© 2000 by Oxford University Press
Journal of the National Cancer Institute, Vol. 92, No. 24, 1964-1965,
December 20, 2000
© 2000 Oxford University Press
EDITORIAL |
Hutchinson Smoking Prevention Project: a New Gold Standard in Prevention Science Requires New Transdisciplinary Thinking
Affiliations of authors: Kentucky Prevention Research Center and Kentucky School of Public Health, University of Kentucky, Lexington.
Correspondence to: Richard R. Clayton, Ph.D., Good Samaritan Foundation Professor of Health Behavior, Kentucky School of Public Health, University of Kentucky, 1151 Red Mile Rd., Suite 1A, Lexington, KY 40504 (e-mail: clayton@pop.uky.edu).
In this issue of the Journal is a classic study of health behavioral change intervention. The Hutchinson Smoking Prevention Project (HSPP) (1) is destined to become the gold standard in prevention science, the definitive study on the social-influences approach to prevention. Whenever such an impressive intervention study finds no effect on the outcomes, there is a search for what could possibly have gone wrong (2,3). Before commenting on more plausible explanations for the findings, we will review the usual list of suspects.
First, the research design was elegant. Forty school districts were matched, randomly ordered, and randomly assigned to either the experimental (i.e., intervention) or the control condition. The integrity of the research design was sustained for 15 years. No findings were released before the final results were compiled. Moreover, there was impressive initial equivalence in the pairs of randomly assigned districts. Thus, in
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