The TOBg Tobacco Treatment Guidelines for Adolescents: A real-world pilot study
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University Mental Health Research Institute (UMHRI), Athens, Greece
Division of Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, Canada
Faculty of Medicine, University of Ottawa, Ottawa, Canada
George D. Behrakis Research Lab, Hellenic Cancer Society, Athens, Greece
Institute of Public Health, American College of Greece, Athens, Greece
PYXIDA Prevention Centre, Thessaloniki, Greece
PRONOI Prevention Centre, Athens, Greece
Department of Psychiatry, National & Kapodistrian University of Athens, Medical School, Athens, Greece
Anastasios Fotiou   

University Mental Health Research Institute (UMHRI), 2, Soranou tou Efesiou str., P.O. Box 665 17, Papagou, GR-156 01 Athens, Greece
Publish date: 2018-07-13
Submission date: 2018-03-26
Final revision date: 2018-06-15
Acceptance date: 2018-07-06
Tob. Prev. Cessation 2018;4(July):27
We conducted a pilot study to: 1) obtain feedback from prevention practitioners in terms of their satisfaction, knowledge, and self-efficacy following exposure to the Tobacco Treatment Guidelines for Adolescents (TOBg Guidelines); and 2) examine the effectiveness of a school-based intervention based on the TOBg Guidelines on quit rates among a sample of adolescent tobacco users.

Two parallel studies were conducted. In Study 1, prevention practitioners were exposed to a 1-day training in the TOBg Guidelines with assessment occurring before, immediately after, and at 6 months following the training. In Study 2, participating adolescent smokers were exposed to a 3-session group-based smoking cessation intervention that drew on the TOBg Guidelines and was delivered by practitioners trained in Study 1. The primary outcome measure was self-reported smoking status assessed at 1 month and at 6 months following baseline.

A total of 18 prevention practitioners and 65 adolescent tobacco users participated in the pilot study. The majority of practitioners reported high rates of satisfaction with the TOBg Guidelines and indicated that the guidelines positively influenced the manner in which they addressed tobacco use with adolescents. Prevention practitioners’ self-efficacy for intervening with adolescent smokers was also significantly increased following exposure to the TOBg Guidelines and training. Among adolescents exposed to the school-based intervention, 62.5% and 23.1% had reduced smoking by 50% or more at 1 month and at 6 months follow-up, respectively. No significant change in smoking abstinence was documented.

The TOBg Guidelines for adolescent smokers were well received by prevention practitioners and were feasible to implement in a real-world school setting.

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