TY -的AU - Brinker,提图斯约瑟夫盟——Owczarek Andreas Dawid AU -西格,Werner盟——Groneberg,大卫·亚历山大AU - Brieske基督教马丁AU -詹森,菲利普盟——Klode Joachim盟——Stoffels Ingo盟——Schadendorf Dirk AU -伊扎尔,本杰明盟,薯条,费边Norbert AU -霍夫曼,菲利克斯Johannes PY - 2017 DA - 2017/06/06 TI -医学学生吸烟预防计划,对烟草教育,中学在德国:随机对照试验JO - J Med Internet Res SP - e199 VL - 19 IS - 6kw -医学院学生KW -烟草预防KW -中学KW -戒烟KW -青少年KW -校本预防AB -背景:超过850万德国人患有由吸烟引起的慢性疾病。反烟草教育(EAT)是一个由医科学生组成的跨国网络，他们自愿在课堂环境中开展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，短期戒烟对11至15岁的青少年有显著的效果。目的:本研究的目的是为优化后的2014年EAT课程提供第一次随机长期评估，该课程涉及光老化软件，用于降低德国中学11- 15岁学生吸烟流行率的有效性。方法:对德国9所中学6-8年级11-15岁的1504名青少年进行了随机对照试验，其中718人(47.74%)在12个月的随访中可识别为前瞻性样本。实验研究设计包括基线(t1)、干预后6个月(t2)和12个月(t3)的测量，通过问卷调查。研究组包括40个接受标准化EAT干预的随机班级(两个医学生主导的互动模块共120分钟)和同一学校的34个对照班级(无干预)。主要终点是对照组从t1到t3吸烟流行率与干预组从t1到t3吸烟流行率的差异。 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. SN - 1438-8871 UR - //www.mybigtv.com/2017/6/e199/ UR - https://doi.org/10.2196/jmir.7906 UR - http://www.ncbi.nlm.nih.gov/pubmed/28588007 DO - 10.2196/jmir.7906 ID - info:doi/10.2196/jmir.7906 ER -