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Enhancing the Effectiveness of Programs and Strategies to Prevent Smoking by Adolescents (SILNE-R)

Enhancing the Effectiveness of Programs and Strategies to Prevent Smoking by Adolescents: A Realist Evaluation Comparing Seven European Countries (SILNE-R)

Project administration: Prof. Dr. Matthias Richter

Project coordination: Martin Mlinarić (Postdoc), Laura Hoffmann (M.A.)

Runtime: 01.10.15 – 30.09.18

Funding: European Commission

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Background

The SILNE project aims to learn, by in-depth comparisons between seven European countries, how strategies to prevent youth smoking could enhance their effectiveness by taking into account the opportunities, barriers and resources present at national, local, and school levels. Top researchers from different disciplines and different European regions will work together and link up with international research networks concerned with tobacco control or youth health. We will generate the fine-grained evidence that is needed to support decision makers in implementing smoking prevention strategies that are responsive to local conditions, effective in using available resources, and inspired to reduce inequities. The German research team from the Institute of Medical Sociology (Martin Luther University Halle-Wittenberg) holds responsibility for the local-level work package and is engaged in two further work packages.

Objective

We expect to generate the fine-grained evidence that is needed to support decision makers in implementing smoking prevention strategies. Such evidence-based programs will constitute a significant step forwards in tackling youth smoking now, and in preventing a persistently high burden of tobacco-related disease in the future.

The general aims of this project are:

  1. To assess how recent strategies and programs to prevent youth smoking have been implemented at national, municipal and school levels, and how they have influenced smoking behaviour of 16 year old adolescents in seven European countries,
  2. To develop and to disseminate the fine-grained evidence that is needed to support decision makers in implementing strategies to prevent youth smoking in local settings, with due attention for program costs and for inequalities in smoking.

The specific aims of this project are:

  1. To assess how smoking prevention strategies were implemented within seven countries, at national, municipal and schools levels, and how the process of implementation varied be-tween countries, cities and schools,
  2. To assess how the implementation of these strategies influenced smoking-related behaviour of 16 year old students in 60 schools, and how this impact varied according the students’ gender, socioeconomic position and social network,
  3. To estimate the program costs associated with the implementation of prevention strategies at national, municipal and school levels, and to estimate the cost-effectiveness of the different prevention strategies,
  4. To integrate the outcomes of these evaluations into refined “models of change” that inform decision makers about how strategies can be effective in tackling smoking by taking into account the opportunities and barriers present at local levels,
  5. To develop and to disseminate recommendations to support decision makers at (inter)national, municipal and schools levels in implementing youth smoking prevention strategies that are context-sensitive, cost-effective, and equity-oriented.

The project focuses on smoking prevention policies and programs for which implementation strategies should to be developed not only for the national level, but also for local levels such as municipalities and schools. These include:

  • Bans on smoking,
  • Bans on sales to minors (including monitoring and sanctioning),
  • Restrictions to point-of-sale advertising (especially around schools),
  • Bans on smoking at school premises (by students, staff, and visitors),
  • School curriculum and educational programs (including smoke-free class contests).

The countries and cities that we include are:

  • Belgium (Namur)
  • Finland (Tampere)
  • Germany (Hannover)
  • Ireland (Dublin)
  • Italy (Latina)
  • Portugal (Coimbra)
  • The Netherlands (Amersfoort)

The project will run from October 2015 to October 2018.

Methodik

Ergebnisse

Info Flyer
Info Fyler Silne-R Website.pdf (216.2 KB)  vom 03.03.2017

Info Flyer Schulen
Info Fyler Silne-R Schule.pdf (562.3 KB)  vom 03.03.2017

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