德国医学院学生为中学提供的预防吸烟计划，反对吸烟教育:卡塔尔世界杯8强波胆分析随机对照试验%A Brinker,Titus Josef %A Owczarek,Andreas David %A Seeger,Werner %A Groneberg,David Alexander %A Brieske,Christian Martin %A Jansen,Philipp %A Klode,Joachim %A Stoffels,Ingo %A Schadendorf,Dirk %A Izar,Benjamin %A Fries,Fabian Norbert %A Hofmann,Felix Johannes %+吉森大学和马尔堡肺中心;德国肺研究中心(DZL)成员，吉森大学内科，Klinikstr. 33，吉森，35392，德国，49 15175084347,titus.brinker@gmail.com %K医科学生%K烟草预防%K中学%K戒烟%K青少年%K校本预防%D 2017 %7 06.06.2017 %9原文%J J Med Internet Res %G英文%X背景:超过850万德国人患有可归因于吸烟的慢性疾病。禁烟教育(EAT)是一个由医科学生组成的多国网络，他们在课堂环境中志愿从事以学校为基础的预防活动，以及其他活动。EAT已在德国的28所医学院实施，并在全球另外13个国家实施。最近的一项准实验研究表明，戒烟对11至15岁的青少年有显著的短期效果。目的:本研究的目的是为2014年优化的EAT课程提供首次随机长期评估，该课程涉及光老化软件，以评估其在降低德国中学11至15岁学生吸烟率方面的有效性。方法:对德国9所中学6-8年级11-15岁的1504名青少年进行随机对照试验，其中718名(47.74%)在12个月的随访中可识别为前瞻性样本。实验研究设计包括通过问卷调查在干预后基线(t1)、6个月(t2)和12个月(t3)进行测量。 The study groups consisted of 40 randomized classes that received the standardized EAT intervention (two medical student-led interactive modules taking 120 minutes total) and 34 control classes within the same schools (no intervention). The primary endpoint was the difference in smoking prevalence from t1 to t3 in the control group versus the difference from t1 to t3 in the intervention group. The differences in smoking behavior (smoking onset, quitting) between the two groups, as well as gender-specific effects, were studied as secondary outcomes. Results: None of the effects were significant due to a high loss-to-follow-up effect (52.26%, 786/1504). From baseline to the two follow-up time points, the prevalence of smoking increased from 3.1% to 5.2% to 7.2% in the control group and from 3.0% to 5.4% to 5.8% in the intervention group (number needed to treat [NNT]=68). Notable differences were observed between the groups for the female gender (4.2% to 9.5% for control vs 4.0% to 5.2% for intervention; NNT=24 for females vs NNT=207 for males), low educational background (7.3% to 12% for control vs 6.1% to 8.7% for intervention; NNT=30), and migrational background (students who claimed that at least one parent was not born in Germany) at the 12-month follow-up. The intervention appears to prevent smoking onset (NNT=63) but does not appear to initiate quitting. Conclusions: The intervention appears to prevent smoking, especially in females and students with a low educational background. %M 28588007 %R 10.2196/jmir.7906 %U //www.mybigtv.com/2017/6/e199/ %U https://doi.org/10.2196/jmir.7906 %U http://www.ncbi.nlm.nih.gov/pubmed/28588007