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Effects of an Advocacy Intervention to Reduce Smoking Among TeenagersObjectives To test whether high school students' participation in advocacy activities related to the advertising, availability, and use of tobacco in their communities would prevent or reduce their own tobacco use.
Design Ten continuation high schools in northern California, randomly assigned to a semester-long program in which students either carried out advocacy activities to counter environmental-level smoking influences in their communities (treatment) or learned about drug and alcohol abuse prevention (control).
Participants Eleventh and 12th grade high school students; 5 (advocacy) treatment and 5 control schools over 4 semesters from 2000 through 2002.
Main Outcome Measures Self-reported smoking defined as nonsmokers (those whosmoking defined as nonsmokers (those who had never smoked tobacco or those who were former smokers), light smokers (those who smoked <1 pack per week), or regular smokers (those who smoked ≥1 pack per week), and confirmed by carbon monoxide level readings. The following 3 constructs related to social cognitive theory— perceived incentive value, perceived self-efficacy, and outcome expectancies—were assessed
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