INTRODUCTION School-based tobacco control programs exhibit great variety. Our study aimed to evaluate the effectiveness of an experiential learning smoking prevention program in facilitating knowledge acquisition, forging healthy attitudes, and decreasing intention to smoke. METHODS A school-based intervention-control study was implemented during the 2016-2017 academic year among middle-school students in Athens, Greece. The experiential learning intervention was delivered using an interdisciplinary approach, bridging excerpts from ancient classical Greek myths, Aesop fables and ancient classical literature (Aristotle, Herodotus, Plutarch, Xenophon, Homer's Epics), with their decoded archetypal symbols applied in a smoking and tobacco control paradigm. An anonymous self-administered questionnaire was used at baseline and at follow-up at 3 months to evaluate program effectiveness. RESULTS A total of 351 students participated in our study; 181 (51.6%) in the intervention group and 170 (48.4%) in the control group. The mean age of student participants was 13 years (SD=0.96). Students in the intervention group were more likely to improve their knowledge of the adverse effects of smoking, develop attitudes against smoking and report a negative intention to smoke in the first year following the intervention, compared to the control group. CONCLUSIONS This study provides evidence that school-based experiential learning smoking prevention programs improve smoking-related knowledge, enhance anti-smoking attitudes and reinforce negative intentions toward tobacco products.

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评估以学校为基础的、体验式学习的吸烟预防计划，以促进青少年态度转变。

介绍 以学校为基础的烟草控制计划表现出多种多样的形式。我们的研究旨在评估体验式学习吸烟预防计划在促进知识获取、建立健康态度和降低吸烟意愿方面的有效性。方法 在 2016-2017 学年期间，在希腊雅典的中学生中实施了一项基于学校的干预控制研究。体验式学习干预是使用跨学科的方法进行的，将古希腊神话、伊索寓言和古代古典文学（亚里士多德、希罗多德、普鲁塔克、色诺芬、荷马史诗）的摘录连接起来，并将其解码的原型符号应用于吸烟和烟草控制范例。在基线和 3 个月的随访中使用匿名的自我管理问卷来评估计划的有效性。结果 共有 351 名学生参加了我们的研究；干预组181人（51.6%），对照组170人（48.4%）。学生参与者的平均年龄为 13 岁 (SD=0.96)。与对照组相比，干预组的学生在干预后的第一年更有可能提高他们对吸烟不良影响的认识，培养对吸烟的态度并报告消极的吸烟意图。结论 本研究提供的证据表明，以学校为基础的体验式学习吸烟预防计划提高了与吸烟相关的知识，增强了反吸烟的态度，并强化了对烟草产品的消极意图。