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Project ASPIRE: Intermediate results from a multimedia smoking prevention and cessation program for adolescents

Ross Shegog, PhD1, Alexander V. Prokhorov, MD, PhD2, Steven H. Kelder, PhD, MPH1, Susan H. Billipp, MPH, DrPH1, Salma Marani, MS2, and Carl De Moor, PhD1. (1) Center for Health Promotion and Prevention Research, UT-Houston School of Public Health, 7000 Fannin, Houston, TX 77030, 713-500-9677, Ross.Shegog@uth.tmc.edu, (2) M. D. Anderson Cancer Center, Department of Behavioral Science, Box 243, 1515 Holcombe Boulevard, Houston, TX 77030

Introduction: ASPIRE is an interactive multimedia CD-ROM smoking prevention and cessation curriculum for high school students. The curriculum is primarily based on the transtheoretical model of change (TTM) that has shown its applicability to adolescents. Aims: The aim of this intermediate analysis is to examine the efficacy of the ASPIRE program in changing determinants of smoking and quitting behavior at 12-month follow-up of an 18 month study. Methods: In a sample of predominately minority adolescence (38.5% males, mean age 15.5 years), linear mixed model regression tested for significant differences at 12 month follow-up between intervention (N=603) and control (N=444) groups for smoking status, number of cigarettes smoked per week, TTMís decisional balance, temptation to smoke, and self-efficacy to resist smoking. Results: There were fewer smokers in the intervention group (.05) than control (.06) at 12-month follow-up, but the difference was not significant (p.=.36). Significant differences (p.<.05) were found between intervention (0.3) and control (1.0) groups using the Minnesota Smoking Index (MSI) and in temptations to smoke (13.3 vs. 14.9; p.<.05). Significant differences were also found between intervention and control groups in decisional balance (2.0 vs. -2.8; p. = .001) and in self-efficacy to resist smoking (52.0 vs. 47.3; p. = .01). Conclusion: The 12-month follow-up findings between intervention and control groups in number of cigarettes smoked per week, temptation to smoke, decisional balance, and self-efficacy to resist smoking hold considerable promise with respect to the ASPIRE programís ability to positively influence key mediating variables of adolescent smoking.

Learning Objectives:

  • Learning objective

    Keywords: Tobacco, Prevention

    Presenting author's disclosure statement:
    Organization/institution whose products or services will be discussed: M. D. Anderson University of Texas Health Science Center Houston School of Public Health
    I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

    Tobacco Control: Youth Initiatives

    The 132nd Annual Meeting (November 6-10, 2004) of APHA