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Not On Tobacco (N-O-T)

Teen SmokerMost young smokers want to quit smoking, but are unable to succeed on their own. Not On Tobacco (N-O-T) is a state-of-the-science, school-based program that provides assistance to teens who wish to quit smoking. The program covers the entire quitting process, including the prevention of relapses.

The Need for Teen Tobacco Cessation:

  • Nearly 90 percent of all smokers begin before the age of 18.
  • Over 70 percent of high school students who are regular smokers have tried to quit.
  • Many adolescents fail to understand the personal risk of smoking, including nicotine addiction. Over 70 percent of teens who smoked during high school were still smoking five years later.
  • Schools are enacting tobacco-free policies, but face difficult enforcement issues. Smoking on school property continues to be a problem, and often results in punishment, instead of cessation assistance.

Effective Solutions

  • Modeled after the highly successful FREEDOM FROM SMOKING program, the 10-session N-O-T curriculum was created to help high school students:
    1. stop smoking, or reduce the number of cigarettes smoked
    2. increase healthy lifestyle behaviors and
    3. improve life skills.
  • The program is gender-sensitive and is implemented by teachers, counselors, nurses or health educators.
  • N-O-T allows schools to provide an educational alternative instead of punitive measures. Thereby the students meet the recommendations of the Centers for Disease Control and reduce policy violations.
  • Early findings show significant reduction and cessation among teens, as well as higher school grades and enhanced self-esteem.

Important Documents

The Next Generation of N-O-T - Bringing N-O-T Along

Bringing N-O-T Along aims to increase the reach of N-O-T to youth population disparately affected by tobacco through the development and piloting of population-specific youth program materials.

Bringing N-O-T Along

N-O-T LogoThe purpose of Bringing N-O-T Along is to increase the reach of N-O-T to youth populations disparately affected by tobacco through the development and piloting of population-specific youth program materials. The following addendums support providing culturally competent technical assistance and training for facilitators and others working with youth cessation to ultimately increase the reach of youth cessation programs to reduce tobacco related disparities.

The CDC Best Practices for Comprehensive Tobacco Control Programs recommends that more intensive interventions that provide social support are effective. Addressing modifications for specific populations supports this strategy. Project collaborators were guided on appropriate methods for adapting model programs with fidelity.

The American Lung Association recognizes that the Bringing N-O-T Along adaptations to the curriculum and activities are not absolute or reflective of all populations and ethnicities. No two students are the same and no one solution will work for all students. Our expectation is that facilitators will use the addendums as a strategy to boost participation, enhance engagement of participants and increase the success of the N-O-T program, as well as continue to build relationships with students during the N-O-T program.

Upcoming Trainings

For more information on the N-O-T program, please call the American Lung Association in Wisconsin at 800-LUNG-USA.

This program is made possible through a generous grant from the Anthem Blue Cross & Blue Shield Foundation.

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