A prescription for health: a primary care based intervention to maintain the non-smoking status of young people.
OBJECTIVES: To evaluate the effectiveness of primary health care teams in maintaining a group of young people aged 10--15 years as non-smokers. DESIGN: Randomised controlled trial using postal questionnaires. SETTING: Oxfordshire, UK. SUBJECTS: 2942 young people who were initially self declared non-...
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| Format: | Journal article |
| Language: | English |
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2001
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| _version_ | 1826257555194642432 |
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| author | Fidler, W Lambert, T |
| author_facet | Fidler, W Lambert, T |
| author_sort | Fidler, W |
| collection | OXFORD |
| description | OBJECTIVES: To evaluate the effectiveness of primary health care teams in maintaining a group of young people aged 10--15 years as non-smokers. DESIGN: Randomised controlled trial using postal questionnaires. SETTING: Oxfordshire, UK. SUBJECTS: 2942 young people who were initially self declared non-smokers. INTERVENTION: Information about smoking, sent under signature of the subject's general practitioner, certificates and posters intended to reinforce non-smoking behaviour. MAIN OUTCOME MEASURES: Changes in smoking behaviour, attitudes measured after one year. RESULTS: After a year, smoking uptake was 7.8% in the control group compared with 5.1% in the intervention group (odds ratio (OR) 1.6, 95% confidence interval (CI) 1.1 to 2.2). Among boys the corresponding results were 5.2% and 2.4% (OR 2.3, 95% CI 1.2 to 4.6), and among girls 10.0% and 7.5% (OR 1.4, 95% CI 0.9 to 2.1). Among boys aged 14-15 the uptake rate was 12.8% in the control group compared with 5.4% in the intervention group. However, among girls of the same age the intervention was less effective, with smoking uptake of 15.1% in the control group and 12.8% in the intervention group. The intervention was more effective among young people whose initial attitudes identified them as definite non-smokers than those who were potential smokers. CONCLUSIONS: The intervention substantially reduced smoking uptake among the young people, particularly boys. Primary health care teams can play an important role in maintaining the non-smoking status of their young patients. Confidential postal contact from the doctor direct to the young person at home is influential and cost-effective. |
| first_indexed | 2024-03-06T18:20:04Z |
| format | Journal article |
| id | oxford-uuid:05fb0580-3f95-416b-84ea-757bbe9f5d4e |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T18:20:04Z |
| publishDate | 2001 |
| record_format | dspace |
| spelling | oxford-uuid:05fb0580-3f95-416b-84ea-757bbe9f5d4e2022-03-26T09:00:07ZA prescription for health: a primary care based intervention to maintain the non-smoking status of young people.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:05fb0580-3f95-416b-84ea-757bbe9f5d4eEnglishSymplectic Elements at Oxford2001Fidler, WLambert, TOBJECTIVES: To evaluate the effectiveness of primary health care teams in maintaining a group of young people aged 10--15 years as non-smokers. DESIGN: Randomised controlled trial using postal questionnaires. SETTING: Oxfordshire, UK. SUBJECTS: 2942 young people who were initially self declared non-smokers. INTERVENTION: Information about smoking, sent under signature of the subject's general practitioner, certificates and posters intended to reinforce non-smoking behaviour. MAIN OUTCOME MEASURES: Changes in smoking behaviour, attitudes measured after one year. RESULTS: After a year, smoking uptake was 7.8% in the control group compared with 5.1% in the intervention group (odds ratio (OR) 1.6, 95% confidence interval (CI) 1.1 to 2.2). Among boys the corresponding results were 5.2% and 2.4% (OR 2.3, 95% CI 1.2 to 4.6), and among girls 10.0% and 7.5% (OR 1.4, 95% CI 0.9 to 2.1). Among boys aged 14-15 the uptake rate was 12.8% in the control group compared with 5.4% in the intervention group. However, among girls of the same age the intervention was less effective, with smoking uptake of 15.1% in the control group and 12.8% in the intervention group. The intervention was more effective among young people whose initial attitudes identified them as definite non-smokers than those who were potential smokers. CONCLUSIONS: The intervention substantially reduced smoking uptake among the young people, particularly boys. Primary health care teams can play an important role in maintaining the non-smoking status of their young patients. Confidential postal contact from the doctor direct to the young person at home is influential and cost-effective. |
| spellingShingle | Fidler, W Lambert, T A prescription for health: a primary care based intervention to maintain the non-smoking status of young people. |
| title | A prescription for health: a primary care based intervention to maintain the non-smoking status of young people. |
| title_full | A prescription for health: a primary care based intervention to maintain the non-smoking status of young people. |
| title_fullStr | A prescription for health: a primary care based intervention to maintain the non-smoking status of young people. |
| title_full_unstemmed | A prescription for health: a primary care based intervention to maintain the non-smoking status of young people. |
| title_short | A prescription for health: a primary care based intervention to maintain the non-smoking status of young people. |
| title_sort | prescription for health a primary care based intervention to maintain the non smoking status of young people |
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