The Texas Tobacco Prevention Program (T2P 2): An update of the Minnesota Smoking Prevention Program (MSPP)

Christina Ly, The University of Texas School of Public Health


In this dissertation, intervention mapping and process evaluative methods were used to update an adolescent tobacco prevention program, the Minnesota Smoking Prevention Program (MSPP). A pilot study of the updated version, the Texas Tobacco Prevention Program (T2P2) was conducted to test the updated program in collaboration with Hazelden Publishing & Educational Services. The update of the curriculum involved a revision of data and other research on new and emerging tobacco products and behaviors. Also, a review of literature reviews, meta-analyses, mediation analyses, and the most effective components of selected evidence- and school-based tobacco use prevention programs from the National Registry of Evidence-based Programs and Policies (NREPP) were analyzed for potentially effective strategies that may be incorporated into MSPP. The updated curriculum, T2P 2, was then implemented and pilot tested within 3 middle schools (N = 179 students) in Seguin, Texas.^ The results of the intervention map and potential updates analysis stemmed the following changes to the MSPP curriculum: incorporation of new and emerging tobacco products such as e-cigarettes, hookah, small flavored cigars, and snus; an update on statistics, factual material, and technical wording; addition of a new activity that will address the determinant of lifestyle incongruence; and addition of a new activity that will address the determinants of social activism and support. Also, recommendations to develop a smartphone application or online interactive aspect of the program will be done in communications with Hazelden Publishing. The pilot test of T2P2 sought to examine the receptivity and appropriateness of the revised curriculum with the targeted age group of students (6th-8th graders). We also assessed the effectiveness of the T2P 2 curriculum on adolescents’ tobacco use and associated psychosocial variables using a pre- and post-test design. Results of the process evaluation showed high reach, dose, fidelity, and higher than moderate compatibility. Few pre-post differences in tobacco use and psychosocial factors were detected; however, future research is urged to compare these results to a control group to better determine the effectiveness of the updated curriculum.^

Subject Area

Public health

Recommended Citation

Ly, Christina, "The Texas Tobacco Prevention Program (T2P 2): An update of the Minnesota Smoking Prevention Program (MSPP)" (2015). Texas Medical Center Dissertations (via ProQuest). AAI3720286.