Not-On-Tobacco (N–O–T)

An Evidence-Based Practice

Description

Not On Tobacco (N-O-T) is a smoking cessation program designed for 14- to 19-year-olds. It is based on social cognitive theory and incorporates training in self-management and stimulus control, social skills and social influence, stress management, relapse prevention, and techniques to manage nicotine withdrawal, weight management, and family and peer pressure. N-O-T consists of 50-minute group sessions recommended for weekly dosage for 10 consecutive weeks. There are also four optional booster sessions. Teachers, school nurses, counselors, and other staff and volunteers specially trained by the American Lung Association (ALA) facilitate sessions in schools and other community settings. No more than 10 to 12 participants are recommended per group. Facilitator training is provided by the ALA and includes the bound curriculum and evaluation tools.

Goal / Mission

The goal of this program is to help teens quit smoking.

Impact

One study showed that the percentage of students who reportedly quit smoking 15 months after the intervention was higher for participants. Another study showed that a greater percentage of participants reported smoking cessation 5 months after the intervention than non-participants.

Results / Accomplishments

Multiple evaluation studies have been conducted. In one such study, the percentage of students who reportedly quit smoking 15 months after the intervention was higher in the N-O-T group than in the BI group (9.8 vs. 1.6, p < 0.05). In the second study, conducted in Florida, 21.7% of N-O-T participants reported smoking cessation 5 months after the intervention, compared with only 12.6% of BI participants (p < 0.05). Among students who continued to smoke after the intervention, N-O-T participants had larger reductions in reported weekday smoking than BI participants (53.2% vs. 34.7%, p < 0.05).

About this Promising Practice

Organization(s)
Centers for Public Health Research and Training, Office of Drug Abuse Intervention Studies
Primary Contact
Kimberly A. Horn, EdD
Office of Drug Abuse Intervention Studies, West Virginia University
PO Box 9190
Morgantown, WV 26505
khorn@hsc.wvu.edu
Topics
Health / Alcohol & Drug Use
Health / Adolescent Health
Organization(s)
Centers for Public Health Research and Training, Office of Drug Abuse Intervention Studies
Source
SAMHSA's National Registry of Evidence-Based Programs and Practices (NREPP)
Date of publication
2004
Date of implementation
1999
For more details
https://www.vfhy.org/sites/default/files/pdf/NOT_N...
Target Audience
Teens

Related Promising Practices

  1. CDC COMMUNITY GUIDE: Decreasing Tobacco Use Among Workers: Incentives & Competitions to Increase Smoking Cessation
  2. Project Towards No Tobacco Use
  3. Web-Based Committed Quitters Stop Smoking Plan
  4. Sonoma County Tobacco Use Prevention
  5. Waterloo Smoking By-law and Cigarette Labeling
  6. The California Tobacco Control Program

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An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.