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Evaluation of the Swedish school-based program "tobacco-free DUO" in a cluster randomized controlled trial (TOPAS study). Results at 2-year follow-up
Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Centre for Epidemiology and Community Medicine, Stockholm Region, Sweden.ORCID-id: 0000-0001-8723-8131
Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.ORCID-id: 0000-0003-3036-8546
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2022 (Engelska)Ingår i: Preventive Medicine, ISSN 0091-7435, E-ISSN 1096-0260, Vol. 155, artikel-id 106944Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Friends' and parents' tobacco use are strong predictors of tobacco uptake among adolescents, however the effectiveness of interventions based on public commitments and agreements to remain tobacco-free are not established. Here, we evaluated the effectiveness of the school-based Swedish program Tobacco-Free Duo (T-Duo) in preventing adolescents from initiating tobacco use (TOPAS study). T-Duo is a multi-component intervention with is a formal agreement between a student and an adult partner to remain tobacco-free during the entire 3-year study period as core component. The standardized educational component of the same program was used as comparator (control). Primary outcome was the probability to "remain a non-user" of i) cigarettes and secondary outcomes ii) other types of tobacco at second (21-month) follow-up. Analysis was conducted according to Intention To Treat. In total 1776 adolescents (51% female) aged 12-13 in grade 7 from 34 participating high schools in Sweden were included at baseline in 2018, of which 1489 were retained after 21 months. The Risk Ratio (RR) of not having tried cigarettes 21-months after initiation of the intervention was 1.03(CI 0.98-1.08), Bayes Factor(BF) = 0.93, Absolute Risk Difference(ARD) = 3.1%. Similar associations were found for never smoked a whole cigarette and never use of other tobacco/nicotine products. There was a minimal reduction of tobacco use initiation among Swedish adolescents assigned to a multi-component intervention (T-Duo) compared to those assigned to standardized classroom education after 2 schoolyears. However, for most outcomes' findings were inconclusive and not reliably different from zero.

Ort, förlag, år, upplaga, sidor
Elsevier, 2022. Vol. 155, artikel-id 106944
Nyckelord [en]
Adolescents, Cluster randomized controlled trial, Intention to treat, Tobacco prevention
Nationell ämneskategori
Folkhälsovetenskap, global hälsa och socialmedicin
Identifikatorer
URN: urn:nbn:se:umu:diva-191183DOI: 10.1016/j.ypmed.2021.106944ISI: 000742840700008PubMedID: 34968635Scopus ID: 2-s2.0-85122465463OAI: oai:DiVA.org:umu-191183DiVA, id: diva2:1626247
Forskningsfinansiär
Folkhälsomyndigheten, 01346-2017 2.3.2Tillgänglig från: 2022-01-11 Skapad: 2022-01-11 Senast uppdaterad: 2026-05-29Bibliografiskt granskad

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Pulkki-Brännström, Anni-MariaNilsson, Maria

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Pulkki-Brännström, Anni-MariaNilsson, Maria
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Preventive Medicine
Folkhälsovetenskap, global hälsa och socialmedicin

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