ffectiveness is not the only issue. The cost of teacher training and extra classroom time spent are important factors to consider as well. “Those planning services will need to determine whether these costs are justified in the light of the existing evidence,” Thomas said.
But David Schonfeld, M.D., director of the Division of Developmental and Behavioral Pediatrics at Cincinnati Children’s Hospital Medical Center, said that the results of this review do not necessarily point to the ineffectiveness of school anti-smoking programs.
“The lack of rigorous evidence is not the same as rigorous evidence that something is ineffective,” Schonfeld said. He also suggested that the positive effects on students’ smoking behavior found in some of the trials may have been deemphasized in this review.
Tobacco use is responsible for an exceptional amount of social, personal and economic cost to our society, Schonfeld said. “If you take into account lost productivity and health costs, in the United States alone, it exceeds $167 billion dollars. Even a small impact — even a 1 percent drop in smoking interest in kids — that would be a savings,” he said.
“What I would take from [this study] is that this is an important problem. We would like to see even more research in this area,” Schonfeld said.
(Surce: Newswise)
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