Preventive medicine
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Preventive medicine · Dec 2007
Randomized Controlled Trial Multicenter StudyEight-year change in body mass index and subsequent risk of cardiovascular disease among healthy non-smoking men.
To determine how change in BMI over 8 years is associated with risk of subsequent cardiovascular disease (CVD) among middle aged men. ⋯ A higher BMI and a rising BMI were both associated with an increased risk of CVD, however an increasing BMI did not add prognostic information once current BMI was considered. In contrast, a declining BMI was associated with an increased risk of CVD independent of current BMI.
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Preventive medicine · Feb 2007
Randomized Controlled Trial Multicenter Study Clinical TrialA cluster randomized controlled trial of school-based prevention of tobacco, alcohol and drug use: the EU-Dap design and study population.
The empirical evidence of effectiveness of many school-based programs against substance abuse is rather weak. The EU-Dap study is a multicenter cluster randomized community trial (CRCT) designed to evaluate such a program. This paper presents study design and baseline characteristics of the study population. ⋯ EU-Dap is the first European multicenter randomized study to evaluate the effectiveness of a school program targeting tobacco, alcohol and drug use. The baseline assessment showed high prevalence and wide geographical variations of substance use.
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Preventive medicine · Feb 2007
Multicenter StudyTesting anonymous link procedures for follow-up of adolescents in a school-based trial: the EU-DAP pilot study.
To study the feasibility of an anonymous coding procedure linking longitudinal information in a multi-center trial of substance abuse prevention among adolescents. ⋯ Self-generation of anonymous codes is a feasible, but not a very efficient procedure to link longitudinal data among adolescents. Easy derivation and iterative matching procedures are crucial for achieving high efficiency of this type of anonymous linkage.
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Preventive medicine · Jul 2005
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialThe pediatric residency training on tobacco project: baseline findings from the patient tobacco survey.
Few pediatricians address tobacco in the patients they treat, and pediatric residency training programs are not preparing them to meet the tobacco challenge. The Pediatric Residency Training on Tobacco Project is a 4-year randomized prospective study of the effectiveness of training pediatric residents to intervene on tobacco in patients and parents. In the present report, we present findings from the Baseline Patient Tobacco Survey. ⋯ The findings from the Baseline Patient Tobacco Survey describe the characteristics of the population under study, indicate that the two experimental groups were similar at the start of the program, and underscore the need to prepare pediatric residents to address tobacco.
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Preventive medicine · Jul 2005
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialThe pediatric resident training on tobacco project: baseline findings from the Parent/Guardian Tobacco Survey.
Pediatricians have an important and unique role to play in the anti-tobacco arena. They may prevent relapse to smoking in women who stopped smoking during pregnancy, encourage parents to protect infants and young children from environmental tobacco smoke (ETS), prevent the onset of smoking in children and adolescents, and help patients and parents who smoke or use other forms of tobacco to quit. Unfortunately, few pediatricians intervene on tobacco use or ETS, and few pediatric residency training programs prepare residents to address tobacco. The Pediatric Residency Training on Tobacco Project is a 4-year randomized prospective study of the effectiveness of training pediatric residents to intervene on tobacco in patients and parents. In this paper, we present findings from the Baseline Parent/Guardian Tobacco Survey. ⋯ Parents of children brought to Continuity Clinic may benefit from advice and assistance on quitting cigarette smoking and protecting their children from ETS. While pediatric residents offer advice and encouragement, few provide the assistance parents require. These findings underscore the importance of training pediatric residents to address tobacco with the parents/guardians of the patients they serve.