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School-based interventions to prevent smoking

School-based interventions to prevent smoking. Implementing NICE guidance. 2010. NICE public health guidance 23. What this presentation covers. Background Scope Recommendations Costs and savings Discussion Find out more. How can NICE help?.

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School-based interventions to prevent smoking

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  1. School-based interventions to prevent smoking Implementing NICE guidance 2010 NICE public health guidance 23

  2. What this presentation covers • Background • Scope • Recommendations • Costs and savings • Discussion • Find out more

  3. How can NICE help? • NICE is an independent organisation responsible for setting standards to promote good health and prevent ill health, based on the best evidence of effectiveness and value for money • NICE recommendations can help schools and their partners implement national initiatives to prevent smoking in children and young people • NICE guidance can help schools implement evidence-based activities and interventions to support planning and School Self Evaluation

  4. Background • Smoking causes nearly 20% of deaths in England • Children who start smoking before the age of 16 are twice as likely to continue as adults (compared with those who take up the habit later) • The earlier someone starts smoking regularly, the greater their risk of developing life-threatening conditions

  5. Scope • Interventions delivered in schools or other educational institutions to prevent the uptake of smoking among children and young people aged under 19

  6. Whole-school approaches Develop an organisation-wide, smokefree policy and ensure it is: • part of the wider Healthy Schools/Healthy Further Education strategy • applied to everyone using the premises • widely publicised and easily accessible • supports smoking cessation by providing information on local NHS Stop Smoking Services

  7. Adult-led interventions • Integrate information about the effects of tobacco use and smoking into the school curriculum • Deliver interventions to prevent the uptake of smoking as part of PSHE or Healthy Schools activities • Involve children and young people in their design • Include ‘booster’ activities until school leaving age • Encourage parents to get involved

  8. Adult-led interventions • Should be entertaining, factual and interactive and tailored to age and ability • Should aim to develop decision-making skills and include strategies to enhance self-esteem and resist the pressure to smoke • Should include accurate information on smoking prevalence and the consequences of tobacco use

  9. Peer-led interventions • Consider offering evidence-based peer-led interventions delivered both in and outside the classroom • These interventions should link to relevant PSHE activities • Interventions should help young people consider and, if necessary, challenge peer and family norms on smoking • Peer leaders should be nominated by their peers, trained by experts and get ongoing support

  10. Training and development • Train all staff who will be actively involved in smoking prevention activities • Work in partnership to design, deliver, monitor and evaluate smoking prevention training and interventions • Partners could include: national and local education agencies, training agencies, local authorities, the school nursing service, voluntary sector organisations, local health improvement services and universities

  11. Coordinated approach • Ensure smoking prevention in schools is part of the local tobacco control strategy • Ensure schools deliver evidence-based smoking prevention interventions • Ensure interventions are integrated into the curriculum, PSHE education and work that contributes to the Healthy Further Education and Healthy Schools Programme

  12. Costs and savings • The guidance on school-based interventions to prevent the uptake of smoking is unlikely to result in a significant change in resource use. However, recommendations in the following areas may result in additional costs/savings depending on local circumstances: • Adult-led interventions • Peer-led interventions (secondary schools)

  13. Discussion • Are there opportunities to link with existing programmes – for example our work regarding the Healthy Schools enhancement model? • How can we increase the profile of activities to prevent the uptake of smoking? • How can we get young people involved? • Who is best placed to lead this work?

  14. Find out more • Visit for the: • guidance • quick reference guide • Schools and evidence-based action: NICE recommends • financial planning tool

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