A randomized controlled trial of Oregon's comprehensive preventive intervention is proposed. The project will extend a successful collaboration between state agencies and Oregon Research Institute that for 3 years has measured tobacco control practices, individual risk/protective factors, the prevalence of tobacco use, and other healthy/harmful behaviors of adolescents in a cluster sample of 1/3 of Oregon middle and high schools. Oregon's Tobacco Prevention and Education Program (TPEP) is a tobacco tax-funded intervention that supports school districts and their communities in implementing a prevention program. The components of the program include policies against tobacco use, school-based curricula, youth anti-tobacco activities, family communications about tobacco, and access reduction efforts. Using a group-randomized design, with a waitlist/ multiple design feature, 36 school districts, not previously receiving tobacco program funding, will be randomly assigned either to intervention 1, 3, or 4 years into the project or to a no-intervention control condition. Annual assessments of all 8th and 11th graders have been obtained for the past 3 years and will continue for the 5 years of this project. Data on implementation and mediators of program effects will be obtained from students, teachers, principals, prevention coordinators, access purchase surveys, and archival records from schools, police, and city councils. The primary aim of the study is to conduct a true experimental field trial of a state program. In doing so, it will provide evidence about the implementation and effectiveness of comprehensive tobacco prevention programs when administered by the state and delivered by non-research personnel. It is thus both an effectiveness and a dissemination trial. Given the comprehensive nature of our survey instrument, we will also be able to test whether a prevention program targeting tobacco use has an impact on young people's engagement in other problem behaviors. Finally, the proposed research will permit continuing our analyses of the relationship of adolescent smoking to other healthy and harmful behaviors and of the role played by social context factors in influencing the development of these behaviors.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project (R01)
Project #
5R01CA086169-06
Application #
6891268
Study Section
Social Sciences, Nursing, Epidemiology and Methods 4 (SNEM)
Program Officer
Vollinger, Robert
Project Start
2000-05-11
Project End
2009-04-30
Budget Start
2005-05-01
Budget End
2006-04-30
Support Year
6
Fiscal Year
2005
Total Cost
$1,229,431
Indirect Cost
Name
Oregon Research Institute
Department
Type
DUNS #
053615423
City
Eugene
State
OR
Country
United States
Zip Code
97403
Biglan, Anthony; Barnes-Holmes, Yvonne (2015) Acting in Light of the Future: How Do Future-Oriented Cultural Practices Evolve and How Can We Accelerate Their Evolution? J Contextual Behav Sci 4:184-195
Marchand, Erica; Smolkowski, Keith (2013) Forced intercourse, individual and family context, and risky sexual behavior among adolescent girls. J Adolesc Health 52:89-95
Embry, Dennis; Hankins, Martin; Biglan, Anthony et al. (2009) Behavioral and social correlates of methamphetamine use in a population-based sample of early and later adolescents. Addict Behav 34:343-51
Lipperman-Kreda, Sharon; Grube, Joel W (2009) Students' perception of community disapproval, perceived enforcement of school antismoking policies, personal beliefs, and their cigarette smoking behaviors: results from a structural equation modeling analysis. Nicotine Tob Res 11:531-9
Lipperman-Kreda, Sharon; Paschall, Mallie J; Grube, Joel W (2009) Perceived enforcement of school tobacco policy and adolescents' cigarette smoking. Prev Med 48:562-6
Pizacani, Barbara A; Dent, Clyde W; Maher, Julie E et al. (2009) Smoking patterns in Oregon youth: effects of funding and defunding of a comprehensive state tobacco control program. J Adolesc Health 44:229-36
Gordon, Judith; Biglan, Anthony; Smolkowski, Keith (2008) The impact on tobacco use of branded youth anti-tobacco activities and family communications about tobacco. Prev Sci 9:73-87
Severson, Herbert H; Forrester, Kathleen K; Biglan, Anthony (2007) Use of smokeless tobacco is a risk factor for cigarette smoking. Nicotine Tob Res 9:1331-7
Boles, Shawn; Biglan, Anthony; Smolkowski, Keith (2006) Relationships among negative and positive behaviours in adolescence. J Adolesc 29:33-52
Dent, Clyde W; Grube, Joel W; Biglan, Anthony (2005) Community level alcohol availability and enforcement of possession laws as predictors of youth drinking. Prev Med 40:355-62

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