Project EX: A Program of Empirical Research on Adolescent Tobacco Use Cessation
This paper presents the Project EX research program. The historical background for Project EX is presented, including a brief summary of reasons youth fail to quit tobacco use, the disappointing status of previous cessation research, and the teen cessation trial that provided the template for the cu...
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2004-09-01
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doaj-0b969ad65c684093b30ad5a9d70f0c802020-11-24T23:09:14ZengEuropean PublishingTobacco Induced Diseases1617-96252004-09-012March10.1186/1617-9625-2-3-11965876Project EX: A Program of Empirical Research on Adolescent Tobacco Use CessationSteve Sussman0William J McCuller1Hong Zheng2Yvonne M Pfingston3James Miyano4Clyde W Dent5Institute for Health Promotion & Disease Prevention Research, University of Southern California, Alhambra, USAInstitute for Health Promotion & Disease Prevention Research, University of Southern California, Alhambra, USAInstitute for Health Promotion & Disease Prevention Research, University of Southern California, Alhambra, USAInstitute for Health Promotion & Disease Prevention Research, University of Southern California, Alhambra, USAInstitute for Health Promotion & Disease Prevention Research, University of Southern California, Alhambra, USAInstitute for Health Promotion & Disease Prevention Research, University of Southern California, Alhambra, USAThis paper presents the Project EX research program. The historical background for Project EX is presented, including a brief summary of reasons youth fail to quit tobacco use, the disappointing status of previous cessation research, and the teen cessation trial that provided the template for the current project (Project TNT). Next, program development studies for Project EX are described. Through use of focus groups, a theme study (concept evaluation of written activity descriptions), a component study, and pilot studies, an eight-session program was developed. This program involves novel activities (e.g., "talk show enactments," games, and alternative medicine-type activities such as yoga and meditation) in combination with motivation enhancement and cognitive-behavioral strategies to motivate and instruct in cessation initiation and maintenance efforts. The outcomes of the first experimental trial of Project EX, a school-based clinic program, are described, followed by a posthoc analysis of its effects mediation. A second EX study, a multiple baseline single group pilot study design in Wuhan, China, is described next. Description of a second experimental trial follows, which tested EX with nicotine gum versus a natural herb. A third experimental trial that tests a classroom prevention/cessation version of EX is then introduced. Finally, the implications of this work are discussed. The intent-to-treat quit rate for Project EX is approximately 15% across studies, double that of a standard care comparison. Effects last up to a six-month post-program at regular and alternative high schools. Through a systematic protocol of empirical program development and field trials, an effective and replicable model teen tobacco use cessation program is established. Future cessation work might expand on this work.http://www.journalssystem.com/tid/Project-EX-A-Program-of-Empirical-Research-on-Adolescent-Tobacco-Use-Cessation,65876,0,2.htmlnicotinesmokeless tobaccotobacco cessationtobacco usersmoking cessation program |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Steve Sussman William J McCuller Hong Zheng Yvonne M Pfingston James Miyano Clyde W Dent |
spellingShingle |
Steve Sussman William J McCuller Hong Zheng Yvonne M Pfingston James Miyano Clyde W Dent Project EX: A Program of Empirical Research on Adolescent Tobacco Use Cessation Tobacco Induced Diseases nicotine smokeless tobacco tobacco cessation tobacco user smoking cessation program |
author_facet |
Steve Sussman William J McCuller Hong Zheng Yvonne M Pfingston James Miyano Clyde W Dent |
author_sort |
Steve Sussman |
title |
Project EX: A Program of Empirical Research on Adolescent Tobacco Use Cessation |
title_short |
Project EX: A Program of Empirical Research on Adolescent Tobacco Use Cessation |
title_full |
Project EX: A Program of Empirical Research on Adolescent Tobacco Use Cessation |
title_fullStr |
Project EX: A Program of Empirical Research on Adolescent Tobacco Use Cessation |
title_full_unstemmed |
Project EX: A Program of Empirical Research on Adolescent Tobacco Use Cessation |
title_sort |
project ex: a program of empirical research on adolescent tobacco use cessation |
publisher |
European Publishing |
series |
Tobacco Induced Diseases |
issn |
1617-9625 |
publishDate |
2004-09-01 |
description |
This paper presents the Project EX research program. The historical background for Project EX is presented, including a brief summary of reasons youth fail to quit tobacco use, the disappointing status of previous cessation research, and the teen cessation trial that provided the template for the current project (Project TNT). Next, program development studies for Project EX are described. Through use of focus groups, a theme study (concept evaluation of written activity descriptions), a component study, and pilot studies, an eight-session program was developed. This program involves novel activities (e.g., "talk show enactments," games, and alternative medicine-type activities such as yoga and meditation) in combination with motivation enhancement and cognitive-behavioral strategies to motivate and instruct in cessation initiation and maintenance efforts. The outcomes of the first experimental trial of Project EX, a school-based clinic program, are described, followed by a posthoc analysis of its effects mediation. A second EX study, a multiple baseline single group pilot study design in Wuhan, China, is described next. Description of a second experimental trial follows, which tested EX with nicotine gum versus a natural herb. A third experimental trial that tests a classroom prevention/cessation version of EX is then introduced. Finally, the implications of this work are discussed. The intent-to-treat quit rate for Project EX is approximately 15% across studies, double that of a standard care comparison. Effects last up to a six-month post-program at regular and alternative high schools. Through a systematic protocol of empirical program development and field trials, an effective and replicable model teen tobacco use cessation program is established. Future cessation work might expand on this work. |
topic |
nicotine smokeless tobacco tobacco cessation tobacco user smoking cessation program |
url |
http://www.journalssystem.com/tid/Project-EX-A-Program-of-Empirical-Research-on-Adolescent-Tobacco-Use-Cessation,65876,0,2.html |
work_keys_str_mv |
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1725610787451437056 |