The European Smoking prevention Framework Approach (EFSA): An example of integral prevention

Hein De Vries, Aart Mudde, Ingrid Leijs, Anne Charlton, Errki Vartiainen, Goof Buijs, Manuel Pais Clemente, Hans Storm, Andrez González Navarro, Manel Nebot, Trudy Prins, Stef Kremers

Research output: Contribution to journalArticle

Abstract

A smoking prevention project in six European countries (European Smoking prevention Framework Approach) was developed, featuring activities for adolescents, schools and parents, including out-of-school activities. Consensus meetings resulted in agreement between the countries on goals, objectives and theoretical methods. Countries' specific objectives were also included. National diversities required country-specific methods to realize the goals and objectives. The community intervention trial was used as the research design. Since interventions took place at the community level, communities or regions were allocated at random to the experimental or control conditions. Complete randomization was achieved in four countries. At baseline, smoking prevalence among 23 125 adolescents at the start of the project was 5.6% for regular smoking and 4.0% for daily smoking. Smoking prevalence rates were higher among girls than boys in all countries as far as weekly smoking was concerned. Process evaluations revealed that the project's ambitions were high, but were limited by various constraints including time and delays in receiving funds. Future smoking prevention projects should aim to identify the effective components within the social influence approach as well as within broader approaches and on reaching sustained effects.

Original languageEnglish (US)
Pages (from-to)611-626
Number of pages16
JournalHealth Education Research
Volume18
Issue number5
DOIs
StatePublished - Oct 2003
Externally publishedYes

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smoking
Smoking
adolescent
community
Financial Management
Random Allocation
school
research planning
Consensus
parents
Research Design
Parents
evaluation

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Education

Cite this

De Vries, H., Mudde, A., Leijs, I., Charlton, A., Vartiainen, E., Buijs, G., ... Kremers, S. (2003). The European Smoking prevention Framework Approach (EFSA): An example of integral prevention. Health Education Research, 18(5), 611-626. https://doi.org/10.1093/her/cyg031

The European Smoking prevention Framework Approach (EFSA) : An example of integral prevention. / De Vries, Hein; Mudde, Aart; Leijs, Ingrid; Charlton, Anne; Vartiainen, Errki; Buijs, Goof; Clemente, Manuel Pais; Storm, Hans; González Navarro, Andrez; Nebot, Manel; Prins, Trudy; Kremers, Stef.

In: Health Education Research, Vol. 18, No. 5, 10.2003, p. 611-626.

Research output: Contribution to journalArticle

De Vries, H, Mudde, A, Leijs, I, Charlton, A, Vartiainen, E, Buijs, G, Clemente, MP, Storm, H, González Navarro, A, Nebot, M, Prins, T & Kremers, S 2003, 'The European Smoking prevention Framework Approach (EFSA): An example of integral prevention', Health Education Research, vol. 18, no. 5, pp. 611-626. https://doi.org/10.1093/her/cyg031
De Vries, Hein ; Mudde, Aart ; Leijs, Ingrid ; Charlton, Anne ; Vartiainen, Errki ; Buijs, Goof ; Clemente, Manuel Pais ; Storm, Hans ; González Navarro, Andrez ; Nebot, Manel ; Prins, Trudy ; Kremers, Stef. / The European Smoking prevention Framework Approach (EFSA) : An example of integral prevention. In: Health Education Research. 2003 ; Vol. 18, No. 5. pp. 611-626.
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