Are You in or Out? Recruitment of Adolescent Smokers into a Behavioral Smoking Cessation Intervention

Overview

Journal Addict Behav

Specialties Psychiatry
Social Sciences

Date 2015 Feb 14

PMID 25678303

Citations 6

Authors

Johannes Thrul

Mark Stemmler

Michaela Goecke

Anneke Buhler

Affiliations

Soon will be listed here.

Abstract

Introduction: Even though many adolescent smokers want to quit, it is difficult to recruit them into smoking cessation interventions. Little is known about which adolescent smokers are currently reached by these measures. In this study we compare participants of a group-based, cognitive behavioral smoking cessation intervention with adolescent smokers who decided against participating.

Methods: Within a non-randomized controlled trial, data of 1053 smokers (aged 11-19) from 42 German secondary schools were analyzed. Of these smokers, 272 were recruited into 47 courses of the intervention. An in-class information session, individually addressing potential participants, and incentives were used as means of recruitment. Personal predictors of participation were analyzed using regression analyses and multivariate path analyses to test for mediation.

Results: In the path analysis model, nicotine dependence, quit motivation, and a previous quit attempt were directly positively related to participation. Heavier smoking behavior was indirectly positively associated with participation through nicotine dependence and negatively through quit motivation, yielding an overall positive indirect effect. The positive effect of a previous quit attempt on participation was partially mediated through nicotine dependence and quit motivation. The proportion of smoking friends were indirectly positively related to participation, mediated through nicotine dependence.

Conclusions: Since adolescents with heavier smoking behavior and stronger nicotine dependence are less likely to undertake a successful unassisted quit attempt, the reach of these young smokers with professional cessation interventions is desirable. Further measures to improve the recruitment of those currently not motivated to quit have to be examined in future studies.

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References

Simons-Morton B, Farhat T . Recent findings on peer group influences on adolescent smoking. J Prim Prev. 2010; 31(4):191-208. PMC: 3313483. DOI: 10.1007/s10935-010-0220-x. View

Malone R, Grundy Q, Bero L . Tobacco industry denormalisation as a tobacco control intervention: a review. Tob Control. 2012; 21(2):162-70. PMC: 3362192. DOI: 10.1136/tobaccocontrol-2011-050200. View

Sussman S, Sun P . Youth tobacco use cessation: 2008 update. Tob Induc Dis. 2009; 5:3. PMC: 2644896. DOI: 10.1186/1617-9625-5-3. View

Backinger C, Michaels C, Jefferson A, Fagan P, Hurd A, Grana R . Factors associated with recruitment and retention of youth into smoking cessation intervention studies--a review of the literature. Health Educ Res. 2007; 23(2):359-68. DOI: 10.1093/her/cym053. View

MacKinnon D, Fairchild A, Fritz M . Mediation analysis. Annu Rev Psychol. 2006; 58:593-614. PMC: 2819368. DOI: 10.1146/annurev.psych.58.110405.085542. View

Thrul J, Stemmler M, Buhler A, Kuntsche E . Adolescents' protection motivation and smoking behaviour. Health Educ Res. 2013; 28(4):683-91. DOI: 10.1093/her/cyt062. View

Kleinjan M, Engels R, van Leeuwe J, Brug J, Van Zundert R, Van den Eijnden R . Mechanisms of adolescent smoking cessation: roles of readiness to quit, nicotine dependence, and smoking of parents and peers. Drug Alcohol Depend. 2008; 99(1-3):204-14. DOI: 10.1016/j.drugalcdep.2008.08.002. View

Wegmann L, Buhler A, Strunk M, Lang P, Nowak D . Smoking cessation with teenagers: the relationship between impulsivity, emotional problems, program retention and effectiveness. Addict Behav. 2012; 37(4):463-8. DOI: 10.1016/j.addbeh.2011.12.008. View

Schane R, Prochaska J, Glantz S . Counseling nondaily smokers about secondhand smoke as a cessation message: a pilot randomized trial. Nicotine Tob Res. 2012; 15(2):334-42. PMC: 3545714. DOI: 10.1093/ntr/nts126. View

10.

Thrul J, Stemmler M, Buhler A, Goecke M . The role of participants' self-selected future smoking goals in adolescent smoking cessation interventions. Drug Alcohol Depend. 2014; 141:118-23. DOI: 10.1016/j.drugalcdep.2014.05.016. View

11.

Sussman S . Effects of sixty six adolescent tobacco use cessation trials and seventeen prospective studies of self-initiated quitting. Tob Induc Dis. 2009; 1(1):35-81. PMC: 2671530. DOI: 10.1186/1617-9625-1-1-35. View

12.

Leatherdale S, McDonald P . Youth smokers' beliefs about different cessation approaches: are we providing cessation interventions they never intend to use?. Cancer Causes Control. 2007; 18(7):783-91. DOI: 10.1007/s10552-007-9022-8. View

13.

DiFranza J, Savageau J, Fletcher K, Ockene J, Rigotti N, McNeill A . Measuring the loss of autonomy over nicotine use in adolescents: the DANDY (Development and Assessment of Nicotine Dependence in Youths) study. Arch Pediatr Adolesc Med. 2002; 156(4):397-403. DOI: 10.1001/archpedi.156.4.397. View

14.

Horn K, Dino G, Branstetter S, Zhang J, Kelley G, Noerachmanto N . A profile of teen smokers who volunteered to participate in school-based smoking intervention. Tob Induc Dis. 2008; 4:6. PMC: 2556032. DOI: 10.1186/1617-9625-4-6. View

15.

Panday S, Reddy S, Ruiter R, Bergstrom E, de Vries H . Determinants of smoking cessation among adolescents in South Africa. Health Educ Res. 2005; 20(5):586-99. DOI: 10.1093/her/cyh020. View

16.

Orth B, Toppich J . [Changes in knowledge, attitudes, and smoking behavior among young people in Germany. Results of repeated, representative surveys by the BZgA]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2010; 53(2):133-43. DOI: 10.1007/s00103-009-1022-2. View

17.

Turner L, Mermelstein R, Berbaum M, Veldhuis C . School-based smoking cessation programs for adolescents: what predicts attendance?. Nicotine Tob Res. 2004; 6(3):559-68. DOI: 10.1080/14622200410001696475. View

18.

Dahm J, Cook E, Baugh K, Wileyto E, Pinto A, Leone F . Predictors of enrollment in a smoking cessation clinical trial after eligibility screening. J Natl Med Assoc. 2009; 101(5):450-5. DOI: 10.1016/s0027-9684(15)30931-7. View

19.

Bancej C, OLoughlin J, Platt R, Paradis G, Gervais A . Smoking cessation attempts among adolescent smokers: a systematic review of prevalence studies. Tob Control. 2007; 16(6):e8. PMC: 2807205. DOI: 10.1136/tc.2006.018853. View

20.

Buuren S, Boshuizen H, Knook D . Multiple imputation of missing blood pressure covariates in survival analysis. Stat Med. 1999; 18(6):681-94. DOI: 10.1002/(sici)1097-0258(19990330)18:6<681::aid-sim71>3.0.co;2-r. View