Theory-based development and testing of an adolescent tobacco-use awareness program.

OBJECTIVE: To develop and disseminate an effective tobacco awareness and cessation program. METHODS: Self-report data from youth (n=1,601) and implementation data from site facilitators (n=16) provided the basis for the trial program evaluation. RESULTS: Approximately 146 total classes and 1,601 youth were served. Significantly (p<.01) more participants were in the action stage of change at the end of the program. At follow-up, 40% of the participants indicated they were tobacco free. CONCLUSION: The multiple iterative steps in program development were described. A theoretically based program, like the ATCP, is well worth exploring as a public health intervention.