Preventing tobacco in vocational high schools: study protocol for a randomized controlled trial of P2P, a peer to peer and theory planned behavior-based program

Abstract Background In France, the issue of youth smoking remains a major challenge for public health. School failure, socio-economic and socio-cultural backgrounds influence the initiation and maintenance of smoking behavior in adolescents. Vocational students are at particularly high risk of using...

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Main Authors: Florence Cousson-Gélie, Olivier Lareyre, Maryline Margueritte, Julie Paillart, Marie-Eve Huteau, Kela Djoufelkit, Bruno Pereira, Anne Stoebner
Format: Article
Language:English
Published: BMC 2018-04-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-018-5226-y
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author Florence Cousson-Gélie
Olivier Lareyre
Maryline Margueritte
Julie Paillart
Marie-Eve Huteau
Kela Djoufelkit
Bruno Pereira
Anne Stoebner
author_facet Florence Cousson-Gélie
Olivier Lareyre
Maryline Margueritte
Julie Paillart
Marie-Eve Huteau
Kela Djoufelkit
Bruno Pereira
Anne Stoebner
author_sort Florence Cousson-Gélie
collection DOAJ
description Abstract Background In France, the issue of youth smoking remains a major challenge for public health. School failure, socio-economic and socio-cultural backgrounds influence the initiation and maintenance of smoking behavior in adolescents. Vocational students are at particularly high risk of using psychoactive substances, including tobacco. One of the most important factors is the environment, whether family, friends or peers. Therefore, peer education has a positive potential to change smoking behavior of adolescents. It has also been demonstrated that the Theory of Planned Behavior (TPB) has yielded the best prediction of intentions and behavior, in several health domains, including on tobacco. However, it is usually confined to the measurement of processes by which interventions change behavior, rather than to the development of these interventions. The objective of this paper is to describe the protocol for a randomized controlled trial of a peer intervention based on the TPB on a highly exposed young population. Methods/designs This is a cluster randomized controlled trial comparing an intervention group to a control group, randomized into clusters (professional schools and classes) and stratified in three departments (Hérault, Aude and Gard) in the Languedoc-Roussillon region. The primary issue is the prevalence of daily smoking at 24 months, defined by a daily tobacco use of at least 1 cigarette, validated by CO levels in exhaled air. The primary hypothesis is that intervention will lead to decrease the daily smoking prevalence of 10% between the intervention group and the control group during a 2-year follow-up. Discussion The results from this trial will provide evidence on the effectiveness of an innovative peer-to-peer intervention based on the TPB. Trial registration ISRCTN: 37336035, Retrospectively registered 11/12/2015.
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spelling doaj.art-98298f0e86354be19a2016bf3a0affae2022-12-21T19:00:50ZengBMCBMC Public Health1471-24582018-04-0118111010.1186/s12889-018-5226-yPreventing tobacco in vocational high schools: study protocol for a randomized controlled trial of P2P, a peer to peer and theory planned behavior-based programFlorence Cousson-Gélie0Olivier Lareyre1Maryline Margueritte2Julie Paillart3Marie-Eve Huteau4Kela Djoufelkit5Bruno Pereira6Anne Stoebner7Univ Paul Valéry Montpellier 3, Univ. MontpellierUniv Paul Valéry Montpellier 3, Univ. MontpellierEpidaure Prevention Department of the Regional Institute of Cancer of Montpellier-Val d’AurelleEpidaure Prevention Department of the Regional Institute of Cancer of Montpellier-Val d’AurelleEpidaure Prevention Department of the Regional Institute of Cancer of Montpellier-Val d’AurelleEpidaure Prevention Department of the Regional Institute of Cancer of Montpellier-Val d’AurelleCHU Clermont-Ferrand, Biostatistics Unit, Délégation de la Recherche Clinique et des InnovationsEpidaure Prevention Department of the Regional Institute of Cancer of Montpellier-Val d’AurelleAbstract Background In France, the issue of youth smoking remains a major challenge for public health. School failure, socio-economic and socio-cultural backgrounds influence the initiation and maintenance of smoking behavior in adolescents. Vocational students are at particularly high risk of using psychoactive substances, including tobacco. One of the most important factors is the environment, whether family, friends or peers. Therefore, peer education has a positive potential to change smoking behavior of adolescents. It has also been demonstrated that the Theory of Planned Behavior (TPB) has yielded the best prediction of intentions and behavior, in several health domains, including on tobacco. However, it is usually confined to the measurement of processes by which interventions change behavior, rather than to the development of these interventions. The objective of this paper is to describe the protocol for a randomized controlled trial of a peer intervention based on the TPB on a highly exposed young population. Methods/designs This is a cluster randomized controlled trial comparing an intervention group to a control group, randomized into clusters (professional schools and classes) and stratified in three departments (Hérault, Aude and Gard) in the Languedoc-Roussillon region. The primary issue is the prevalence of daily smoking at 24 months, defined by a daily tobacco use of at least 1 cigarette, validated by CO levels in exhaled air. The primary hypothesis is that intervention will lead to decrease the daily smoking prevalence of 10% between the intervention group and the control group during a 2-year follow-up. Discussion The results from this trial will provide evidence on the effectiveness of an innovative peer-to-peer intervention based on the TPB. Trial registration ISRCTN: 37336035, Retrospectively registered 11/12/2015.http://link.springer.com/article/10.1186/s12889-018-5226-yTobacco preventionPeer-to-peerTheory of planned behaviorYoung peopleVocational high school
spellingShingle Florence Cousson-Gélie
Olivier Lareyre
Maryline Margueritte
Julie Paillart
Marie-Eve Huteau
Kela Djoufelkit
Bruno Pereira
Anne Stoebner
Preventing tobacco in vocational high schools: study protocol for a randomized controlled trial of P2P, a peer to peer and theory planned behavior-based program
BMC Public Health
Tobacco prevention
Peer-to-peer
Theory of planned behavior
Young people
Vocational high school
title Preventing tobacco in vocational high schools: study protocol for a randomized controlled trial of P2P, a peer to peer and theory planned behavior-based program
title_full Preventing tobacco in vocational high schools: study protocol for a randomized controlled trial of P2P, a peer to peer and theory planned behavior-based program
title_fullStr Preventing tobacco in vocational high schools: study protocol for a randomized controlled trial of P2P, a peer to peer and theory planned behavior-based program
title_full_unstemmed Preventing tobacco in vocational high schools: study protocol for a randomized controlled trial of P2P, a peer to peer and theory planned behavior-based program
title_short Preventing tobacco in vocational high schools: study protocol for a randomized controlled trial of P2P, a peer to peer and theory planned behavior-based program
title_sort preventing tobacco in vocational high schools study protocol for a randomized controlled trial of p2p a peer to peer and theory planned behavior based program
topic Tobacco prevention
Peer-to-peer
Theory of planned behavior
Young people
Vocational high school
url http://link.springer.com/article/10.1186/s12889-018-5226-y
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