Methods: These programs have been implemented for three years in a rural region in Ohio. During this period, there were 279 participants in NOT and 223 participants in AtS.

Results: Over one-third of the participants in NOT quit smoking by the end of the program and remained quit at six-month follow-up. They also expressed higher rates of wanting to quit after participation in the program than before participation in the program. This is important to note since participants are often mandated to attend the program. Similarly, AtS is a mandated program but instead of tracking tobacco use, participants in AtS complete a pre and post survey regarding their attitudes, knowledge and behavior related to tobacco use. This survey was created specifically for use with the AtS curriculum. After the program participants had a more accurate knowledge base regarding the impact of tobacco use on their health, the prevalence of tobacco use among youth, the amount of time it takes to become addicted and the persuasive nature of advertising. Additionally, they were more likely to acknowledge their addiction and felt it would be more difficult to quit smoking than they had thought prior to the program.

Conclusions: Although the target populations and evaluation measures of the programs differ, the results of both programs will be presented and compared. The AtS survey will be available to session participants.