The goal of this project is to prevent the onset and reduce the prevalence of tobacco use among adolescents in India. There are three specific aims of the project. 1) To conduct a randomized, multi component, community intervention trial in 4 cities and 56 schools in India, focusing on preventing the onset and reducing the prevalence of tobacco use among adolescents in grades 6-9, using an updated Project Health Related Information Dissemination Among Youth (HRIDAY) intervention. 2) To increase the capacity of researchers in India to conduct large scale behavioral interventions, including applying behavioral theories in intervention design, developing valid and reliable measures, conducting thorough process evaluation, tracking a large number of students over time, and analyzing data using appropriate methods for group randomized trials. 3) To increase the capacity of school students, school staff and community members to conduct effective tobacco control to reduce adolescent tobacco use. Two large cities (Delhi and Chennai) and two middle-sized towns (Indore and Bhubaneswar) will be recruited. Within cities, 12-16 schools will be selected, matched, and randomly assigned to one of two conditions: the Project HRIDAY multi component intervention or delayed intervention program (control). The Project HRIDAY condition involves classroom based behavioral curricula in grades 6-9, parental education, media advocacy, peer leadership, and community linkage programs. The delayed program condition will receive intervention programs and training in Year 5 of the study. All intervention materials will be developed by the investigators based on prior research. The interventions will be evaluated with two cohort samples of young adolescents over two years. The cohorts will be in grades 6 and 8 in each of the 56 schools at pretest. Outcomes with adults will be measured using interviews with a sample of adults in the neighborhoods near the schools. Process measures will assess teacher compliance and feedback, peer participation and perceptions, and implementation of the parent, media, and community components. Capacity building will be accomplished through an extended seminar at the University of Minnesota; face to face meetings among the investigators; training sessions with community coordinators, community facilitators from local non government organizations, teachers and peer leaders; and a dissemination workshop with representatives from all states and territories in India.

Agency
National Institute of Health (NIH)
Institute
Fogarty International Center (FIC)
Type
Research Project (R01)
Project #
5R01TW005952-05
Application #
7093635
Study Section
Special Emphasis Panel (ZCA1-SRRB-Q (M1))
Program Officer
Primack, Aron
Project Start
2002-07-01
Project End
2006-09-28
Budget Start
2006-07-01
Budget End
2006-09-28
Support Year
5
Fiscal Year
2006
Total Cost
$23,956
Indirect Cost
Name
University of Minnesota Twin Cities
Department
Public Health & Prev Medicine
Type
Schools of Public Health
DUNS #
555917996
City
Minneapolis
State
MN
Country
United States
Zip Code
55455
Mathur, Charu; Stigler, Melissa H; Erickson, Darin J et al. (2014) Change in tobacco use over time in urban Indian youth: the moderating role of socioeconomic status. Health Educ Behav 41:121-6
Mathur, Charu; Stigler, Melissa H; Erickson, Darin J et al. (2014) Socioeconomic differences in the risk profiles of susceptibility and ever use of tobacco among Indian urban youth: a latent class approach. Nicotine Tob Res 16:454-60
Brown 3rd, H Shelton; Stigler, Melissa; Perry, Cheryl et al. (2013) The cost-effectiveness of a school-based smoking prevention program in India. Health Promot Int 28:178-86
Arora, Monika; Gupta, Vinay K; Nazar, Gaurang P et al. (2012) Impact of tobacco advertisements on tobacco use among urban adolescents in India: results from a longitudinal study. Tob Control 21:318-24
Stigler, Melissa Harrell; Perry, Cheryl L; Smolenski, Derek et al. (2011) A mediation analysis of a tobacco prevention program for adolescents in India: how did project MYTRI work? Health Educ Behav 38:231-40
Arora, Monika; Stigler, Melissa H; Reddy, K Srinath (2011) Effectiveness of health promotion in preventing tobacco use among adolescents in India: research evidence informs the National Tobacco Control Programme in India. Glob Health Promot 18:9-12
Goenka, Shifalika; Tewari, Abha; Arora, Monika et al. (2010) Process evaluation of a tobacco prevention program in Indian schools--methods, results and lessons learnt. Health Educ Res 25:917-35
Cropsey, Karen L; Jones-Whaley, Shannon; Jackson, Dorothy O et al. (2010) Smoking characteristics of community corrections clients. Nicotine Tob Res 12:53-8
Stigler, Melissa; Dhavan, Poonam; Van Dusen, Duncan et al. (2010) Westernization and tobacco use among young people in Delhi, India. Soc Sci Med 71:891-7
Dhavan, Poonam; Stigler, Melissa H; Perry, Cheryl L et al. (2009) Patterns of tobacco use and psychosocial risk factors among students in 6th through 10th grades in India: 2004-2006. Asian Pac J Cancer Prev 10:807-13

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