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Quit & Fit: Improving Health Among Rural Teens


Host Institution
West Virginia University: West Virginia Prevention Research Center

Health Topics
Healthy youth | Physical activity | Tobacco prevention and control

The Quit & Fit project built on the Not on Tobacco (N-O-T) program—the American Lung Association’s smoking cessation program for teens aged 14–19 years. The N-O-T program contains 10 weekly 50-minute sessions delivered in same-gender groups of no more than 12 teenagers, and conducted by same-gender facilitators. The West Virginia Prevention Research Center enhanced N-O-T to include Quit & Fit, a self-help physical activity module, and evaluated its combined efficacy against the standard N-O-T program as well as a brief advice-giving intervention.

The fitness intervention was developed by using input from students, community advisory board members, parents, teachers, and trained N-O-T facilitators. 99 high schools across West Virginia were randomly selected and asked to participate in the research. 40 schools agreed and were randomly assigned to 3 intervention groups: N-O-T, N-O-T plus the Quit & Fit module (N-O-T+FIT), and a brief intervention (BI) consisting of a 10-to 15-minute advice session. 19 schools completed the interventions: 6 in the N-O-T program, 7 in the N-O-T+FIT program, and 6 in the brief intervention—233 teenagers participated across the 19 schools.

By evaluating 7-day point prevalence rates, researchers found that N-O-T+FIT for boys was associated with a significantly increased smoking quit rate relative to the standard N-O-T program and BI (24% versus 8% and 10%); however, girls quit more successfully with N-O-T relative to BI and N-O-T+FIT (13% versus 0% and 5%). Evaluators are finalizing data analysis to assess the effects of the fitness module on participants’ physical activity levels for both boys and girls.

Horn K, Dino G, Branstetter SA, Zhang J, Noerachmanto N, Jarrett T, Taylor M. Effects of physical activity on teen smoking cessation. Pediatrics 2011 Oct;128(4):e801–11. Epub 2011 Sep 19.
Research Setting
Rural area | School or school district
Race or Ethnicity
No specific focus
No specific focus
Age Group
Adolescents (12-17 years)
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Principal Investigator
Kimberly Horn

Project Identifier
Quit & Fit - Core Project (2004-2009)

Funding Source
PRC Program

Project Status
Not active