Behaviors and Mental Disorders

All Conditions

Behavior, Addictive

Compulsive Behavior

Impulsive Behavior

The program consists of five 50-minutes sessions conducted in person as scheduled during weekly class meetings. Educators will conduct workshops with PowerPoint presentations and worksheets dedicated to in-class activities.

educational intervention

Łukasz Moskal, MD

Konrad Reszka, MD

Urszula Staszek-Szewczyk, MD, PhD

Jagoda Łaba, MD

Krzysztof Szewczyk, MD, PhD

Smoking Prevention Program is a pilot exploratory study with a standardized curriculum based on the Tobacco Prevention Toolkit from Stanford University and translated into Polish by the members of Students Scientific Association of Oncology at Wroclaw Medical University. The program will assess the effectiveness of a school-based smoking prevention curricula keeping children as never smokers and test the feasibility of engaging medical students and teachers in implementing and evaluating a validated program on smoking prevention within the Polish School System. The research protocols, methods and data collection instruments of a standardized classroom based valid tobacco prevention program from Stanford University will be used for the study. The smoking prevention program is centred on drug resistance, personal self-management and increasing social skills. The program increases knowledge and uses coaching and practice to provide students with the skills to resist social pressures around cigarette use. The secondary outcome of this study is to determine the change in attitudes by Polish Medical Student regarding Cancer Prevention Research. During Smoking Prevention Program workshops, the 5-Session Curriculum for primary schools will be translated, applied and evaluated for polish students.

This community-based pilot will engage medical students, the local school district and the local health authority. The Educational program meets the requirements set by Centers for Disease Control and Prevention (CDC) in Guidelines for School Health Programs to Prevent Tobacco Use and Addiction. Following parental consent, the program will be implemented with all 7th and 8th grade students (children age 12-15 years) from the Elementary School in Tyniec Mały. This project is supported by the Head of Lower Silesian Oncology Center, the Head of Department of Oncology of Wroclaw Medical University, the Health and Social Affairs Department of City of Wroclaw and under the patronage of the Lower Silesia Governor's Office, the Polish Society of Oncology, the Polish Society of Public Health, the Lower Silesian Department of Polish Society of Cardiology and the European Association for Cancer Education (EACE).

Smoking Prevention Program is funded by the READS Grant Program from the American Association for Cancer Education (AACE).

Smoking Prevention Program in Poland

Youth Smoking Prevention Program in Poland

Change in smoking intention among elementary school students after program completion (score based on survey results).

Change in knowledge about adverse effects of smoking after program completion (score based on survey results).

Stanford Reach Lab - Tobacco Prevention Toolkit

American Association for Cancer Education

Wroclaw Medical University

Principal Investigator

Interactive internet, computer-based activities (like games) with questions about thoughts on smoking and tobacco.

Smoking Prevention Program

A total of 24 focus groups will be held relating to the topics of smoking prevention and cessation.

Focus Group

Survey

Alex Prokhorov, MD, PhD

Primary, secondary, and tertiary specific aims are to answer the following questions about interactive, Internet-based tobacco control intervention directed towards 10th-graders:

1. Smoking Prevention (primary): Does the intervention result in a lower incidence of smoking initiation compared to standard care?
2. Smoking Cessation (primary): Does the intervention result in higher rates of smoking cessation compared to standard care?
3. Reduction of Spit Tobacco Use (secondary): Does the intervention have an impact on spit tobacco use compared to standard care?
4. 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?
5. Mediating Variables (tertiary): How are mediating variables associated with tobacco-use onset and cessation?
6. Testing Predictors: Investigate established and recently elucidated predictors of susceptibility to smoking at baseline and 12-month follow-up.
7. Develop/Validate Spit Tobacco Measures: Investigate predictors of susceptibility of spit tobacco use at baseline and 12-month follow-up
8. 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.

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.

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization
Smoking Prevention Program in Poland	NCT05488743	Smoking Smoking Behavio... Smoking (Tobacc... E-cigarette Use Vaping	educational int...	12 Years - 15 Years	Wroclaw Medical University
Curbing Tobacco Use in Suburban and Rural Schools	NCT00513097	Tobacco Use Ces...	Smoking Prevent... Focus Group Survey	14 Years - 16 Years	M.D. Anderson Cancer Center
Smoking Prevention Program in Poland	NCT05488743	Smoking Smoking Behavio... Smoking (Tobacc... E-cigarette Use Vaping	educational int...	12 Years - 15 Years	Wroclaw Medical University

Spots Global Cancer Trial Database for smoking prevention