The Linking Lives health education program: a randomized clinical trial of a parent-based tobacco use prevention program for african american and latino youths.

Journal Article (Journal Article)


We evaluated the effectiveness of a parent-based add-on component to a school-based intervention to prevent cigarette smoking among African American and Latino middle school youths.


Mother-adolescent dyads (n=1386) were randomly assigned to 2 groups: (1) a school-based smoking-prevention intervention or (2) the same intervention with a parent-based add-on component called Raising Smoke-Free Kids. Mothers in the experimental condition received the parent add-on component. Mothers in the control condition received information on selecting a high school. All adolescents received a version of Project Towards No Tobacco Use (TNT). The primary outcome was a reduction in adolescent cigarette smoking. Follow-up data were obtained from 1096 mother-adolescent dyads at 15 months postintervention.


At follow-up, the odds of smoking cigarettes were reduced by 42% for adolescents in the parent add-on condition versus the TNT-only condition. Mothers in the parent add-on condition were more likely than were mothers in the TNT-only condition to set rules about risk-sensitive social activities and to be perceived as trustworthy by their child. Group differences also were found in the frequency and quality of mother-adolescent communication.


Including parent add-on components in school-based smoking prevention programs can reduce smoking behavior on the part of inner-city middle school youths.

Full Text

Duke Authors

Cited Authors

  • Guilamo-Ramos, V; Jaccard, J; Dittus, P; Gonzalez, B; Bouris, A; Banspach, S

Published Date

  • September 2010

Published In

Volume / Issue

  • 100 / 9

Start / End Page

  • 1641 - 1647

PubMed ID

  • 20634469

Pubmed Central ID

  • PMC2920962

Electronic International Standard Serial Number (EISSN)

  • 1541-0048

International Standard Serial Number (ISSN)

  • 0090-0036

Digital Object Identifier (DOI)

  • 10.2105/ajph.2009.171637


  • eng