Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2012 Oct 1;58(5):317-325.
doi: 10.1024/0939-5911.a000205.

International Translation of Project EX: A Teen Tobacco Use Cessation Program

Steve Sussman  1
Affiliations

International Translation of Project EX: A Teen Tobacco Use Cessation Program

Steve Sussman. Sucht. .

Abstract

Aims: There are relatively few documented teen tobacco use cessation efforts outside the United States (U.S.). Project EX is an evidence-based program that consists of eight sessions, as a school-based clinic tobacco cessation-only version and a classroom-based prevention and cessation version. This paper provides a 'snapshot' of progress on international translation of ProjectEXpilot study work in eight countries that have been approached thus far. The program was implemented in Wuhan, China; Israel and partners; Bashkortostan, Russia; and Elche, Spain. Implementation is planned for Vienna, Austria; Mumbai, India; and Bangkok, Thailand. This work will lead eventually to a greater understanding regarding preference for type of programming (e.g., clinic versus classroom modality), challenges in recruitment and retention, program receptivity, and short-term (approximately 3-month post-program) quit rates.

Protocol and interim results of international translation of project ex: Convenience samples are being recruited based on previous contacts with each location. A protocol was sent to each location, proposing a controlled design, in which subjects enter cessation groups or become a wait-list control, with an immediate pretest, posttest, and 3-month follow-up. Language translation of program materials was completed in seven of the eight locations. Several variations in design and implementation were demanded though. For example, youth fear of reporting tobacco publicly mandated to researchers that the prevention/cessation classroom version be implemented in some locations (Israel and partners, and India). Program effects are suggested across countries.

Conclusions: Ongoing partnerships with parties actively involved in tobacco control facilitate pilot testing of teen tobacco use cessation programming. The Project EX curriculum appears quite translatable, though having flexibility in implementation modality eased being able to pilot test the program. Research on this cognitive-behavioral, motivation enhancement approach continues.

Keywords: cessation; international; youth.

PubMed Disclaimer

References

    1. Arora M, Stigler M, Gupta V, Bassi S, Dhavan P, Mathur N, et al. Tobacco control among disadvantaged youth living in low-income communities in India: Introducing Project ACTIVITY. Asian Pacific Journal of Cancer Prevention. 2010;11:45–52. - PMC - PubMed
    1. Bell B. International Consultation on Tobacco and Youth [ICTY]. What in the world works? 28 – 30 September 1999, Singapore, Final conference report. Geneva: WHO; 1999.
    1. Bühler A, editor. ACCESS Report. Munich: IFT Institut für Therapieforschung; 2010.
    1. Centers for Disease Control and Prevention (CDC) Global Youth Tobacco Surveillance, 2000–2007. Morbidity and Mortality Weekly Reports. 2008;57(SS01):1–21. Retrieved 01. 01. 2009, from http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5701a1.htm. - PubMed
    1. Chen X, Zheng H, Sussman S, Gong J, Stacy A, Xia J, et al. Use of the Fagerstrom Tolerance Questionnaire for measuring nicotine dependence among adolescent smokers in China: a pilot test. Psychology of Addictive Behaviors. 2002;16:260–263. - PubMed