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Why smoking prevention programs sometimes fail. Does effectiveness depend on sociocultural context and individual characteristics?

April 26, 2017characteristics context depend fail individual prevention Programs smoking sociocultural

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Why smoking prevention programs sometimes fail. Does effectiveness depend on sociocultural context and individual characteristics?

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Johnson CA; Cen S; Gallaher P; Palmer PH; Xiao L; Ritt-Olson A et al. Cancer Epidemiology, Biomarkers & Prevention 16(6): 1043-1049, 2007. (58 refs.) Background: School-based smoking prevention programs sometimes fail in unexpected ways. This study tests the hypotheses that both social/cultural contexts and individual dispositional characteristics may interact with program content to produce effects that are variable in potentially predictable ways. Methods: Students in 24 culturally heterogeneous or primarily Hispanic/Latino middle schools (N = 3,157 6th graders) received a multicultural collectivist-framed social influences (SI) program, an individualist- framed SI program, or a control condition. Three-way linear and nonlinear interactions, program frame x social context x dispositional phenotype, were tested. Results: Three-way interactions were found for the dispositional phenotypes of depression and hostility with social context and program content/frame. In predominantly Hispani