Lifestyle improvement Not Applicable Lifestyle
Conditions
Interventions
From the list of all FLS and SLS in the 10 Emilia-Romagna areas, we excluded those that had already participated in prevention programmes in last years and we selected 173 FLS and 133 SLS with at leas
high school).
The pre-intervention surveys will be conducted in October-December 2010. In the experimental arm the intervention will be delivered during the period January-May 2010. T
http://www.koalagames.eu/paesaggi/manuali.aspx) by both teachers and students. At least two teachers will be trained to use materials, tools, texts and slides to present selected subjects on the four
Sponsors
Emilia-Romagna Region (Italy)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Students aged 11 - 12 years, either sex, attending the 2nd class of the first-level secondary schools (FLS) 2. Students aged 13 - 14 years, either sex, attending the 1st class of second-level secondary schools (SLS) 3. Within 10 areas (Piacenza, Parma, Reggio-Emilia, Modena, Bologna, Imola, Ferrara, Ravenna, Cesena, Rimini; about 4.2 millions of inhabitants) of Emilia-Romagna region, Italy
Exclusion criteria
Exclusion criteria: Students of participating schools with documented psychological or cognitive problems
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Tobacco: 1.1. Lifetime cigarette use 1.2. Current cigarette use (past 30 days) 1.3. Frequent use of cigarettes (20 or more days of cigarette smoking in past 30 days) Primary outcome measures will be adjusted for recorded confounders (smoking prevalence in parents, siblings and friends; socio-economic level of the family) 2. Alcohol: 2.1. Lifetime alcohol use 2.2. Lifetime heavy alcohol drinking 2.3. Current heavy alcohol drinking (past 30 days) Primary outcome measures will be adjusted for recorded confounders (alcohol drinking in parents, siblings and friends; socio-economic level of the family) 3. Nutrition: 3.1. Food Frequency Questionnaire asks students to report the frequency of consumption of 12 items (in average weekly servings): vegetables; fruits; legumes (peas, beans, chick-peas); packaged snack foods; fried foods; potato chips; sparkling beverages; pies, ice-cream, and chocolate; fish; milk and yoghurt; cured or cooked meats and sausages (salami; ham); meat and cheese 3.2. Weekly prevalence of breakfast Primary outcome measures will be adjusted for recorded confounders (socio-economic level of the family) 4. Physical activity: 4.1. Frequency of daily (hours per day) moderate (walking at least 30 minutes a day) or heavy (jogging; swimming; gym training) physical activity 4.2. Lifetime physical activity level practiced in a regular way 4.3. Current physical activity level practiced in a regular way (in last 30 days/in last 12 months) Primary outcome measures will be adjusted for recorded confounders (physical activity levels in parents, siblings and friends; socio-economic level of the family). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Tobacco: Changes on attitudes and beliefs on tobacco smoking 1.1. Perceived health consequences of tobacco smoking (health risks for people who smoke one or more packets a day/smoke occasionally is negligible/high/low; selection of additives in cigarettes amongst a list of substances; nicotine is the carcinogen responsible of lung cancer [yes/no]; smoker becomes addicted to cigarettes if they smoke heavily for many years [yes/no]) 1.2. Intent to use cigarettes in the near future 1.3. Beliefs about using if a friend offers a cigarette 1.4. Perceived social norm (In your opinion, how many adolescents tried to smoke, in percentage? how many adolescents smoke regularly, in percentage ? how many adults smoke, in percentage?) 1.5. Perceived social acceptability of smoking (If you uptake smoking in the next month, you will be more popular/more integrated with other boys and girls/you will feel more relaxed/informal and friendly/you will have more fun) Secondary outcome measures will be adjusted for recorded confounders (smoking prevalence in parents, siblings and friends; socio-economic level of the family). 2. Alcohol: Changes on attitudes and beliefs on alcohol drinking 2.1. Perceived health consequences of alcohol drinking (health risks for people who drink alcohol 1 - 2 times per week/every day during meals/every day between meals is negligible/high/low; legal limit of alcohol assumption according to different types of drink; in half an hour the body discharges the quantity of alcohol of a beer can [yes/no]; men can tolerate alcohol in slightly higher doses than women [yes/no]) 2.2. Intent to alcohol drinking or heavy alcohol drinking in the near future (next year). 2.3. Beliefs about alcohol drinking if some cool people invite you and your best friend to drink a spirit drink 2.4. Perceived | — |
Countries
Italy
Outcome results
None listed