Email updates

Keep up to date with the latest news and content from BMC Public Health and BioMed Central.

Open Access Research article

Efficacy of a smoking cessation program in a population of adolescent smokers in vocational schools: a public health evaluative controlled study

Laetitia Minary1234*, Linda Cambon5, Hervé Martini6, Nathalie Wirth7, Dovi S Acouetey4, Francine Thouvenot8, Céline Maire5, Yves Martinet7, Abraham Bohadana47, Denis Zmirou-Navier49 and François Alla123

Author Affiliations

1 INSERM, CIC-EC, CIE6, Nancy, F-54 000, France

2 CHU Nancy, Epidémiologie et Evaluation Cliniques, Nancy, F-54 000, France

3 Université de Lorraine, Université Paris Descartes, Apemac, EA 4360, Nancy, F-54 000, France

4 INSERM U 954, Faculté de Médecine, Nancy, France

5 IREPS Lorraine, Nancy, France

6 Réseau Lorrain d’Alcoologie et des Dépendances Associées, Hôpital Villemin, Centre Hospitalier Universitaire Nancy, Nancy, France

7 CHU de Nancy, Service de pneumologie, Nancy, France

8 Epinal, France

9 EHESP School of Public Health, Rennes, France

For all author emails, please log on.

BMC Public Health 2013, 13:149  doi:10.1186/1471-2458-13-149

Published: 18 February 2013

Abstract

Background

To evaluate the public health efficacy of a community-based smoking cessation program (TABADO) among vocational school trainees (15 to 20 years old).

Methods

This prospective, controlled, quasi-experimental study was conducted in eight vocational training centres (VTC) in France. The intervention group underwent the TABADO program, which included a general information session for all students and small-group sessions plus individual counselling and nicotine therapy, if needed, for volunteers in an enhanced program. The control group received no specific intervention other than the educational services usually available. The primary outcome was 30-day point prevalence abstinence at 12 months.

Results

The mean age of the 1,814 students included was 16.9 years (SD = 1.0); 84.7% were males. At baseline, 52% were smokers and 5.7% ex-smokers. In the intervention group, 24.6% of smokers volunteered for the enhanced program and 18.1% could be included. By 12-month follow-up, with participants lost to follow-up considered non-abstinent, 10.6% of smokers in the intervention group had become abstinent versus 7.4% in the control group (adjusted p = 0.03; odds ratio [OR] = 1.8; 95% confidence interval [CI] = 1.05–3.0); considering lost to follow-up as missing data, 17% of intervention group participants were abstinent versus 11.9% in the control group (univariate p = 0.08; adjusted p = 0.008; OR = 2.1; 95% CI = 1.2–3.6).

Conclusion

The TABADO program, targeting teenagers in vocational schools, was effective in producing a higher 12-month abstinence rate among all smokers in the intervention group.

Trial registration

Clinical trial identification number is NTC00973570.

Keywords:
Tobacco cessation; Evaluation; Adolescent; Addiction; Smoking prevention & control