Identifying influential young people to undertake effective peer-led health promotion: the example of A Stop Smoking In Schools Trial (ASSIST)

The objective of the study was to develop and evaluate an effective whole-community approach to identifying a diverse group of influential young people to effectively diffuse health promotion messages among their peers. A peer nomination questionnaire, developed through extensive piloting work, was...

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Publicado en:Health Education Research Vol. 24; no. 6; pp. 977 - 989
Autores principales: Starkey F, Audrey S, Holliday J, Moore L, Campbell R
Formato: clinical trial research tables/charts Journal Article
Publicado: Oxford University Press / USA Dec2009
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2009
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      pub: Oxford University Press / USA
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        atl: Identifying influential young people to undertake effective peer-led health promotion: the example of A Stop Smoking In Schools Trial (ASSIST)
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        au:
          Starkey F
          Audrey S
          Holliday J
          Moore L
          Campbell R
        affil: Department of Social Medicine, University of Bristol, Canynge Hall, Whiteladies Road, Bristol BS2 8PS, UK.
      sug:
        subj:
          Health Personnel, Unlicensed
          Health Promotion In Adolescence
          Peer Group
          Peer Pressure
          Program Implementation
          Smoking Prevention and Control
          Adolescence
          Clinical Trials
          Cluster Analysis
          Confidence Intervals
          Female
          Funding Source
          Human
          Male
          Odds Ratio
          Questionnaires
          Semi-Structured Interview
          Adolescent: 13-18 years
          Female
          Male
      ab: The objective of the study was to develop and evaluate an effective whole-community approach to identifying a diverse group of influential young people to effectively diffuse health promotion messages among their peers. A peer nomination questionnaire, developed through extensive piloting work, was completed by 10 730 Year 8 students (aged 12-13 years) in 59 schools (30 intervention, 29 control) as part of a cluster randomized controlled trial. Influential students identified in 30 intervention schools were trained to disseminate smoke-free health promotion messages through informal contacts with peers. This approach successfully identified, recruited and retained a diverse group of students, broadly representative of their year group, to undertake the role of 'peer supporter'. Although students and staff expressed doubts about the suitability of some young people recruited as peer supporters, the intervention achieved a 22% reduction in the odds of being a regular smoker in intervention compared with control schools [odds ratio 0.78 (95% CI 0.64-0.96)]. Carefully designed and developed peer-led interventions have potential for delivering effective smoking prevention among adolescents. Paying close attention to the way in which peer educators are identified, and involving young people themselves in this process, may be the key to increasing the effectiveness of peer education.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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