Smoking Cessation Program Among Adolescents in Vocational Training Centers (TABADO)

Evaluation of a Smoking Cessation Program Among ADOlescents in Vocational Training Centers

Background: Most of the efforts to fight against young people's tobacco addiction have focused on smoking prevention and little on smoking cessation. A smoking cessation program, associating pharmacologic and cognitive-behavioural strategy, on a particularly vulnerable population (vocational trainees), was developed by a team of tobacco addiction specialist physicians. We developed a study to evaluate the efficacy of the program. Its main objective is to compare the efficacy of a smoking cessation program offered to all smokers in a population aged 15 to 20 years in Vocational Training Centers (VTC) with that in a control population. The objective of this paper is to present the TABADO study protocol and the results of the pilot study.

Methods: The study is quasi-experimental, prospective, evaluative and comparative and takes place during the 2 years of vocational training. The final population will be composed of 2000 trainees entering a VTC (in Lorraine, France): The intervention group (1000 trainees) benefited from the TABADO program while no specific intervention took place in the "control" group (1000 trainees) other than the treatment and education services usually available. Our primary outcome will be the tobacco abstinence rate at 12 months.

The pilot study is a descriptive monocentric cross-sectional study conducted among the whole group of students, completed by a longitudinal prospective study of smoker volunteers.

Study Overview

• Status: Completed
• Conditions: Tobacco Use
• Intervention / Treatment: Behavioral: TABADO program

• Study Type: Interventional
• Enrollment (Actual): 2000
• Phase: Not Applicable

Contacts and Locations

Study Locations

• France
  • Lorraine
    • Nancy, Lorraine, France, 54000
      • CHU Nancy

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 15 years to 20 years (Child, Adult)
• Accepts Healthy Volunteers: Yes

Description

Inclusion criteria:

• All students, males and females, registered in the VTC for at least a 2-year training period
• Aged from 15 to 20 years

Exclusion criteria:

• Subjects with current serious psychiatric disorders or who may be susceptible to decompensation upon quitting smoking (major depression)
• Smokers who are involved in an ongoing attempt to quit, with medical monitoring.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Non-Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: "Intervention" group; The "intervention" group benefits from the TABADO program	Behavioral: TABADO program; The intervention takes place in 3 stages: (i) a general information session on tobacco consumption is delivered to all teenagers, both smokers and nonsmokers. (ii) For smokers wishing to join the program, this session is followed by individualized consultations with a team of tobacco addiction physicians. (iii) The volunteers then benefit from a small group approach, consisting of discussion sessions to share experiences, strengthen motivation, and prevent relapse. There will be 4 sessions in total, comprising individual counseling and work in groups spread over 3 months (taking into account the availability of the trainees because of their alternate-week training schedule).
No Intervention: "Control" group; The "control" group not benefit from any specific intervention other than the treatment and education usually available

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
The primary outcome is the rate of smoking abstinence after 12 months, measured on the basis of the statements of the whole sample, not only among volunteers.	12 months

Secondary Outcome Measures

Outcome Measure	Time Frame
Overall prevalence of tobacco use in the institutions concerned at 12 months.	12 months
Students' motivation to quit smoking (motivational score) and frequency of attempts to quit within the 12 months after the intervention	12 months
Rate of withdrawal from the program among the volunteers after 12 months.	12 months

Collaborators and Investigators

• Sponsor: Institut National de la Santé Et de la Recherche Médicale, France
• Collaborators: Central Hospital, Nancy, France; University of Nancy
• Investigators: Principal Investigator: François ALLA, MD/ PhD, Institut National de la Santé Et de la Recherche Médicale, France

Publications and helpful links

General Publications

• Minary L, Martini H, Wirth N, Thouvenot F, Acouetey DS, Martinet Y, Bohadana A, Zmirou-Navier D, Alla F. TABADO: "evaluation of a smoking cessation program among adolescents in vocational training centers": study protocol. BMC Public Health. 2009 Nov 13;9:411. doi: 10.1186/1471-2458-9-411.

Study record dates

Study Major Dates

• Study Start: February 1, 2008
• Primary Completion (Actual): January 1, 2010
• Study Completion (Actual): January 1, 2010

Study Registration Dates

• First Submitted: September 8, 2009
• First Submitted That Met QC Criteria: September 8, 2009
• First Posted (Estimated): September 9, 2009

Study Record Updates

• Last Update Posted (Actual): March 28, 2025
• Last Update Submitted That Met QC Criteria: March 25, 2025
• Last Verified: September 1, 2009

More Information

Terms related to this study

• Keywords: adolescent; evaluation; tobacco cessation; epidémiology; apprentices
• Other Study ID Numbers: C07-43