Failure of an intervention to stop teenagers smoking

BMJ 1999;319:934-935 ( 9 October )

Editorials

Failure of an intervention to stop teenagers smoking

Not such a disappointment as it appears

Papers p 948

The first 150 words of the full text of this article appear below.

Given the recent upturn in teenage smoking,¹ would the innovative West Midlands prevention programme, described in thisweek's issue (p 948)² be the magic bullet so many have beenwaiting for? Alas, as the authors have convincingly shown, itturned out to be a blank. This is not surprising, since the methodsused did not appear to correspond with the findings from decadesof research into "effective" antismoking programmes forschools.

Successful programmes have usually been based on the social influences theory, which involves persuading teenagers to developthe skills and commitment to resist cigarettes.³ Since successdepends on working with socially interactive groups, the individualisedcomputer component of the West Midlands programme would have hadlittle tocontribute.

The programme's class lessons component focused on the "stages of change" model of behaviour change, which was developed fromstudies of adults who stopped smoking. It is difficult to understand. . . [Full text of this article]

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