improvement in knowledge and beliefs about pregnancy prevention was PSI itself, not background variables. The findings contradict some of the previous studies on factors impacting teenage pregnancy and lend support for the continued examination of ENABL as a promising component of pregnancy prevention efforts.     

A six-district study of educational change: direct and mediated effects of the child development project

A comprehensive elementary school program, the Child Development Project, was conducted in two schools in each of six school districts over a three-year period. Two additional schools in each district served as a comparison group. The program attempts to create a 'caring community of learners' in school and classroom through classroom, schoolwide, and parent involvement components. The classroom component includes student collaboration, a literature-based approach to reading, and a student-centered approach to classroom management. Classroom observation, student questionnaire, teacher questionnaire, and test data were collected in a baseline year and in each of the three years of program implementation. Results showed positive student results in the five program schools that made significant progress in implementation. Schools that progressed in implementation showed gains – relative to their comparison schools – in students' personal, social, and ethical attitudes, values, and motives. Significant effects on academic achievement were found only in two schools with a performance-based assessment and a highly consistent local reform mandate. Modeling analyses indicated that student sense of community was an important mediating variable for almost all dependent variables – indicating that the program produced positive effects to the degree that it was successful in establishing a caring community in the school.     

社会榜样与青少年吸烟行为的关系

本研究对北京市1042名初一至高三学生进行问卷调查,以考察最要好同伴、父母、学校和大众媒体对青少年吸烟行为的影响。研究发现,各种社会因素与青少年吸烟行为有显著的关系;女生更多地受到最要好同伴吸烟行为、母亲吸烟行为和态度以及户外广告的影响;最要好同伴吸烟、学校对吸烟的态度对初中生的影响更大,而高中生更多地受到父亲吸烟行为和户外广告的影响;各种社会因素的影响大小依次为:最要好同伴吸烟、父亲吸烟行为、学校周围广告、母亲和学校对吸烟的态度。     

LEADERSHIP AND NONVERBAL BEHAVIORS OF HISPANIC FEMALES ACROSS SCHOOL EQUITY ENVIRONMENTS

Nonverbal behaviors of Hispanic elementary school students and their peers were examined in a small-group cooperative task with a total of 202 subjects. Thirty-five randomly selected groups were videotaped in ten desegregated schools; each group was gender-homogeneous, with three Hispanic and three Anglo students. Analysis of the videotapes revealed that Hispanic females used less vertical and horizontal space than Anglo females, and were also less likely to verbally interrupt or physically intrude on other group members. They had similar rates of handling the group resource cards and were given similar leadership scores by multi-ethnic trained observers. Among males, Hispanics are significantly more likely to use vertical or upward movements and physical intrusions, while Anglos use more verbal interruptions.
School and social status factors such as high-and low-equity desegregated school programs, ethnic and gender status, and school status variables of academic grades and English word knowledge had varying effects on teacher and peer ratings of leadership. High-equity schools garnered higher leadership scores for Hispanic females from both peers and teachers when all other nonverbal behaviors were controlled. This positive effect of the school on leadership ratings was evident only for males in teacher ratings. Hispanic females and their peers do reflect adult models of nonverbal behavior and leadership, and that leadership is enhanced in the perceptions of teachers and peers when they participate in a high-equity desegregated elementary school.     

Evaluation of the school-based smoking-prevention program "BE smokeFREE"

This article examines the impact of the school-based smoking-prevention program "BE smokeFREE" on adolescent smoking. A national representative sample of 99 schools (195 classes, 4,441 students) was used when the intervention started in November 1994. Schools were allocated to one of four groups: a comparison group (A) and three intervention groups (B, C, and D). Group B received the most comprehensive intervention. A baseline (autumn 1994) and three follow-up data collections (1995, 1996, and 1997) were conducted. There were no significant differences in smoking habits among the four groups at baseline. The smoking habits in the group that was involved in the most comprehensive intervention (group B) changed more favourably than those of students in the comparison schools over the three follow-up data collections. At the third follow-up, the proportion of students smoking weekly or more in the comparison group was 29.2%, compared with 19.6% in the model intervention group. The two less comprehensive interventions (no teacher in-service courses in group C, and no involvement of parents in group D) appeared to be less effective than the model intervention. Multilevel multiple logistic regression analyses, comparing changes in smoking habits between students in group B with those among students in the comparison schools, confirm the conclusion that the comprehensive intervention was the most effective. This school-based intervention, based on a social influence approach, proved to be effective at reducing smoking rates among participants.     

Predicting the Onset of Cigarette Smoking in Adolescents: A Longitudinal Study1

In a longitudinal study, the second-year-smoking status of adolescents who were initially Nonsmokers or Triers was predicted from their Year 1 standing on three types of social psychological variables: Ajzen and Fishbein's factors (predicting smoking transitions from attitudes, normative beliefs and behavioral intentions about smoking); Jessor and Jessor's distal variables (predicting smoking transitions from more generalized personality and perceived environment factors), and smoking environment variables (predicting smoking transitions from the extent of smoking models in an adolescent's social milieu). The predictive power of these three categories of factors was compared. All three classes of social psychological variables were statistically significant predictors of smoking transition, although the Ajzen and Fishbein variables were more important for Triers while the Jessor and Jessor and smoking environment variables were more important for initial Never Smokers. Moreover, each category of variables made independent contributions to the prediction of smoking transition. Finally, there were several age and sex differences in the relative importance of predictor variables. Implications of these findings for the design of effective smoking prevention programs are discussed. Smoking prevention programs might be more effective if they were aimed at a specific high risk audience (as identified by the current study) rather than at a general adolescent population.     

CO-WORKER SOCIAL SUPPORT IN A WORKSITE SMOKING CONTROL PROGRAM

We evaluated the effects of adding a social support component to a worksite controlled smoking treatment program. Twenty-four participants were randomly assigned to either a controlled smoking or a controlled smoking plus partner support condition. Within a multiple baseline across behaviors design, smokers in both conditions made efforts to achieve sequential 50% reductions in: (a) nicotine content of brand smoked, (b) number of cigarettes smoked per day, and (c) percentage of each cigarette smoked. Self-monitoring records, laboratory analyses of spent cigarette butts, and carbon monoxide determinations indicated that both conditions were effective in producing significant reductions in each of the three target behaviors and in carbon monoxide levels. All participants who quit smoking during the program maintained their abstinence at a 6-month follow-up, and those who did not quit were smoking less at follow-up than they had at pretest on all dependent variables. However, few differences were observed between controlled smoking and controlled smoking plus partner support conditions either during treatment or at the 6-month follow-up. Results are discussed with regard to previous worksite studies, future directions for research on social support, and variables that may have mediated treatment outcome.     

Evaluation of Responding in Peaceful and Positive Ways (RIPP): a school-based prevention program for reducing violence among urban adolescents.

Evaluated Responding in Peaceful and Positive Ways (RIPP)--a 6th-grade universal violence prevention program. Classes of 6th graders at 3 urban middle schools serving predominantly African American youth were randomized to intervention (N = 321) and control groups (N = 305). Intervention effects were found on a knowledge test but not on other mediating variables. RIPP participants had fewer disciplinary violations for violent offenses and in-school suspensions at posttest compared with the control group. The reduction in suspensions was maintained at 12-month follow-up for boys but not for girls. RIPP participants also reported more frequent use of peer mediation and reductions in fight-related injuries at posttest. Intervention effects on several measures approached significance at 6-month and 12-month follow-up. The program's impact on violent behavior was more evident among those with high pretest levels of problem behavior.     

Developing Data-Based Communications in Social Psychological Research: Adolescent Smoking Prevention1

The present paper deals with how pre-intervention data were gathered from a sample of junior high school students to whom a smoking prevention program was addressed and how these data were used in the creation of trigger films which were an important element in the prevention program. The coping techniques used by students who are successfully able to withstand social pressures to smoke were determined from pre-intervention group interview-role-playing sessions with samples of students from two schools representative of the intended target population of the smoking prevention program. These data were used in the production and editing of ten-minute, sound, color films which reflected simulations of the student responses in the interview-role-playing sessions. Assessment of the impact of these filmed social-inoculation coping strategies indicates that they appear to be a promising component of smoking deterrent programs for adolescents.     

The Early Risers Preventive Intervention: Testing for Six-year Outcomes and Mediational Processes

We examined effects of the Early Risers “Skills for Success” early-age-targeted prevention program on serious conduct problems following 5 years of continuous intervention and one year of follow-up. We also examined if intervention effects on proximally-targeted variables found after 3 years mediated intervention effects on conduct problems found after 6 years. Participants included 151 at-risk children (106 males and 45 females) followed from first through sixth-grade, from 23 semi-rural schools in Minnesota. After 6 years, program children showed fewer oppositional defiant disorder (ODD) symptoms than control children. Program children did not significantly differ from controls on number of conduct disorder (CD) symptoms, DSM-IV diagnoses of ODD and CD, or drug use involvement. Results of the mediation analysis indicated that fewer ODD symptoms among program youth after 6 years were partially mediated by social skills and effective discipline. The study provides support for the early-starter model of conduct problems development that provides the framework for the Early Risers intervention. The study’s implications for prevention and limitations are discussed.     

Intrapersonal and Ecodevelopmental Factors Associated with Smoking in Hispanic Adolescents

We examined how relationships among intrapersonal (i.e., attitudes and beliefs about smoking) and ecodevelopmental (i.e., family, school, and peer) factors influence risk for lifetime smoking in immigrant Hispanic adolescents. Our sample was comprised of 223 immigrant Hispanic adolescents and their families and was drawn from 3 middle schools in a single school district. Data collected is a result of adolescent and parent completed questionnaires as well as county school data (i.e., GPA, teacher reported effort and conduct, absences). Results indicated only poor school functioning, peer smoking, and lack of perceived harm concerning smoking were directly related to adolescent lifetime smoking. Poor school functioning and peer smoking mediated the relationship between family functioning and adolescent smoking. Implications of these results for the design of smoking preventive interventions for immigrant Hispanic adolescents are discussed.     

The influence of school environment and self-regulation on transitions between stages of cigarette smoking: a multilevel analysis.

In this research, hierarchical linear modeling (HLM) was used to address how school context influences the likelihood of transitioning between stages of cigarette smoking as well as modifies the individual-level risk factor of self-regulation. Survey data were collected from 25,186 middle and high school students attending 38 public schools in Kentucky. Results show that students are less likely to increase use in schools with higher levels of teacher discipline and faculty involvement. The analyses of the multi-level interactions between self-regulation and school context reveal that students possessing low emotional regulation are more likely to initiate experimental smoking in schools with poor levels of discipline and involvement than similar types of students in schools with higher levels of these characteristics. This study illustrates how psychological risk factors for substance use may vary across social environments.     

Effects of the Student Success Skills Program on Executive Functioning Skills,Feelings of Connectedness,and Academic Achievement in a Predominantly Hispanic,Low‐Income Middle School District

The authors examined the effects of the Student Success Skills program on executive functioning, feelings of connectedness, and academic achievement of a sample of 193 middle school students in a predominantly Hispanic and economically challenged school district in the southwestern United States. Using multilevel regression analyses in a two‐level randomized design, the authors found treatment effects for multiple executive functioning scales, feelings of connectedness to classmates, and mathematics and reading achievement.     

Social influence processes affecting adolescent substance use

Social influence is central to models of adolescent substance use. Nonetheless, researchers fail to delineate the various forms of social influence. A framework that distinguishes between active (explicit drug offers) and passive (social modeling and overestimation of friends' use) social pressure was tested. The effect of these processes on alcohol and cigarette use was examined with 526 seventh graders taking part in an alcohol prevention program. Hierarchical regression analyses demonstrated that pretest measures of alcohol use, offers, modeling, and overestimation each accounted for unique variance in posttest alcohol use. Similar results were obtained for cigarette smoking. The general model was not significantly different for boys and girls, or for prior users and prior nonusers, supporting the generalizability of the framework. Implications for intervention programs are discussed.