© 2000 by Oxford University Press
Journal of the National Cancer Institute, Vol. 92, No. 24, 1979-1991,
December 20, 2000
© 2000 Oxford University Press
Hutchinson Smoking Prevention Project: Long-Term Randomized Trial in School-Based Tobacco Use Prevention—Results on Smoking
Affiliations of authors: A. V. Peterson, Jr., Cancer Prevention Research Program, Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, and Department of Biostatistics, University of Washington, Seattle, WA; K. A. Kealey, S. L. Mann, P. M. Marek, Cancer Prevention Research Program, Division of Public Health Sciences, Fred Hutchinson Cancer Research Center; I. G. Sarason, Department of Psychology, University of Washington, and Cancer Prevention Research Program, Division of Public Health Sciences, Fred Hutchinson Cancer Research Center.
Correspondence to: Arthur V. Peterson, Jr., Ph.D., Division of Public Health Sciences MP-603, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave. N., P.O. Box 19024, Seattle, WA 98109-1024 (e-mail: avpeters{at}fhcrc.org).
Background: No long-term impact has yet been observed with the use of the social-influences approach to school-based smoking prevention for youth. However, whether this lack of impact is due to methodologic problems with the studies or to the failure of the interventions is unclear. The Hutchinson Smoking Prevention Project (HSPP), conducted from September 1984 through August 1999, aimed to attain the most rigorous randomized trial possible to determine the long-term impact of a theory-based, social-influences, grade 3–12 intervention on smoking prevalence among youth. Methods: Forty Washington school districts were randomly assigned to the intervention or to the control condition. Study participants were children enrolled in two consecutive 3rd grades in the 40 districts (n = 8388); they were followed to 2 years after high school. The trial achieved high implementation fidelity and 94% follow-up. Data were analyzed with the use of group-permutation methods, and all statistical tests were two-sided. Results: No significant difference in prevalence of daily smoking was found between students in the control and experimental districts, either at grade 12 (difference [
] = 0.2%, 95% confidence interval [CI] = -4.6% to 4.4%, and P = .91 for girls; = 0.3%, 95% CI = -5.0% to 5.5%, and P = .89 for boys) or at 2 years after high school ( = -1.4%, 95% CI = -5.0% to 1.6%, and P = .38 for girls; = 2.6%, 95% CI = -2.5% to 7.7%, and P = .30 for boys). Moreover, no intervention impact was observed for other smoking outcomes, such as extent of current smoking or cumulative amount smoked, or in subgroups that differ in a priori specified variables, such as family risk for smoking. Conclusion: The rigor of the HSPP trial suggests high credence for the intervention impact results. Consistent with previous trials, there is no evidence from this trial that a school-based social-influences approach is effective in the long-term deterrence of smoking among youth.
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  A. V. Peterson Jr, K. A. Kealey, S. L. Mann, P. M. Marek, E. J. Ludman, J. Liu, and J. B. Bricker Group-Randomized Trial of a Proactive, Personalized Telephone Counseling Intervention for Adolescent Smoking Cessation J Natl Cancer Inst, October 21, 2009; 101(20): 1378 - 1392. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. J. Leischow and E. Matthews Helping Adolescent Smokers Quit: Can Telephone Quitlines Lead the Way? J Natl Cancer Inst, October 21, 2009; 101(20): 1367 - 1368. [Full Text] [PDF]
|
|
|
|
 |
|
 J. O'Loughlin, I. Karp, T. Koulis, G. Paradis, and J. DiFranza Determinants of First Puff and Daily Cigarette Smoking in Adolescents Am. J. Epidemiol., September 1, 2009; 170(5): 585 - 597. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. A. Primack, D. Fine, C. K. Yang, D. Wickett, and S. Zickmund Adolescents' impressions of antismoking media literacy education: qualitative results from a randomized controlled trial Health Educ. Res., August 1, 2009; 24(4): 608 - 621. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Ridout, A. Charlton, and I. Hutchison Health risks information reaches secondary school smokers Health Educ. Res., December 1, 2008; 23(6): 1039 - 1048. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. A. Murnaghan, S. T. Leatherdale, M. Sihvonen, and P. Kekki A multilevel analysis examining the association between school-based smoking policies, prevention programs and youth smoking behavior: evaluating a provincial tobacco control strategy Health Educ. Res., December 1, 2008; 23(6): 1016 - 1028. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F Muller-Riemenschneider, A Bockelbrink, T Reinhold, A Rasch, W Greiner, and S N Willich Long-term effectiveness of behavioural interventions to prevent smoking among children and youth Tob. Control, October 1, 2008; 17(5): 301 - 302. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. P. Tercyak, M. T. Britto, K. M. Hanna, P. J. Hollen, and M. M. Hudson Prevention of Tobacco Use Among Medically At-risk Children and Adolescents: Clinical and Research Opportunities in the Interest of Public Health J. Pediatr. Psychol., March 1, 2008; 33(2): 119 - 132. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. A. Jason, S. B. Pokorny, M. Adams, Y. Hunt, P. Gadiraju, T. Morello, M. Schoeny, and C. Dinwiddie Youth Caught in Violation of Tobacco Purchase, Use, and Possession Laws: Education Versus Fines Behav Modif, November 1, 2007; 31(6): 713 - 731. [Abstract] [PDF]
|
|
|
|
 |
|
 H.-J. Paek and A. C. Gunther How Peer Proximity Moderates Indirect Media Influence on Adolescent Smoking Communication Research, August 1, 2007; 34(4): 407 - 432. [Abstract] [PDF]
|
|
|
|
 |
|
 J. J. Arnett The Myth of Peer Influence in Adolescent Smoking Initiation Health Educ Behav, August 1, 2007; 34(4): 594 - 607. [Abstract] [PDF]
|
|
|
|
|
|
F. Cote, G. Godin, and C. Gagne Efficiency of an Evidence-Based Intervention to Promote and Reinforce Tobacco Abstinence Among Elementary Schoolchildren in a School Transition Period Health Educ Behav, December 1, 2006; 33(6): 747 - 759. [Abstract] [PDF]
|
|
|
|
 |
|
 L. H. Jaycox, D. F. McCaffrey, B. W. Ocampo, G. A. Shelley, S. M. Blake, D. J. Peterson, L. S. Richmond, and J. E. Kub Challenges in the Evaluation and Implementation of School-Based Prevention and Intervention Programs on Sensitive Topics American Journal of Evaluation, September 1, 2006; 27(3): 320 - 336. [Abstract] [PDF]
|
|
|
|
|
|
L. A. Jason, S. B. Pokorny, J. R. Sanem, and M. L. Adams Monitoring and Decreasing Public Smoking Among Youth Behav Modif, September 1, 2006; 30(5): 681 - 692. [Abstract] [PDF]
|
|
|
|
 |
|
 G. C. Patton, L. Bond, J. B. Carlin, L. Thomas, H. Butler, S. Glover, R. Catalano, and G. Bowes Promoting Social Inclusion in Schools: A Group-Randomized Trial of Effects on Student Health Risk Behavior and Well-Being Am J Public Health, September 1, 2006; 96(9): 1582 - 1587. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. F. Thrasher, J. D. Niederdeppe, C. Jackson, and M. C. Farrelly Using anti-tobacco industry messages to prevent smoking among high-risk adolescents Health Educ. Res., July 1, 2006; 21(3): 325 - 337. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. W. Valente, J. B. Unger, A. Ritt-Olson, S. Y. Cen, and C Anderson Johnson The interaction of curriculum type and implementation method on 1-year smoking outcomes in a school-based prevention program Health Educ. Res., July 1, 2006; 21(3): 315 - 324. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. A. Primack, M. A. Gold, G. E. Switzer, R. Hobbs, S. R. Land, and M. J. Fine Development and Validation of a Smoking Media Literacy Scale for Adolescents Arch Pediatr Adolesc Med, April 1, 2006; 160(4): 369 - 374. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H de Vries, M Candel, R Engels, and L Mercken Challenges to the peer influence paradigm: results for 12-13 year olds from six European countries from the European Smoking Prevention Framework Approach study. Tob. Control, April 1, 2006; 15(2): 83 - 89. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. Guldbrandsson and S. Bremberg Two approaches to school health promotion--a focus on health-related behaviours and general competencies. An ecological study of 25 Swedish municipalities Health Promot. Int., March 1, 2006; 21(1): 37 - 44. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. de Vries, F. Dijk, J. Wetzels, A. Mudde, S. Kremers, C. Ariza, P. D. Vitoria, A. Fielder, K. Holm, K. Janssen, et al. The European Smoking prevention Framework Approach (ESFA): effects after 24 and 30 months Health Educ. Res., February 1, 2006; 21(1): 116 - 132. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Jackson and D. Dickinson Enabling Parents Who Smoke to Prevent Their Children From Initiating Smoking: Results From a 3-Year Intervention Evaluation Arch Pediatr Adolesc Med, January 1, 2006; 160(1): 56 - 62. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S Chapman The most important and influential papers in tobacco control: results of an online poll Tob. Control, October 1, 2005; 14(5): e1 - e1. [Full Text] [PDF]
|
|
|
|
|
|
M. A. Dalton, A. M. Bernhardt, J. J. Gibson, J. D. Sargent, M. L. Beach, A. M. Adachi-Mejia, L. T. Titus-Ernstoff, and T. F. Heatherton Use of Cigarettes and Alcohol by Preschoolers While Role-playing as Adults: "Honey, Have Some Smokes" Arch Pediatr Adolesc Med, September 1, 2005; 159(9): 854 - 859. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. L. Blitstein, P. J. Hannan, D. M. Murray, and W. R. Shadish Increasing the Degrees of Freedom in Existing Group Randomized Trials: The df* Approach Eval Rev, June 1, 2005; 29(3): 241 - 267. [Abstract] [PDF]
|
|
|
|
|
|
J. L. Blitstein, D. M. Murray, P. J. Hannan, and W. R. Shadish Increasing the Degrees of Freedom in Future Group Randomized Trials: The df* Approach Eval Rev, June 1, 2005; 29(3): 268 - 286. [Abstract] [PDF]
|
|
|
|
|
|
D Hammond Smoking behaviour among young adults: beyond youth prevention Tob. Control, June 1, 2005; 14(3): 181 - 185. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. R. Flay and L. M. Collins Historical Review of School-Based Randomized Trials for Evaluating Problem Behavior Prevention Programs The ANNALS of the American Academy of Political and Social Science, May 1, 2005; 599(1): 115 - 146. [Abstract] [PDF]
|
|
|
|
 |
|
 J. F. Hollis, M. R. Polen, E. P. Whitlock, E. Lichtenstein, J. P. Mullooly, W. F. Velicer, and C. A. Redding Teen Reach: Outcomes From a Randomized, Controlled Trial of a Tobacco Reduction Program for Teens Seen in Primary Medical Care Pediatrics, April 1, 2005; 115(4): 981 - 989. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. C. Farrelly, K. C. Davis, M. L. Haviland, P. Messeri, and C. G. Healton Evidence of a Dose--Response Relationship Between "truth" Antismoking Ads and Youth Smoking Prevalence Am J Public Health, March 1, 2005; 95(3): 425 - 431. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. Bond, G. Patton, S. Glover, J. B Carlin, H. Butler, L. Thomas, and G. Bowes The Gatehouse Project: can a multilevel school intervention affect emotional wellbeing and health risk behaviours? J Epidemiol Community Health, December 1, 2004; 58(12): 997 - 1003. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Audrain-McGovern, D. Rodriguez, K. P. Tercyak, J. Cuevas, K. Rodgers, and F. Patterson Identifying and Characterizing Adolescent Smoking Trajectories Cancer Epidemiol. Biomarkers Prev., December 1, 2004; 13(12): 2023 - 2034. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. F. Meshack, S. Hu, U. E. Pallonen, A. L. McAlister, N. Gottlieb, and P. Huang Texas Tobacco Prevention Pilot Initiative: processes and effects Health Educ. Res., December 1, 2004; 19(6): 657 - 668. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Sorensen, P. Fagan, M. K. Hunt, A. M. Stoddard, K. Girod, M. Eisenberg, and L. Frazier Changing channels for tobacco control with youth: developing an intervention for working teens Health Educ. Res., June 1, 2004; 19(3): 250 - 260. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Hanewinkel and M. Asshauer Fifteen-month follow-up results of a school-based life-skills approach to smoking prevention Health Educ. Res., April 1, 2004; 19(2): 125 - 137. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. R. Andersen, B. G. Leroux, J. B. Bricker, K. B. Rajan, and A. V. Peterson Jr Antismoking Parenting Practices Are Associated With Reduced Rates of Adolescent Smoking Arch Pediatr Adolesc Med, April 1, 2004; 158(4): 348 - 352. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. White and L. A. Bero Public Health Under Attack: The American Stop Smoking Intervention Study (ASSIST) and the Tobacco Industry Am J Public Health, February 1, 2004; 94(2): 240 - 250. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. de Vries, A. Mudde, S. Kremers, J. Wetzels, E. Uiters, C. Ariza, P. D. Vitoria, A. Fielder, K. Holm, K. Janssen, et al. The European Smoking Prevention Framework Approach (ESFA): short-term effects Health Educ. Res., December 1, 2003; 18(6): 649 - 663. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M K Hunt, P Fagan, R Lederman, A Stoddard, L Frazier, K Girod, and G Sorensen Feasibility of implementing intervention methods in an adolescent worksite tobacco control study Tob. Control, December 1, 2003; 12(90004): iv40 - 45. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C L Backinger, P Fagan, E Matthews, and R Grana Adolescent and young adult tobacco prevention and cessation: current status and future directions Tob. Control, December 1, 2003; 12(90004): iv46 - 53. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S M Carter From legitimate consumers to public relations pawns: the tobacco industry and young Australians Tob. Control, December 1, 2003; 12(90003): iii71 - 78. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. L. Ellickson, D. F. McCaffrey, B. Ghosh-Dastidar, and D. L. Longshore New Inroads in Preventing Adolescent Drug Use: Results From a Large-Scale Trial of Project ALERT in Middle Schools Am J Public Health, November 1, 2003; 93(11): 1830 - 1836. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. de Vries, A. Mudde, I. Leijs, A. Charlton, E. Vartiainen, G. Buijs, M. P. Clemente, H. Storm, A. G. Navarro, M. Nebot, et al. The European Smoking prevention Framework Approach (EFSA): an example of integral prevention Health Educ. Res., October 1, 2003; 18(5): 611 - 626. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. de Vries, R. Engels, S. Kremers, J. Wetzels, and A. Mudde Parents' and friends' smoking status as predictors of smoking onset: findings from six European countries Health Educ. Res., October 1, 2003; 18(5): 627 - 636. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L Renaud, J O'Loughlin, and V Dery The St-Louis du Parc Heart Health Project: a critical analysis of the reverse effects on smoking Tob. Control, September 1, 2003; 12(3): 302 - 309. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C Jackson and D Dickinson Can parents who smoke socialise their children against smoking? Results from the Smoke-free Kids intervention trial Tob. Control, March 1, 2003; 12(1): 52 - 59. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. N. D'Onofrio, J. M. Moskowitz, and M. T. Braverman Curtailing Tobacco Use Among Youth: Evaluation of Project 4-Health Health Educ Behav, December 1, 2002; 29(6): 656 - 682. [Abstract] [PDF]
|
|
|
|
 |
|
 D B Rubin The ethics of consulting for the tobacco industry Statistical Methods in Medical Research, October 1, 2002; 11(5): 373 - 380. [Abstract] [PDF]
|
|
|
|
|
|
J. Audrain, K. P. Tercyak, P. Goldman, and A. Bush Recruiting Adolescents into Genetic Studies of Smoking Behavior Cancer Epidemiol. Biomarkers Prev., March 1, 2002; 11(3): 249 - 252. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Sussman, W. B. Hansen, B. R. Flay, and G. J. Botvin Re: Hutchinson Smoking Prevention Project: Long-Term Randomized Trial in School-Based Tobacco Use Prevention--Results on Smoking J Natl Cancer Inst, August 15, 2001; 93(16): 1267 - 1267. [Full Text] [PDF]
|
|
|
|
|
|
H. A. Bliss Re: Hutchinson Smoking Prevention Project: Long-Term Randomized Trial in School-Based Tobacco Use Prevention--Results on Smoking J Natl Cancer Inst, August 15, 2001; 93(16): 1268 - 1268. [Full Text] [PDF]
|
|
|
|
|
|
R. R. Clayton, F. D. Scutchfield, and S. W. Wyatt RESPONSE: Re: Hutchinson Smoking Prevention Project: Long-Term Randomized Trial in School-Based Tobacco Use Prevention--Results on Smoking J Natl Cancer Inst, August 15, 2001; 93(16): 1270 - 1271. [Full Text] [PDF]
|
|
|
|
|
|
R. Cameron, J. A. Best, and K. S. Brown Re: Hutchinson Smoking Prevention Project: Long-Term Randomized Trial in School-Based Tobacco Use Prevention--Results on Smoking J Natl Cancer Inst, August 15, 2001; 93(16): 1267a - 1268a. [Full Text] [PDF]
|
|
|
|
|
|
P. Hawe, M. Wise, and D. Nutbeam Policy- and System-Level Approaches to Health Promotion in Australia Health Educ Behav, June 1, 2001; 28(3): 267 - 273. [PDF]
|
|
|
|
|
|
A. B. Bergman Curtailing Youth Smoking Arch Pediatr Adolesc Med, May 1, 2001; 155(5): 546 - 547. [Full Text] [PDF]
|
|
|
|
 |
|
 C.Y. Lovato and S. Maggi School-Based Smoking Prevention Program Is Not Effective AAP Grand Rounds, March 1, 2001; 5(3): 25 - 26. [Full Text] [PDF]
|
|
|
|
|
|
A. Jemal, K. C. Chu, and R. E. Tarone Recent Trends in Lung Cancer Mortality in the United States J Natl Cancer Inst, February 21, 2001; 93(4): 277 - 283. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. R. Clayton, F. D. Scutchfield, and S. W. Wyatt Hutchinson Smoking Prevention Project: a New Gold Standard in Prevention Science Requires New Transdisciplinary Thinking J Natl Cancer Inst, December 20, 2000; 92(24): 1964 - 1965. [Full Text] [PDF]
|
|