Photoaging smartphone app promoting poster campaign to reduce smoking prevalence in secondary schools: the Smokerface Randomized Trial: design and baseline characteristics

Introduction Smoking is the largest cause of preventable death globally. Most smokers smoke their first cigarette in early adolescence. We took advantage of the widespread availability of mobile phones and adolescents’ interest in appearance to develop a free photoaging app which is promoted via a p...

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Main Authors: Michael Kreuter, Fabian N Fries, Titus J Brinker, Ute Mons, David A Groneberg, Anil Batra, Werner Seeger, Felix Herth, Julia Holzapfel, Tanja G Baudson, Katharina Sies, Lena Jakob, Hannah Maria Baumert, Marlene Heckl, Ana Cirac, Janina L Suhre, Verena Mathes, Hannah Spielmann, Nancy Rigotti, Tobias Raupach, Henning Gall, Claudia Bauer, Pat Marek, Chase H Harrison, Lava Taha, Andreas Owczarek, Felix J Hofmann, Roger Thomas
Format: Article
Language:English
Published: BMJ Publishing Group 2016-11-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/6/11/e014288.full
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author Michael Kreuter
Fabian N Fries
Titus J Brinker
Ute Mons
David A Groneberg
Anil Batra
Werner Seeger
Felix Herth
Julia Holzapfel
Tanja G Baudson
Katharina Sies
Lena Jakob
Hannah Maria Baumert
Marlene Heckl
Ana Cirac
Janina L Suhre
Verena Mathes
Hannah Spielmann
Nancy Rigotti
Tobias Raupach
Henning Gall
Claudia Bauer
Pat Marek
Chase H Harrison
Lava Taha
Andreas Owczarek
Felix J Hofmann
Roger Thomas
author_facet Michael Kreuter
Fabian N Fries
Titus J Brinker
Ute Mons
David A Groneberg
Anil Batra
Werner Seeger
Felix Herth
Julia Holzapfel
Tanja G Baudson
Katharina Sies
Lena Jakob
Hannah Maria Baumert
Marlene Heckl
Ana Cirac
Janina L Suhre
Verena Mathes
Hannah Spielmann
Nancy Rigotti
Tobias Raupach
Henning Gall
Claudia Bauer
Pat Marek
Chase H Harrison
Lava Taha
Andreas Owczarek
Felix J Hofmann
Roger Thomas
author_sort Michael Kreuter
collection DOAJ
description Introduction Smoking is the largest cause of preventable death globally. Most smokers smoke their first cigarette in early adolescence. We took advantage of the widespread availability of mobile phones and adolescents’ interest in appearance to develop a free photoaging app which is promoted via a poster campaign in secondary schools. This study aims to evaluate its effectiveness regarding smoking prevalence and students’ attitudes towards smoking.Methods and analysis A randomised controlled trial is conducted with 9851 students of both genders with an average age of 12 years in grades 6 and 7 of 126 secondary schools in Germany. At present, cigarette smoking prevalence in our sample is 4.7%, with 4.6% of the students currently using e-cigarettes (1.6% use both). The prospective experimental study design includes measurements at baseline and at 6, 12 and 24 months postintervention via a questionnaire plus a random cotinine saliva sample at 24 months postintervention. The study groups consist of randomised schools receiving the Smokerface poster campaign and control schools with comparable baseline data (no intervention). The primary end point is the difference of change in smoking prevalence in the intervention group versus the difference in the control group at 24 months follow-up. Longitudinal changes in smoking-related attitudes, the number of new smokers and quitters and the change in the number of never-smokers will be compared between the two groups as secondary outcomes.Ethics and dissemination Ethical approval was obtained from the ethics committee of the University of Gießen and the ministries of cultural affairs, both in Germany. Results will be disseminated at conferences, in peer-reviewed journals, on our websites and throughout the multinational Education Against Tobacco network.Trial registration number NCT02544360, Pre-results.
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spelling doaj-art-7313f7fdf6b64410b1c69c7418e34ce62025-02-12T02:20:09ZengBMJ Publishing GroupBMJ Open2044-60552016-11-0161110.1136/bmjopen-2016-014288Photoaging smartphone app promoting poster campaign to reduce smoking prevalence in secondary schools: the Smokerface Randomized Trial: design and baseline characteristicsMichael Kreuter0Fabian N Fries1Titus J Brinker2Ute Mons3David A Groneberg4Anil Batra5Werner Seeger6Felix Herth7Julia Holzapfel8Tanja G Baudson9Katharina Sies10Lena Jakob11Hannah Maria Baumert12Marlene Heckl13Ana Cirac14Janina L Suhre15Verena Mathes16Hannah Spielmann17Nancy Rigotti18Tobias Raupach19Henning Gall20Claudia Bauer21Pat Marek22Chase H Harrison23Lava Taha24Andreas Owczarek25Felix J Hofmann26Roger Thomas27Center for Interstitial and Rare Lung Diseases, Department of Pneumology, Thoraxklinik, University of Heidelberg, and Translational Lung Research Center Heidelberg, German Center for Lung Research Germany, Heidelberg, GermanyDepartment of Ophthalmology, Saarland University Hospital and Saarland University Faculty of Medicine, Homburg, Germany1Universities of Gießen and Marburg Lung Center (UGMLC); Member of the German Center for Lung Research (DZL), Justus-Liebig-University of Gießen, Gießen, Germany3 Cancer Prevention Unit, Heidelberg, GermanyInstitute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe-Universitat Frankfurt am Main, Frankfurt am Main, Hessen, GermanyNeonatology, Madhukar Rainbow Children`s Hospital, Delhi, India4 The Cardio-Pulmonary Institute, Giessen, Hessen, GermanyDepartment of Pneumology and Critical Care Medicine, Thoraxklinik–Heidelberg GmbH, Translational Lung Research Center Heidelberg (TLRC), Heidelberg, Germany1Universities of Gießen and Marburg Lung Center (UGMLC); Member of the German Center for Lung Research (DZL), Justus-Liebig-University of Gießen, Gießen, Germany2University of Duisburg-Essen, Essen, Germany3University of Freiburg, Freiburg im Breisgau, Germany3University of Freiburg, Freiburg im Breisgau, Germany3University of Freiburg, Freiburg im Breisgau, Germany4Technical University of Munich, Munich, Germany4Technical University of Munich, Munich, Germany5University of Bonn, Bonn, Germany1Universities of Gießen and Marburg Lung Center (UGMLC); Member of the German Center for Lung Research (DZL), Justus-Liebig-University of Gießen, Gießen, GermanyInstitute of Nursing Science, University of Freiburg, Faculty of Medicine, Freiburg, Germany7Massachusetts General Hospital, Boston, Massachusetts, USA10Department of Cardiology and Pneumology, University Medical Centre, Göttingen, Germany1Universities of Gießen and Marburg Lung Center (UGMLC); Member of the German Center for Lung Research (DZL), Justus-Liebig-University of Gießen, Gießen, Germany8Pulmonary and Respiratory Critical Care Medicine, Thoraxklinik and Translational Lung Research Center Heidelberg (TLRCH), Member of the German Center for Lung Research (DZL), University of Heidelberg, Heidelberg, Germany11Division of Public Health Sciences, Cancer Prevention Research Program, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA13Department of Government, Faculty of Arts and Sciences, Harvard University, Cambridge, Massachusetts, USA14University of Erlangen-Nuremberg, Erlangen, Germany1Universities of Gießen and Marburg Lung Center (UGMLC); Member of the German Center for Lung Research (DZL), Justus-Liebig-University of Gießen, Gießen, Germany1Universities of Gießen and Marburg Lung Center (UGMLC); Member of the German Center for Lung Research (DZL), Justus-Liebig-University of Gießen, Gießen, Germany15University of Calgary, Health Sciences Centre, Calgary, Alberta, CanadaIntroduction Smoking is the largest cause of preventable death globally. Most smokers smoke their first cigarette in early adolescence. We took advantage of the widespread availability of mobile phones and adolescents’ interest in appearance to develop a free photoaging app which is promoted via a poster campaign in secondary schools. This study aims to evaluate its effectiveness regarding smoking prevalence and students’ attitudes towards smoking.Methods and analysis A randomised controlled trial is conducted with 9851 students of both genders with an average age of 12 years in grades 6 and 7 of 126 secondary schools in Germany. At present, cigarette smoking prevalence in our sample is 4.7%, with 4.6% of the students currently using e-cigarettes (1.6% use both). The prospective experimental study design includes measurements at baseline and at 6, 12 and 24 months postintervention via a questionnaire plus a random cotinine saliva sample at 24 months postintervention. The study groups consist of randomised schools receiving the Smokerface poster campaign and control schools with comparable baseline data (no intervention). The primary end point is the difference of change in smoking prevalence in the intervention group versus the difference in the control group at 24 months follow-up. Longitudinal changes in smoking-related attitudes, the number of new smokers and quitters and the change in the number of never-smokers will be compared between the two groups as secondary outcomes.Ethics and dissemination Ethical approval was obtained from the ethics committee of the University of Gießen and the ministries of cultural affairs, both in Germany. Results will be disseminated at conferences, in peer-reviewed journals, on our websites and throughout the multinational Education Against Tobacco network.Trial registration number NCT02544360, Pre-results.https://bmjopen.bmj.com/content/6/11/e014288.full
spellingShingle Michael Kreuter
Fabian N Fries
Titus J Brinker
Ute Mons
David A Groneberg
Anil Batra
Werner Seeger
Felix Herth
Julia Holzapfel
Tanja G Baudson
Katharina Sies
Lena Jakob
Hannah Maria Baumert
Marlene Heckl
Ana Cirac
Janina L Suhre
Verena Mathes
Hannah Spielmann
Nancy Rigotti
Tobias Raupach
Henning Gall
Claudia Bauer
Pat Marek
Chase H Harrison
Lava Taha
Andreas Owczarek
Felix J Hofmann
Roger Thomas
Photoaging smartphone app promoting poster campaign to reduce smoking prevalence in secondary schools: the Smokerface Randomized Trial: design and baseline characteristics
BMJ Open
title Photoaging smartphone app promoting poster campaign to reduce smoking prevalence in secondary schools: the Smokerface Randomized Trial: design and baseline characteristics
title_full Photoaging smartphone app promoting poster campaign to reduce smoking prevalence in secondary schools: the Smokerface Randomized Trial: design and baseline characteristics
title_fullStr Photoaging smartphone app promoting poster campaign to reduce smoking prevalence in secondary schools: the Smokerface Randomized Trial: design and baseline characteristics
title_full_unstemmed Photoaging smartphone app promoting poster campaign to reduce smoking prevalence in secondary schools: the Smokerface Randomized Trial: design and baseline characteristics
title_short Photoaging smartphone app promoting poster campaign to reduce smoking prevalence in secondary schools: the Smokerface Randomized Trial: design and baseline characteristics
title_sort photoaging smartphone app promoting poster campaign to reduce smoking prevalence in secondary schools the smokerface randomized trial design and baseline characteristics
url https://bmjopen.bmj.com/content/6/11/e014288.full
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