The risk of smoking in relation to engagement with a school-based smoking intervention.

摘要: Abstract Health promotion interventions cannot work if people do not engage with them. The aim of this study was to examine whether disengagement from an adolescent smoking prevention and cessation intervention independent risk factor for regular 1 2 years later. data were taken a cluster randomised controlled trial, in the West Midlands, UK, based on transtheoretical or stages change model. In 8352 13–14-year old school pupils enrolled, report 7413 6782 present at follow-ups, respectively. group undertook three sessions using interactive computer programme. At end programme, recorded their responses it. Pupils classed as engaged they thought both useful interesting; all others disengaged. Random effects logistic regression related number times follow-up, adjusted absences 11 potential confounders. majority by intervention. For participants but engaging once, odds ratios (95% confidence intervals) relative controls 1.83 (1.41–2.39) 1.70 (1.38–2.11). those times, 0.79 (0.60–1.03) 0.96 (0.75–1.21). There no interaction baseline intention smoke, classified stage change, there borderline significant status, acting stronger among never-smokers. We conclude that is independently experimentation cigarettes. best explanation school, established smoking, generalises didactic school-based health programmes.