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Comparing effects of tobacco use prevention modalities: need for complex system models

Many modalities of tobacco use prevention programming have been implemented including various policy regulations (tax increases, warning labels, limits on access, smoke-free policies, and restrictions on marketing), mass media programming, school-based classroom education, family involvement, and in...

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Autores principales: Sussman, Steve, Levy, David, Lich, Kristen Hassmiller, Cené, Crystal W, Kim, Mimi M, Rohrbach, Louise A, Chaloupka, Frank J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3567972/
https://www.ncbi.nlm.nih.gov/pubmed/23339410
http://dx.doi.org/10.1186/1617-9625-11-2
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author Sussman, Steve
Levy, David
Lich, Kristen Hassmiller
Cené, Crystal W
Kim, Mimi M
Rohrbach, Louise A
Chaloupka, Frank J
author_facet Sussman, Steve
Levy, David
Lich, Kristen Hassmiller
Cené, Crystal W
Kim, Mimi M
Rohrbach, Louise A
Chaloupka, Frank J
author_sort Sussman, Steve
collection PubMed
description Many modalities of tobacco use prevention programming have been implemented including various policy regulations (tax increases, warning labels, limits on access, smoke-free policies, and restrictions on marketing), mass media programming, school-based classroom education, family involvement, and involvement of community agents (i.e., medical, social, political). The present manuscript provides a glance at these modalities to compare relative and combined impact of them on youth tobacco use. In a majority of trials, community-wide programming, which includes multiple modalities, has not been found to achieve impacts greater than single modality programming. Possibly, the most effective means of prevention involves a careful selection of program type combinations. Also, it is likely that a mechanism for coordinating maximally across program types (e.g., staging of programming) is needed to encourage a synergistic impact. Studying tobacco use prevention as a complex system is considered as a means to maximize effects from combinations of prevention types. Future studies will need to more systematically consider the role of combined programming.
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spelling pubmed-35679722013-02-12 Comparing effects of tobacco use prevention modalities: need for complex system models Sussman, Steve Levy, David Lich, Kristen Hassmiller Cené, Crystal W Kim, Mimi M Rohrbach, Louise A Chaloupka, Frank J Tob Induc Dis Review Many modalities of tobacco use prevention programming have been implemented including various policy regulations (tax increases, warning labels, limits on access, smoke-free policies, and restrictions on marketing), mass media programming, school-based classroom education, family involvement, and involvement of community agents (i.e., medical, social, political). The present manuscript provides a glance at these modalities to compare relative and combined impact of them on youth tobacco use. In a majority of trials, community-wide programming, which includes multiple modalities, has not been found to achieve impacts greater than single modality programming. Possibly, the most effective means of prevention involves a careful selection of program type combinations. Also, it is likely that a mechanism for coordinating maximally across program types (e.g., staging of programming) is needed to encourage a synergistic impact. Studying tobacco use prevention as a complex system is considered as a means to maximize effects from combinations of prevention types. Future studies will need to more systematically consider the role of combined programming. BioMed Central 2013-01-22 /pmc/articles/PMC3567972/ /pubmed/23339410 http://dx.doi.org/10.1186/1617-9625-11-2 Text en Copyright ©2013 Sussman et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review
Sussman, Steve
Levy, David
Lich, Kristen Hassmiller
Cené, Crystal W
Kim, Mimi M
Rohrbach, Louise A
Chaloupka, Frank J
Comparing effects of tobacco use prevention modalities: need for complex system models
title Comparing effects of tobacco use prevention modalities: need for complex system models
title_full Comparing effects of tobacco use prevention modalities: need for complex system models
title_fullStr Comparing effects of tobacco use prevention modalities: need for complex system models
title_full_unstemmed Comparing effects of tobacco use prevention modalities: need for complex system models
title_short Comparing effects of tobacco use prevention modalities: need for complex system models
title_sort comparing effects of tobacco use prevention modalities: need for complex system models
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3567972/
https://www.ncbi.nlm.nih.gov/pubmed/23339410
http://dx.doi.org/10.1186/1617-9625-11-2
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