Kentucky Adolescent Tobacco Prevention Project (OJJDP Model Program Guide)

Office of Justice Programs, Innovation - Partnerships – Safer Neighborhoods

Office of Juvenile Justice and Delinquency Prevention (OJJDP) Serving Children, Families and Communities

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Kentucky Adolescent Tobacco Prevention Project

Intervention:

The Kentucky Adolescent Tobacco Prevention Project is a school-based curriculum for high-risk middle school students who live in tobacco-producing areas. The six-session program uses trained peer leaders to assist with skills training. Students learn

How to recognize types of peer pressure
Refusal skills
Assertiveness skills
How to recognize and counter advertising appeals

In the program, students pledge not to use tobacco, and they learn about the negative consequences of using tobacco, including immediate physical consequences. The program includes three booster sessions to reinforce earlier-taught concepts. The basic curriculum is delivered in seventh grade. Three booster sessions are delivered in eighth grade.

Evaluation Methodology:

The evaluation investigated the efficacy of a social-influences tobacco-prevention program in delaying adoption of tobacco use among adolescents residing in a high-tobacco-production area. The study involved a randomized community design with random allocation of entire schools to study conditions, along with a nested experimental design in which students within schools were followed over time to assess the effect of the intervention. The sample included 19 schools in 14 counties, which annually produce an average of 7.7 million pounds of tobacco. A total of 3,588 seventh grade students with a mean age of 12.4 years were included in the baseline analysis. Of these students, 50.8 percent were girls, 92.0 percent were white, 5.6 percent were African-American. Data analysis included the 3,072 students present for all three surveys.

Students in 10 schools received the educational intervention in the springs of seventh and eighth grade. Students in nine schools received health education as usual. Measurements of tobacco use (both smokeless and cigarettes) and other variables were collected in the autumns of seventh, eighth, and ninth grades. Data collection was conducted through class-administered surveys and privately administered tests for carbon monoxide in expired air.

Evaluation Outcome:

The study found that minimal intervention with a high-risk group achieved modest effects. Specifically, when compared with the control group, smoking rates in the treatment group were lower for 30-day, 7-day, and 24-hour smoking. The intervention particularly affected those involved in raising tobacco. For instance, the differences between the treatment and control group for those involved in raising tobacco were 29 percent (30 days), 25 percent (7 days), and 30 percent (24 hours), while the differences between the treatment and control group for those not involved in tobacco raising were lower at 23 percent (30 days), 21 percent (7 days), and 23 percent (24 hours). However, the intervention did not appear to affect the use of smokeless tobacco by male students.

Other Information:

References:

Noland, Melody Powers. 1996. “Tobacco Prevention in Tobacco-Raising Areas: Lessons From the Lions Den.” Journal of School Health 66(7):266–68.
Noland, Melody Powers, Richard J. Kryscio, John Hinkle, Richard S. Riggs, Linda H. Linville, Viki Y. Ford, and Thomas C. Tucker. 1996. “Relationship of Personal Tobacco-Raising, Parental Smoking, and Other Factors to Tobacco Use Among Adolescents Living in a Tobacco-Producing Region.” Addictive Behaviors 21(3):349–61.
Noland, Melody Powers, Richard J. Kryscio, Richard S. Riggs, Linda H. Linville, Viki Y. Ford, and Thomas C. Tucker. 1998. “The Effectiveness of a Tobacco Prevention Program With Adolescents Living in a Tobacco-Producing Region.” American Journal of Public Health 88(12):1862–65.

Program Specification:

Current Rating:

Promising

Expected Date of Re-Review:

Spring 2013

Program Type:

Alcohol and Drug Therapy / Education

Classroom Curricula

Ethnicity:

African American

White

Gender:

Both

Age:

11 - 14

Target Settings:

Rural

Problem Behaviors:

Alcohol,Tobacco and Other Drug Use

Risk & Protective Factors:

Risk

Family

Family history of problem behavior / Parent criminality

Family management problems / Poor parental supervision and/or monitoring

Individual

Favorable attitudes toward drug use/Early onset of AOD use/Alcohol and/or drug use

Peer

Peer alcohol, tobacco, and/or other drug use

Protective

Family

Effective parenting

Individual

Positive / Resilient temperament

Peer

Involvement with positive peer group activities

Additional Information:

SAMHSA: NREPP

Status:

Program is in operation at this time.

Performance Measures:

Suggested OJJDP Performance Measures for the Program Types(s):

Delinquency Prevention
Classroom Curricula
Logic Model: PDF
Performance Matrix:PDF
School Programs
Classroom Curricula
Logic Model: PDF
Performance Matrix:PDF

Contact Information:

Program Developer:
Melody Powers Noland, Ph.D., CHES
202 Seaton Building
Department of Kinesiology and Health Promotion
Lexington, KY 40506–0219
Phone: 8592575826
Fax: 8593231090
Email: Click Here