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The Journal of School Nursing
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Research Article

Statewide Demonstration of Not On Tobacco: A Gender-Sensitive Teen Smoking Cessation Program

Geri A. Dino, PhD

Geri A. Dino, PhD, is an assistant professor of community medicine, and director of the Prevention Research Center at West Virginia University, Morgantown, WV

Kimberly A. Horn, EdD, MSW

Kimberly A. Horn, EdD, MSW, is an assistant professor of community medicine, and director of the Office of Drug Abuse Intervention Studies at West Virginia University, Morgantown, WV

Jennifer Goldcamp, MSW

Jennifer Goldcamp, MSW, is a senior program coordinator at the Office of Drug Abuse Intervention Studies at West Virginia University, Morgantown, WV

Sameep D. Maniar, MA

Sameep D. Maniar, MA, is a research assistant in the Office of Drug Abuse Intervention Studies at West Virginia University, Morgantown, WV

Ancilla Fernandes, BS

Ancilla Fernandes, BS, is a research assistant at the Office of Drug Abuse Intervention Studies at West Virginia University, Morgan-town, WV

Catherine J. Massey, MA

Catherine J. Massey, MA, is the project director at the Office of Drug Abuse Intervention Studies at West Virginia University, Morgantown, WV

This study represented the largest statewide demonstration (n = 346) of the teen smoking cessation program Not On Tobacco (N-O-T) to date and one of the few systematically controlled teen smoking cessation trials reported in the literature. Results showed that N-O-T female teens were 4 times more likely to quit smoking almost 6 months after the program ended than female teens who received a brief intervention (BI). The quit rate for the N-O-T female groups was significantly higher than that for female brief intervention comparison groups. The study demonstrated that 2 times more N-O-T than BI teens quit smoking overall. Differences in the biochemically validated quit rate between the N-O-T groups and the brief intervention groups overall and for male participants were not statistically different, however. Furthermore, findings showed that N-O-T was more effective than the brief intervention in assisting youth with cigarette reduction. There was a significant difference in the reduction rate between the N-O-T and the BI groups on weekdays and weekends 6 months after the program ended. Overall, approximately 84% of N-O-T teens either quit or reduced smoking, compared with approximately 55% of BI teens. This study is 1 phase of an ongoing multiphase evaluation of N-O-T This study resulted in several important findings that will help guide future teen cessation studies and tobacco cessation efforts of school health professionals.

Key Words: school-based smoking cessation • teen smoking • teen smoking cessation

The Journal of School Nursing, Vol. 17, No. 2, 90-97 (2001)
DOI: 10.1177/105984050101700206


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