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Enhancing the effectiveness of programs and strategies to prevent youth smoking: a comparative realist evaluation of 7 European cities

Objective

Cigarette smoking is a main risk factor for premature disease, disability and death in Europe, especially in disadvantaged groups. Prevention of youth smoking is crucial to any strategy aimed at reducing this disease burden in the future. Several potentially effective strategies and programs are available to address youth smoking. However, in practice their impact often appears to be limited, especially among socially disadvantaged youth.
There is very little systematic evidence on HOW smoking prevention strategies and programs worked in practice, and WHY some programs seemed to influence youth smoking only in some settings or groups. Yet, such evidence is urgently needed to enable decision makers to use the resources available for smoking prevention in the most effective and equitable way.
We will generate such evidence by addressing these HOW and WHY questions in a comparative approach. For Finland, Ireland, Germany, Netherlands, Belgium, Italy and Portugal, we aim to assess HOW strategies and programs to prevent smoking in national and local settings affected smoking behaviour of 16 year olds. Moreover, we aim to assess HOW and WHY this impact varied according to city, school, gender, and socioeconomic group.
We will be among the first to apply the approach of “realist evaluation” to the evaluation of preventive programs, and to use this innovative approach to compare European countries. We will acquire primary data that are comparable across these countries, including a quantitative survey among 10,000+ students, and in-depth structured interviews with students and various stakeholders.
We expect to make a major contribution to the reduction of disease burden and health inequalities among future elderly populations. We will apply a new method for learning from different countries, and for generating the fine-grained evidence that is needed to develop youth smoking prevention programs that are context-sensitive, cost-effective and equity-oriented.

Call for proposal

H2020-PHC-2014-two-stage
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Coordinator

ACADEMISCH MEDISCH CENTRUM BIJ DE UNIVERSITEIT VAN AMSTERDAM
Address
Meibergdreef 15
1105AZ Amsterdam
Netherlands

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Activity type
Higher or Secondary Education Establishments
EU contribution
€ 427 028,75

Participants (9)

UNIVERSITEIT MAASTRICHT
Netherlands
EU contribution
€ 282 343,75
Address
Minderbroedersberg 4
6200 MD Maastricht

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Activity type
Higher or Secondary Education Establishments
MARTIN-LUTHER-UNIVERSITAT HALLE-WITTENBERG
Germany
EU contribution
€ 363 218,75
Address
Universitatsplatz 10
6108 Halle

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Activity type
Higher or Secondary Education Establishments
UNIVERSITE CATHOLIQUE DE LOUVAIN
Belgium
EU contribution
€ 372 437,50
Address
Place De L Universite 1
1348 Louvain La Neuve

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Activity type
Higher or Secondary Education Establishments
THE UNIVERSITY OF EDINBURGH
United Kingdom
EU contribution
€ 303 125
Address
Old College, South Bridge
EH8 9YL Edinburgh

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Activity type
Higher or Secondary Education Establishments
TAMPEREEN KORKEAKOULUSAATIO SR
Finland
EU contribution
€ 363 718,75
Address
Kalevantie 4
33100 Tampere

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Activity type
Higher or Secondary Education Establishments
UNIVERSIDADE NOVA DE LISBOA
Portugal
EU contribution
€ 367 968,75
Address
Campus De Campolide
1099 085 Lisboa

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Activity type
Higher or Secondary Education Establishments
UNIVERSITA DEGLI STUDI DI CASSINO E DEL LAZIO MERIDIONALE
Italy
EU contribution
€ 154 687,50
Address
Viale Dell Universita Campus Folcara
03043 Cassino

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Activity type
Higher or Secondary Education Establishments
TobaccoFree Research Institute Ireland LBG
Ireland
EU contribution
€ 253 125
Address
Upper Mount Street 10
2 Dublin

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Activity type
Research Organisations
EUROPEAN NETWORK FOR SMOKING PREVENTION
Belgium
EU contribution
€ 112 343,75
Address
Chaussee D Ixelles 144
1050 Bruxelles

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Activity type
Other