Effects of a Social-Network Method for Group Assignment Strategies on Peer-Led Tobacco Prevention Programs in Schools
Open accessAbstract
Objectives. Our study tested the effectiveness of network methods for identifying opinion leaders and for constructing groups. Methods. Three conditions—random, teacher, and network—were randomly assigned to 84 6th-grade classrooms within 16 schools. Pre- and postcurriculum data on mediators of tobacco use were collected from 1961 students. Peer leaders in the network condition were identified by student nominations, and those leaders were matched with the students who nominated them. Results. Students in the network condition relative to the random condition liked the prevention program more and had improved attitudes (β = −0.06; P < .01), improved self-efficacy (β = −0.10; P < .001), and decreased intention to smoke (adjusted odds ratio [OR] = 0.46; 95% confidence interval [CI] = 0.38, 0.55). Conclusions. The network method was the most effective way to structure the program. Future programs may refine this technique and use it in other settings.
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There is some evidence that identifying leaders and forming groups around them, or forming groups and identifying leaders within them, are effective approaches.
“There is some evidence that identifying leaders and forming groups around them [58]; or forming groups and identifying leaders within them are also effective approaches [69].”
From Social Network Analysis for Program Implementation (2015) · cites this paper as [58]
Who delivers the program, and the social context of its receipt has a strong impact on program appeal and impact.
“Research has shown that who delivers the program, and the social context of its receipt has a strong impact on program appeal and impact [22, 58].”
From Social Network Analysis for Program Implementation (2015) · cites this paper as [58]
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Self-citation
- Authors
- Valente, T. W., Hoffman, B. R., Ritt-Olson, A., Lichtman, K., & Johnson, C. A.
- Affiliations
- University of Southern California (US)
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2003-11
- Volume
- 93
- Issue
- 11
- Pages
- 1837-1843
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC1448060
- OpenAlex
- W2131611628
- Cited by
- 301
- References
- 68
- Citations by year
- 2026: 7 · 2025: 9 · 2024: 7 · 2023: 16 · 2022: 12 · 2021: 7 · 2020: 6 · 2019: 6 · 2018: 17 · 2017: 8 · 2016: 16 · 2015: 20 · 2014: 13 · 2013: 24 · 2012: 19
- FWCI
- 4.03
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Southern California
- National Cancer Institute (P50 CA 84735-01, P50CA084735)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- tobacco use prevention, peer-led intervention, social network analysis, opinion leaders, group assignments, school-based health programs, sixth grade students, smoking intention, self-efficacy, program effectiveness
- MeSH terms
- Smoking Prevention, Child, Child Behavior, Child Health Services, Curriculum, Faculty, Female, Health Education, Humans, Leadership, Male, Peer Group, Random Allocation, School Health Services, Self-Help Groups, Smoking, Social Conformity, Social Support, Los Angeles, Health Behavior
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