|
1
|
Brinker TJ, Krieghoff-Henning EI, Suhre JL, Silchmüller MP, Divizieva E, Wilhelm J, Hillebrand G, Haney AC, Srivastava A, Haney CM, Seeger W, Penka D, Gall H, Gaim B, Glisic L, Stark T, Swoboda SM, Baumermann S, Brieske CM, Jakob L, Fahrner HM, Anhuef O, Schmidt SM, Alfitian J, Taha L, Beißwenger H, Groneberg DA, Thomas RE, Fröhling S, von Kalle C, Baudson TG, Buslaff F, Mons U. Evaluation of a medical student-delivered smoking prevention program utilizing a face-aging mobile app for secondary schools in Germany: The Education Against Tobacco cluster-randomized controlled trial. Eur J Cancer 2024; 209:114255. [PMID: 39111207 DOI: 10.1016/j.ejca.2024.114255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2024] [Revised: 07/16/2024] [Accepted: 07/18/2024] [Indexed: 08/25/2024]
Abstract
BACKGROUND To reduce smoking uptake in adolescents, the medical students' network Education Against Tobacco (EAT) has developed a school-based intervention involving a face-aging mobile app (Smokerface). METHODS A two-arm cluster-randomized controlled trial was conducted, evaluating the 2016 EAT intervention, which employed the mobile app Smokerface and which was delivered by medical students. Schools were randomized to intervention or control group. Surveys were conducted at baseline (pre-intervention) and at 9, 16, and 24 months post-intervention via paper & pencil questionnaires. The primary outcome was the difference in within-group changes in smoking prevalence between intervention and control group at 24 months. RESULTS Overall, 144 German secondary schools comprising 11,286 pupils participated in the baseline survey, of which 100 schools participated in the baseline and at least one of the follow-up surveys, yielding 7437 pupils in the analysis sample. After 24 months, smoking prevalence was numerically lower in the intervention group compared to control group (12.9 % vs. 14.3 %); however, between-group differences in change in smoking prevalence between baseline and 24-months follow-up (OR=0.83, 95 %-CI: 0.64-1.09) were not statistically significant (p = 0.176). Intention to start smoking among baseline non-smokers declined non-significantly in the intervention group (p = 0.064), and remained essentially unchanged in the control group, but between-group differences in changes at the 24-months follow-up (OR=0.88, 0.64-1.21) were not statistically significant (p = 0.417). CONCLUSION While a trend towards beneficial effects of the intervention regarding smoking prevalence as well as intention to start smoking among baseline non-smokers was observed, our smoking prevention trial demonstrated no significant effect of the intervention.
Collapse
Affiliation(s)
- Titus J Brinker
- Digital Biomarkers for Oncology Group, German Cancer Research Center (DKFZ), University of Heidelberg, Heidelberg, Germany.
| | - Eva I Krieghoff-Henning
- Digital Biomarkers for Oncology Group, German Cancer Research Center (DKFZ), University of Heidelberg, Heidelberg, Germany
| | | | | | - Evgenia Divizieva
- Department of Radiation Oncology, Heinrich Heine University, Dusseldorf, Germany
| | - Jilada Wilhelm
- Department of Radiation Oncology, Heinrich Heine University, Dusseldorf, Germany
| | | | - Ailís C Haney
- Department of Cardiology, Angiology and Pneumology, Heidelberg University Hospital, Heidelberg, Germany
| | | | | | - Werner Seeger
- Department of Internal Medicine, Universities of Giessen and Marburg Lung Center (UGMLC), Cardio-Pulmonary Institute (CPI), Institute for Lung Health (ILH), Justus-Liebig University, Giessen, Germany
| | - Dominik Penka
- Department of Internal Medicine, Universities of Giessen and Marburg Lung Center (UGMLC), Cardio-Pulmonary Institute (CPI), Institute for Lung Health (ILH), Justus-Liebig University, Giessen, Germany
| | - Henning Gall
- Department of Internal Medicine, Universities of Giessen and Marburg Lung Center (UGMLC), Cardio-Pulmonary Institute (CPI), Institute for Lung Health (ILH), Justus-Liebig University, Giessen, Germany
| | | | | | | | | | | | - Christian M Brieske
- Department of Transfusion Medicine, University Hospital of Essen, Essen, Germany
| | - Lena Jakob
- Department of Anesthesiology and Critical Care, Medical Center - University of Freiburg, Freiburg, Germany
| | - Hannah Maria Fahrner
- Department of Anesthesiology and Critical Care, Medical Center - University of Freiburg, Freiburg, Germany
| | - Ole Anhuef
- University Hospital of Tuebingen, University of Tuebingen, Germany
| | | | - Jonas Alfitian
- Department of Anaesthesiology and Intensive Care Medicine, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany
| | - Lava Taha
- Department of Otorhinolaryngology, Head and Neck Surgery, University of Erlangen-Nuremberg, Erlangen, Germany
| | | | - David A Groneberg
- Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe-University, Frankfurt, Germany
| | - Roger E Thomas
- University of Calgary, Health Sciences Centre, Calgary, Alberta, Canada
| | - Stefan Fröhling
- Division of Translational Medical Oncology, German Cancer Research Center (DKFZ) and National Center for Tumor Diseases (NCT) Heidelberg, Heidelberg, Germany
| | - Christof von Kalle
- Berlin Institute of Health at Charité - University Medicine Berlin, Clinical Study Center, Berlin, Germany
| | | | - Fabian Buslaff
- Department of Urology and Center for Computer-assisted and Robotic Urology, Protestant Hospital of Bethel Foundation, University Hospital OWL of the University of Bielefeld, Campus Bielefeld-Bethel, Bielefeld, Germany
| | - Ute Mons
- Department of Cardiology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany; Division Primary Cancer Prevention, German Cancer Research Center (DKFZ), Heidelberg, Germany; Medical Faculty Mannheim, Heidelberg University, Heidelberg, Germany
| |
Collapse
|
|
2
|
Kuenemann M, Gaillet M, Shankland R, Fournier J, Boussat B, François P. Healthcare students' prevention training in a sanitary service: analysis of health education interventions in schools of the Grenoble academy. BMC MEDICAL EDUCATION 2023; 23:302. [PMID: 37131182 PMCID: PMC10152411 DOI: 10.1186/s12909-023-04235-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/23/2022] [Accepted: 04/06/2023] [Indexed: 05/04/2023]
Abstract
BACKGROUND The sanitary service is a mandatory prevention training programme for all French healthcare students. Students receive training and then have to design and carry out a prevention intervention with various populations. The aim of this study was to analyse the type of health education interventions carried out in schools by healthcare students from one university in order to describe the topics covered and the methods used. METHOD The 2021-2022 sanitary service of University Grenoble Alpes involved students in maieutic, medicine, nursing, pharmacy and physiotherapy. The study focused on students who intervened in school contexts. The intervention reports written by the students were read doubly by independent evaluators. Information of interest was collected in a standardised form. RESULTS Out of the 752 students involved in the prevention training program, 616 (82%) were assigned to 86 schools, mostly primary schools (58%), and wrote 123 reports on their interventions. Each school hosted a median of 6 students from 3 different fields of study. The interventions involved 6853 pupils aged between 3 and 18 years. The students delivered a median of 5 health prevention sessions to each pupil group and spent a median of 25 h (IQR: 19-32) working on the intervention. The themes most frequently addressed were screen use (48%), nutrition (36%), sleep (25%), harassment (20%) and personal hygiene (15%). All students used interactive teaching methods such as workshops, group games or debates that was addressed to pupils' psychosocial (mainly cognitive and social) competences. The themes and tools used differed according to the pupils' grade levels. CONCLUSION This study showed the feasibility of conducting health education and prevention activities in schools by healthcare students from five professional fields who had received appropriate training. The students were involved and creative, and they were focused on developing pupils' psychosocial competences.
Collapse
Affiliation(s)
- Marie Kuenemann
- Department of Epidemiology and Medical Evaluation, University Hospital of Grenoble-Alpes, Grenoble, France
| | - Mélanie Gaillet
- Department of Epidemiology and Medical Evaluation, University Hospital of Grenoble-Alpes, Grenoble, France
| | - Rebecca Shankland
- DIPHE, University Lumière Lyon 2, Lyon, France
- University Institute of France, Paris, France
| | - Joey Fournier
- Department of Epidemiology and Medical Evaluation, University Hospital of Grenoble-Alpes, Grenoble, France
| | - Bastien Boussat
- Department of Epidemiology and Medical Evaluation, University Hospital of Grenoble-Alpes, Grenoble, France
- TIMC-IMAG Laboratory, University of Grenoble Alpes, Grenoble, France
| | - Patrice François
- Department of Epidemiology and Medical Evaluation, University Hospital of Grenoble-Alpes, Grenoble, France.
- TIMC-IMAG Laboratory, University of Grenoble Alpes, Grenoble, France.
- Service d'épidémiologie et évaluation médicale, CHU Grenoble-Alpes, Pavillon Taillefer, La Tronche, 38700, France.
| |
Collapse
|