Evidence map›Paper›PMID 25099425›Full record

Trial reportThe Journal of school health2014

Comparison of media literacy and usual education to prevent tobacco use: a cluster-randomized trial.

Brian A Primack, Erika L Douglas, Stephanie R Land, Elizabeth Miller, Michael J Fine

2 registry-linked trialsAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in The Journal of school health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00398190 nacompletednot on this map

Media Literacy to Prevent Adolescent Smoking

TypeinterventionalSponsorUniversity of PittsburghRan2006 to 2009Enrolled1,211ConditionsSmoking StatusArmsControl, Media Literacy
NCT07074860 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Clinical Screening and Peer Interventions to Prevent Substance Use in At-Risk Adolescents

TypeinterventionalSponsorUniversity of VermontRan2025 to 2027Enrolled50ConditionsInitation of Substance Use DisorderArmsPeer to peer video to raise awareness about substance use
3 · Its place in the literature

Who cites it

26 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Decoding Vaping: Empowering Youth Through Media Literacy Based E-cigarette Educational Program.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Adolescents' perceptions of alcohol portrayals in the media and their impact on cognitions and behaviors.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2023
    Article
  12. Conservative Media Use and COVID-19 Related Behavior: The Moderating Role of Media Literacy Variables.International journal of environmental research and public health · 2022
    Article
  13. Article
  14. Article
  15. Article
  16. (Mis)informed about what? What it means to be a science-literate citizen in a digital world.Proceedings of the National Academy of Sciences of the United States of America · 2021
    Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Brian A PrimackAssociate Professor of Medicine and Pediatrics, (bprimack@pitt.edu), Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, 230 McKee Place Suite 600, Pittsburgh, PA 15213.
Erika L Douglas
Stephanie R Land
Elizabeth Miller
Michael J Fine

Funding

Media Literacy to Prevent Adolescent Smoking InitiationK07CA114315 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI PRIMACK, BRIAN A. · 2006 to 2010
$766k
NCI NIH HHS K07 CA114315NCI NIH HHS K07-CA114315
6 · The paper itself

Abstract

backgroundMedia literacy programs have shown potential for reduction of adolescent tobacco use. We aimed to determine if an anti-smoking media literacy curriculum improves students' media literacy and affects factors related to adolescent smoking.

methodsWe recruited 1170 9th-grade students from 64 classrooms in 3 public urban high schools. Students were randomized by classroom to a media literacy curriculum versus a standard educational program. In an intent-to-treat analysis, we used multilevel modeling to determine if changes in study outcomes were associated with the curricular intervention, controlling for baseline student covariates and the clustering of students within classrooms.

resultsAmong participants, mean age was 14.5 years and 51% were male, with no significant differences in baseline characteristics between groups. Smoking media literacy changed more among intervention participants compared with control participants (0.24 vs. 0.08, p < .001). Compared with controls, intervention students exhibited a greater reduction in the perceived prevalence of smoking (-14.0% vs. -4.6%, p < .001). Among those initially susceptible to smoking, intervention participants more commonly reverted to being nonsusceptible post-intervention (24% vs. 16%, p = .08).

conclusionsA school-based media literacy curriculum is more effective than a standard educational program in teaching media literacy and improving perceptions of the true prevalence of smoking among adolescents.

Indexed as

Adolescent BehaviorCurriculumHealth LiteracyMass MediaSmoking PreventionAdolescentAttitude to HealthFemaleHealth EducationHealth Knowledge, Attitudes, PracticeHumansMalePennsylvaniaProgram EvaluationSchool Health ServicesStudentsadolescentsattitudesmedia educationmedia literacynormative beliefsschool-basedsmokingsocial influencestobaccoyouth

Identifiers

PMID25099425
PMCPMC4126196

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.