Smoking is the largest single cause of preventable illness in the UK, but whilst adult smoking prevalence has been falling, smoking amongst teenagers has risen over the last decade. There is no rigorous evidence to support the effectiveness of anti-smoking programmes in UK schools.
Cluster randomised trial.
- Peer-nominated students in Year 8 (aged 12-13) were recruited as ‘peer supporters’ and given intensive training off the school premises by professional health promotion staff. The peer supporters were trained to intervene effectively with their Year 8 peers in everyday situations to discourage them smoking.
- Fifty-nine schools in South Wales and Bristol were randomly allocated either to continue with their normal smoking education programme, or to do so with additional peer supporter training.
- Students were followed up for two years to see whether smoking prevalence in the intervention schools was lower than that in the schools which did not receive the training.
- DECIPHer Impact Limited
- Hollingworth W, Cohen D, Hawkins J, Hughes RA, Moore L, Holliday JC, Audrey S, Starkey F, Campbell R (2012). ‘Reducing Smoking in Adolescents: Cost-Effectiveness Results From the Cluster Randomized ASSIST (A Stop Smoking In Schools Trial)’Nicotine and Tobacco Research 14 (2):161-168.
- Starkey F, Audrey S, Holliday J, Moore L, Campbell R. (2009). ‘Identifying influential young people to undertake effective peer-led health promotion: the example of A Stop Smoking In Schools Trial (ASSIST)’ Health Education Research 24 (6): 977-988.
- Holliday J, Audrey S, Moore L, Parry-Langdon N, Campbell R. (2009). ‘High fidelity? How should we consider variations in the delivery of school-based health promotion interventions?’ Health Education Journal 68(1):44-62.
- Campbell R, Starkey F, Holliday J, Audrey S, Bloor M, Parry- Langdon N, Hughes R, Moore L. (2008) ‘An informal school-based peer-led intervention for smoking prevention in adolescence (ASSIST): A cluster randomised trial’. Lancet 371:1595-1602.
- Audrey S, Holliday J, Campbell R (2008). ‘Commitment and compatibility: Teachers’ perspectives on the implementation of an effective school-based, peer-led smoking intervention’. Health Education Journal 67:74-90.
- Audrey S, Holliday J, Parry-Langdon N, Campbell R (2006). ‘Meeting the challenges of implementing process evaluation within randomised controlled trials: the example of ASSIST (A Stop Smoking in Schools Trial)’. Health Education Research21(3):366-377.
- Audrey S, Holliday J, Campbell R (2006) ‘It’s good to talk: An adolescent perspective of talking to their friends about being smoke-free’. Social Science and Medicine 63(2):320-344.
- Starkey F, Moore L, Campbell R, Sidaway M, Bloor M (2005). ‘Rationale, design and conduct of a comprehensive evaluation of a school-based peer-led anti-smoking intervention in the UK: the ASSIST cluster randomised trial’ [ISRCTN55572965]’. BMC Public Health 5:43.
- Audrey S, Cordall K, Moore L, Cohen D, Campbell R (2004). ‘The development and implementation of a peer-led intervention to prevent smoking among secondary school students using their established social networks’. Health Education Journal63(3):266-284.
- Parry-Langdon N, Bloor M, Audrey S, Holliday J. (2003). ‘Process evaluation of health promotion interventions’. Policy and Politics 31(2):207-16.
- Video on ASSIST, featuring DECIPHer’s Professor Laurence Moore discussing the programme and some of its successes: