The European Smoking Prevention Framework Approach (ESFA)

Short-term effects

Hein De Vries, Aart Mudde, Stef Kremers, Joyce Wetzels, Ellen Uiters, Caries Ariza, Paulo Duarte Vitória, Anne Fielder, Klavs Holm, Karin Janssen, Riku Lehtuvuori, Math Candel

Research output: Contribution to journalArticle

Abstract

The European Smoking Prevention Framework Approach (ESFA) resulted in a smoking prevention project for six European countries. It included activities on four levels: adolescents, schools, parents and out-of-school activities. Common goals and objectives were developed, but countries were also able to include additional objectives. National diversities required country-specific methods. The most important common element was a school-based programme consisting of at least five lessons paying attention to social influence processes and training in refusal skills. During the first year, significantly more smoking prevention activities were realized in experimental schools compared with control schools. Not all countries had the same number of lessons on resisting peer pressures. Significant cognitive changes were observed in Spain, resulting in more negative attitudes, increased self-efficacy levels and a more negative intention towards smoking in the experimental group. Counter-productive cognitive effects were observed in the UK. Significantly less onset of weekly smoking in experimental groups was found in Finland (4.7%.) and Spain (3.1%). Counter-productive effects were observed in Denmark and the UK. In conclusion, while having common objectives, the ESFA approach allowed for a great deal of diversity. Fundamental research using dismantling designs is needed to be able to detect the most effective elements of smoking prevention programmes for different age groups. Attention to parenting styles and practices is also needed.

Original languageEnglish (US)
Pages (from-to)649-663
Number of pages15
JournalHealth Education Research
Volume18
Issue number6
DOIs
StatePublished - Dec 2003
Externally publishedYes

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smoking
Smoking
school
Spain
parenting style
dismantling
Parenting
Self Efficacy
Denmark
Finland
Developed Countries
self-efficacy
age group
parents
Group
Age Groups
Parents
adolescent
Research

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Education

Cite this

De Vries, H., Mudde, A., Kremers, S., Wetzels, J., Uiters, E., Ariza, C., ... Candel, M. (2003). The European Smoking Prevention Framework Approach (ESFA): Short-term effects. Health Education Research, 18(6), 649-663. https://doi.org/10.1093/her/cyg033

The European Smoking Prevention Framework Approach (ESFA) : Short-term effects. / De Vries, Hein; Mudde, Aart; Kremers, Stef; Wetzels, Joyce; Uiters, Ellen; Ariza, Caries; Vitória, Paulo Duarte; Fielder, Anne; Holm, Klavs; Janssen, Karin; Lehtuvuori, Riku; Candel, Math.

In: Health Education Research, Vol. 18, No. 6, 12.2003, p. 649-663.

Research output: Contribution to journalArticle

De Vries, H, Mudde, A, Kremers, S, Wetzels, J, Uiters, E, Ariza, C, Vitória, PD, Fielder, A, Holm, K, Janssen, K, Lehtuvuori, R & Candel, M 2003, 'The European Smoking Prevention Framework Approach (ESFA): Short-term effects', Health Education Research, vol. 18, no. 6, pp. 649-663. https://doi.org/10.1093/her/cyg033
De Vries H, Mudde A, Kremers S, Wetzels J, Uiters E, Ariza C et al. The European Smoking Prevention Framework Approach (ESFA): Short-term effects. Health Education Research. 2003 Dec;18(6):649-663. https://doi.org/10.1093/her/cyg033
De Vries, Hein ; Mudde, Aart ; Kremers, Stef ; Wetzels, Joyce ; Uiters, Ellen ; Ariza, Caries ; Vitória, Paulo Duarte ; Fielder, Anne ; Holm, Klavs ; Janssen, Karin ; Lehtuvuori, Riku ; Candel, Math. / The European Smoking Prevention Framework Approach (ESFA) : Short-term effects. In: Health Education Research. 2003 ; Vol. 18, No. 6. pp. 649-663.
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