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Tobacco prevention/cessation at continuation schools

Institution: University of Southern California
Investigator(s): Steven Sussman, Ph.D.
Award Cycle: 2002 (Cycle 11) Grant #: 11RT-0209H Award: $848,679
Subject Area: Tobacco-Use Prevention and Cessation
Award Type: Research Project Awards
Abstracts

Initial Award Abstract
Researchers continue to try to develop effective tobacco use cessation programming for teens. Project EX involved development and implementation of a motivation-enhanced school-based cessation clinic program (TRDRP funded; 1997-2000), involving 330 youths, in a true experimental field test. At follow-up, which occurred an average of 5 months after the clinic “quit day”, the 30-day quit rate was 17% across all program condition enrollees that were measured. The quit rate among the control school smokers at follow-up was 8%. Quit rates were doubled by using the program. However, the percentage of smokers at the schools that we were able to enroll in the program was only 34%. This is largest teen experimental cessation trial to date, one of a handful to involve a true experimental design, and which has revealed cessation results at follow-up that are among the highest achieved with teens. However, the reach of subjects in this program may make one ponder whether other modalities might reach more youth. The main goal of the present research is to improve cessation work by adapting the clinic program to the classroom context in continuation high schools. Approximately 85% of continuation high school youth have tried tobacco and 57% are regular users. Tobacco use exposure pervades this context. A classroom-based approach can provide nearly 100% reach and retention in programming of smokers and can provide a preventive effect on lighter smokers/nonsmokers. The overall number of youth who quit smoking might be higher than in a clinic context. Also, involvement in tobacco use may decrease across the full sample. This classroom program will be compared to a standard care control condition, with 6- and 12-month follow-ups, in a two-group experimental design. We also will measure school personnel’s willingness to adopt these 2 types of programs towards the end of the project.
Publications

Tobacco industry youth tobacco prevention programming: A review.
Periodical: Prevention Science Index Medicus:
Authors: Sussman S ART
Yr: 2002 Vol: 3 Nbr: 1 Abs: Pg: 57-67

Effects of sixty-six adolescent tobacco use cessation trials and seventeen prospective studies of self-initiated quitting.
Periodical: Tobacco Induced Diseases Index Medicus:
Authors: Sussman S ART
Yr: 2002 Vol: 1 Nbr: 1 Abs: Pg: 35-81

Smoking cessation among persons in recovery.
Periodical: Substance Use and Misuse Index Medicus:
Authors: Sussman S ART
Yr: 2002 Vol: 37 Nbr: 8-10 Abs: Pg: 1275-1298

Use of the fagerstrom tolerance questionnaire be used for measuring nicotine dependence among adolescent smokers in China: a pilot test.
Periodical: Psychology of Addictive Behaviors Index Medicus:
Authors: Chen X, Zheng H, Sussman S, Gong J, Stacy A, Xia J, Gallaher P, Dent C, Azen S, et al ART
Yr: 2002 Vol: 16 Nbr: 3 Abs: Pg: 260-263

Motivation in tobacco use cessation research
Periodical: Substance Use and Misuse Index Medicus:
Authors: Nezami E, Sussman S, Pentz MA ART
Yr: 2003 Vol: 38 Nbr: 1 Abs: Pg: 25-50

Longitudinal relations among depression, stress, and coping in high risk youth.
Periodical: Journal of Youth and Adolescence Index Medicus:
Authors: Galaif EF, Sussman S, Chou CP, Wills TA ABS
Yr: 2003 Vol: 32 Nbr: 4 Abs: Pg: 243-258

Project EX- A teen smoking cessation pilot test of smokers in Wuhan, China.
Periodical: Addictive Behaviors Index Medicus:
Authors: Zheng H, Sussman S, Wang Y, Chen X, Xia J, Gong J, Liu C, Shan J, Johnson CA ART
Yr: 0 Vol: Nbr: Abs: Pg:

Peer group self-identification among alternative high school students: A predictor of psychosocial functioning five years later.
Periodical: International Journal of Clinical and Health Psychology Index Medicus:
Authors: Sussman S, Unger JB, Dent CW ART
Yr: 0 Vol: Nbr: Abs: Pg:

A teen smoking cessation pilot test of smokers in Wuhan, China
Periodical: Addictive Behaviors Index Medicus:
Authors: Zheng H, Sussman S, Wang Y, Chen X, Xia J, Gong J, Liu C, Shan J, Johnson CA ART
Yr: 0 Vol: Nbr: Abs: Pg:

A new measure of the stages of smoking initiation and progression among adolescents.
Periodical: American Journal of Health Behavior Index Medicus:
Authors: Sun P, Unger JB, Sussman S ART
Yr: 0 Vol: Nbr: Abs: Pg:

Short Term Effects of Project EX-4: A Classroom-Based Smoking Prevention and Cessation Intervention Program. Addictive Behaviors.
Periodical: Addictive Behaviors Index Medicus:
Authors: Sun, P., Miyano, J., Rohrbach, L.A., Dent, C.W., Sussman, S. ART
Yr: 2006 Vol: Nbr: Abs: Pg:

Motivation as a mediator of tobacco cessation among at-risk youth.
Periodical: Addictive Behaviors Index Medicus:
Authors: McCuller, WJ, Sussman, S., Wapner, M., Dent, CW., & Weiss, DJ. ART
Yr: 2006 Vol: 31 Nbr: Abs: Pg: 880-888

A meta-analysis of teen tobacco use cessation
Periodical: Health Psychology Index Medicus:
Authors: Sussman, S., Sun, P., & Dent, CW. ART
Yr: 2006 Vol: Nbr: Abs: Pg:

Tobacco, alcohol, and other drug use among high-risk young people. A five-year logitudinal study from adolescence to emerging adulthood.
Periodical: Journal of Drug Issues Index Medicus:
Authors: Rohrbach, L.A., Sussman, S., Dent, C.W., & Sun, P. ART
Yr: 2005 Vol: 35 Nbr: 2 Abs: Pg: 333-356

A new measure of the stages of smoking initiation and progression among adolescents
Periodical: American Journal of Health Behavior Index Medicus:
Authors: Sun, P., Unger, J.B. & Sussman, S. ART
Yr: 2005 Vol: 29 Nbr: 1 Abs: Pg: 3-11

Project EX: A program of empirical research on adolescent tobacco use cessation
Periodical: Tobacco Induced Diseases Index Medicus:
Authors: Sussman, S., McCuller, W.J., Zheng, H., Pfingston, Y.M., Miyano, J., & Dent, C.W. ART
Yr: 2004 Vol: 2 Nbr: 3 Abs: Pg: 119-132

Risk factors for and prevention of tobacco use.
Periodical: Pediatric Blood &Cancer Index Medicus:
Authors: Sussman, S. ART
Yr: 2005 Vol: 44 Nbr: 7 Abs: Pg: 614-619

The relations of cigarette smoking with risky sexual behavior among teens.
Periodical: Sexual Addictions & Compulsivity Index Medicus:
Authors: Sussman, S. ART
Yr: 2005 Vol: 12 Nbr: 2-3 Abs: Pg: 181-199

A family member's job loss as a risk factor for smoking among adolescents.
Periodical: Health Psychology Index Medicus:
Authors: Unger, J.B., Hamilton, J.E. & Sussman, S. ART
Yr: 2004 Vol: 23 Nbr: 3 Abs: Pg: 308-313

Project EX: A teen smoking cessation initial study in Wuhan, China.
Periodical: Addictive Behaviors Index Medicus:
Authors: Zheng, H., Sussman, S., Wang, Y., Chen, X., Xia, J., Gong, J., Liu, C., Shan, J., Unger, J ART
Yr: 2004 Vol: 29 Nbr: 1 Abs: Pg: 1725-1733

A Review of 25 long-term adolescent tobacco and other drug use prevention program evaluations.
Periodical: Preventive Medicine Index Medicus:
Authors: Skara, S.N., & Sussman, S ART
Yr: 2003 Vol: 37 Nbr: Abs: Pg: 451-474

Prevention and cessation interventions for youth.
Periodical: Tobacco Induced Diseases Index Medicus:
Authors: Sussman, S. ART
Yr: 2003 Vol: 1 Nbr: 4 Abs: Pg: 267