Curbing Tobacco Use in Suburban and Rural Schools
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Purpose
Primary, secondary, and tertiary specific aims are to answer the following questions about interactive, Internet-based tobacco control intervention directed towards 10th-graders:
- Smoking Prevention (primary): Does the intervention result in a lower incidence of smoking initiation compared to standard care?
- Smoking Cessation (primary): Does the intervention result in higher rates of smoking cessation compared to standard care?
- Reduction of Spit Tobacco Use (secondary): Does the intervention have an impact on spit tobacco use compared to standard care?
- Stages of Change (tertiary): Does the intervention have an impact on progression through the stages of smoking and spit tobacco acquisition and cessation compared to standard care?
- Mediating Variables (tertiary): How are mediating variables associated with tobacco-use onset and cessation?
- Testing Predictors: Investigate established and recently elucidated predictors of susceptibility to smoking at baseline and 12-month follow-up.
- Develop/Validate Spit Tobacco Measures: Investigate predictors of susceptibility of spit tobacco use at baseline and 12-month follow-up
- Testing Measures Across Race/Ethnicity: Explore predictors of susceptibility to smoking at baseline and 12-month follow-up to determine whether predictors differ among White, African-American, and Hispanic students.
| Condition | Intervention | Phase |
|---|---|---|
|
Epidemiology |
Behavioral: Smoking Prevention Program Behavioral: Focus Group Behavioral: Survey |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Curbing Tobacco Use in Suburban and Rural Schools |
- Reductions in smoking initiation [ Time Frame: Baseline, 6-month, 12-month, and 18-month ] [ Designated as safety issue: No ]
- Smoking cessation [ Time Frame: Baseline, 6-month, 12-month, and 18-month ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 2384 |
| Study Start Date: | July 2006 |
| Estimated Primary Completion Date: | January 2015 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Smoking Prevention & Cessation Program |
Behavioral: Smoking Prevention Program
Interactive internet, computer-based activities (like games) with questions about thoughts on smoking and tobacco.
Behavioral: Focus Group
A total of 24 focus groups will be held relating to the topics of smoking prevention and cessation.
Behavioral: Survey
On-line evaluations and questionnaires
|
Detailed Description:
The proposed study will test the effectiveness of the Internet-based cigarette smoking and spit tobacco (ST) prevention and cessation in-class curriculum for rural teens. Supplemented by "cyber-support" (chat room and bulletin board), the intervention program also will make use of a human social support environment (via trained school personnel, chat rooms, bulletin boards). The study will use a nested cohort design in which high schools are the unit of design, allocation, and analysis. Tenth-grade students (ages 14-16) within each intervention school will receive a 7-week interactive, Internet-based tobacco prevention and cessation curriculum. Using computerized surveys, study participants will be evaluated at baseline, 6-month, 12-month, and 18-month follow-ups. The study has been designed to permit analyses sensitive enough to detect differences for the two primary hypotheses: reductions in smoking initiation and smoking cessation. Trends in ST use after exposure to the intervention program will also be assessed. The design will also permit analysis of stage-of-change dynamics and mediators for both acquisition and cessation of both forms of tobacco.
Eligibility| Ages Eligible for Study: | 14 Years to 16 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Subjects aged 14-16 years of age (9th and 10th-graders) who speak, read and write English
- Subjects are students from schools located in suburban and rural communities approximately 200 miles from Houston.
- Subjects with approved parental consent
Exclusion Criteria:
1) Disruptive individuals who are not able to work with the program
Contacts and Locations| United States, Texas | |
| UT MD Anderson Cancer Center | |
| Houston, Texas, United States, 77030 | |
| Principal Investigator: | Alex Prokhorov, MD, PhD | M.D. Anderson Cancer Center |
More Information
Additional Information:
No publications provided
| Responsible Party: | M.D. Anderson Cancer Center |
| ClinicalTrials.gov Identifier: | NCT00513097 History of Changes |
| Other Study ID Numbers: | 2005-0914 |
| Study First Received: | August 6, 2007 |
| Last Updated: | January 29, 2013 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by M.D. Anderson Cancer Center:
|
Epidemiology Cancer Prevention Smoking Cessation Smoking Prevention Focus Groups |
ClinicalTrials.gov processed this record on May 22, 2013