An Evidence-Based Practice
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.
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 < .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 < .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 < .05).
About this Promising Practice
- Primary Contact
- Melissa Taylor, MA, Research Program Coordinator
West Virginia University
PO Box 9190
1 Medical Center Drive
Morgantown, WV 26506-9190
Health / Substance Abuse
Health / Teen & Adolescent Health
- Centers for Public Health Research and Training, Office of Drug Abuse Intervention Studies
- SAMHSA's National Registry of Evidence-Based Programs and Practices (NREPP)
- Date of publication
- Date of implementation
- For more details
- Target Audience