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Many authors state that smoking prevention programmes should aim at preventing or delaying the start of tobacco use [ 8], implying the need to target children between the ages of 10 and 12 years [ 9].
Some scientifically evaluated smoking prevention programmes already exist in Germany, like the Smoke-Free Class (SFC) competition which has been practically implemented in many countries of the European Union.
School-based smoking prevention programmes have been shown to increase knowledge about the negative effects of tobacco and prevent tobacco use, but the majority of evidence on effectiveness comes from Western countries.
Smoking prevention programmes aimed at adolescents has also received increased attention since the mid 1990s [ 81].
For this reason, there is a need for effective smoking prevention programmes targeting primary school children.
34 However, little is known about non-participation in smoking prevention programmes among teenagers.
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13 An additional aim of this study is to evaluate whether a medical-student-delivered smoking prevention programme has preventive effects on the smoking behaviour of secondary school pupils in Germany.
'Fun without Smokes' is an out-of-school smoking prevention programme, in which children receive computer-tailored feedback letters and can visit a website that provides additional information about non-smoking.
This paper describes the development and evaluation protocol of a web-based out-of-school smoking prevention programme for primary school children (age 10-13 years) entitled 'Fun without Smokes'.
HPC, LM, AO and HdV developed the smoking prevention programme and execute the studies.
Further, it has been shown that having smoking family members decreased the efficacy of a school-based smoking prevention programme.
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