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@ARTICLE{Brinker:143784,
      author       = {T. J. Brinker$^*$ and F. Buslaff$^*$ and J. L. Suhre and M.
                      P. Silchmüller and E. Divizieva and J. Wilhelm and G.
                      Hillebrand$^*$ and D. Penka and B. Gaim and S. Swoboda and
                      S. Baumermann and J. W. Walther and C. M. Brieske and L.
                      Jakob and H. M. Baumert and O. Anhuef and S. M. Schmidt and
                      J. Alfitian and A. Batra and L. Taha and U. Mons$^*$ and F.
                      J. Hofmann and A. C. Haney$^*$ and C. M. Haney$^*$ and S.
                      Schaible$^*$ and T.-A. Tran$^*$ and H. Beißwenger and T.
                      Stark and D. A. Groneberg and W. Seeger and A.
                      Srivastava$^*$ and H. Gall and J. Holzapfel and N. A.
                      Rigotti and T. G. Baudson and A. H. Enk and S. Fröhling$^*$
                      and C. von Kalle$^*$ and B. Bernardes-Souza and R. M. d. O.
                      S. Pereira and R. Thomas},
      title        = {{P}rocess {E}valuation of a {M}edical {S}tudent-{D}elivered
                      {S}moking {P}revention {P}rogram for {S}econdary {S}chools:
                      {P}rotocol for the {E}ducation {A}gainst {T}obacco {C}luster
                      {R}andomized {T}rial.},
      journal      = {Journal of medical internet research / Research Protocols
                      Research Protocols [...]},
      volume       = {8},
      number       = {4},
      issn         = {1929-0748},
      address      = {Toronto},
      reportid     = {DKFZ-2019-01353},
      pages        = {e13508},
      year         = {2019},
      abstract     = {Most smokers start smoking during their early adolescence
                      under the impression that smoking entails positive
                      attributes. Given the addictive nature of cigarettes,
                      however, many of them might end up as long-term smokers and
                      suffering from tobacco-related diseases. To prevent tobacco
                      use among adolescents, the large international medical
                      students' network Education Against Tobacco (EAT) educates
                      more than 40,000 secondary school students per year in the
                      classroom setting, using evidence-based self-developed apps
                      and strategies.This study aimed to evaluate the long-term
                      effectiveness of the school-based EAT intervention in
                      reducing smoking prevalence among seventh-grade students in
                      Germany. Additionally, we aimed to improve the intervention
                      by drawing conclusions from our process evaluation.We
                      conduct a cluster-randomized controlled trial with
                      measurements at baseline and 9, 16, and 24 months
                      postintervention via paper-and-pencil questionnaires
                      administered by teachers. The study groups consist of
                      randomized schools receiving the 2016 EAT curriculum and
                      control schools with comparable baseline data (no
                      intervention). The primary outcome is the difference of
                      change in smoking prevalence between the intervention and
                      control groups at the 24-month follow-up. Secondary outcomes
                      are between-group differences of changes in smoking-related
                      attitudes and the number of new smokers, quitters, and
                      never-smokers.A total of 11,268 students of both sexes, with
                      an average age of 12.32 years, in seventh grade of 144
                      secondary schools in Germany were included at baseline. The
                      prevalence of cigarette smoking in our sample was $2.6\%.$
                      The process evaluation surveys were filled out by 324
                      medical student volunteers, 63 medical student supervisors,
                      4896 students, and 141 teachers.The EAT cluster randomized
                      trial is the largest school-based tobacco-prevention study
                      in Germany conducted to date. Its results will provide
                      important insights with regards to the effectiveness of
                      medical student-delivered smoking prevention programs at
                      school.DERR1-10.2196/13508.},
      cin          = {B340 / M050},
      ddc          = {610},
      cid          = {I:(DE-He78)B340-20160331 / I:(DE-He78)M050-20160331},
      pnm          = {312 - Functional and structural genomics (POF3-312)},
      pid          = {G:(DE-HGF)POF3-312},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:30973348},
      pmc          = {pmc:PMC6482400},
      doi          = {10.2196/13508},
      url          = {https://inrepo02.dkfz.de/record/143784},
}