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Biomedical subjects

Reiner Hanewinkel

Publications and source records attributed to Reiner Hanewinkel.

5 recordsLinked to original sources

Initial evaluation of a real-world self-help smoking cessation programme for adolescents and young adults.

There is a lack of effective smoking cessation programmes for young people, despite the urgent need for them. The present study reports the initial results of a real-world self-help cessation programme which also contained a "quit and win"-contest component designed for adolescents and young adults. Consecutive registrants (N=1265) were surveyed 11 to 23 months after they registered to the programme to assess continuous abstinence. Results must be interpreted cautiously because this is an uncontrolled study with a 20.7% response rate (N=262). The programme was assessed positively by the participants. Results showed an 8.5% intention-to-treat quit rate with an average duration of 51.30 weeks continuous abstinence. Predictors for successful smoking were occasional smoking (not daily smoking) and older age.

Adolescent↗

Fifteen-month follow-up results of a school-based life-skills approach to smoking prevention.

The life-skills approach to smoking prevention was tested in this study. In total, 1024 pupils (mean age 11.4 years, SD = 0.90) from Austria, Denmark, Luxembourg and Germany were recruited as an experimental group, and a sample of 834 matched pupils served as a control group. While the pupils from the control group received no specific intervention, the pupils in the experimental group participated in an intervention programme which was based on the life-skills approach and consisted of 21 sessions. The aims of the programme were to promote fundamental social competencies and coping skills. In addition, specific information on cigarette smoking was given and skills for resisting social influences to smoke were rehearsed. The programme was conducted by trained school teachers during a course of 4 months. Anonymous questionnaires were administrated (1) before the programme was implemented and (2) 15 months after the programme had started. Teachers as well as pupils showed a high level of satisfaction with the programme idea and the materials. With regard to the outcome variables, the programme had no differential effect on current smoking (4-week prevalence). The programme showed a weak effect (P < 0.1) on lifetime smoking prevalence and experimental smoking. There was also an effect of the programme on smoking knowledge, on the social competences of the pupils as well as on the classroom climate. No effects were found on susceptibility to smoking among never-smokers, attitudes towards smoking and the perceived positive consequences of smoking. The results indicate that prevention programmes that are run for only a few months can have a positive impact on variables considered to be protective with regard to smoking uptake.

Adaptation, Psychological↗

Effectiveness of the "Smoke-Free Class Competition" in delaying the onset of smoking in adolescence.

BACKGROUND: This paper examines the effectiveness of the "Smoke-Free Class Competition" in delaying the onset of smoking in adolescence. Each participating class must decide if they want to be a "smoke-free class" for the 6-month period from fall to spring. Classes monitor their (non-)smoking behavior and report it to the teacher regularly. Classes in which pupils refrain from smoking for this period of time participate in a prize draw, in which they can win a number of attractive prizes. METHODS: To evaluate the effectiveness of the competition, a sample of 131 participating and nonparticipating classes (number of pupils 2,142; mean age 12.9 years, SD = 0.98) was compared with regard to their smoking behavior. Smoking status was determined by self-assessment on three occasions: (a) prior to the beginning of the competition, (b) 1 month after the competition, and (c) 1 year after the start of the competition. RESULTS: From pretest to posttest smoking increased by 7.5% in the comparison group, while it decreased by 0.2% in the intervention group (OR = 2.19; P < 0.001). In the follow-up measurement, a clear increase in smoking prevalence occurs in all groups; however, the pupils in the intervention condition still have a significant lower increase of smoking (OR = 1.45; P < 0.01). Moreover, with regard to the nonsmokers at baseline, pupils in the comparison group showed significantly higher prevalences in smoking than the intervention group in the postmeasurement, 7.8 versus 13.9% (OR = 1.98; P < 0.001), as well as in the in the follow-up-measurement, 17 versus 21.3% (OR = 1.36; P < 0.05). CONCLUSIONS: The results suggest that the participation in the competition could delay the onset of smoking in adolescence.

Adolescent↗