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NICE Underpinning Review
"Review questions:
Are smokefree class competitions effective and cost effective at preventing children and young people from taking up smoking? Are smokefree class competitions acceptable to children and young people? Do they affect their ability to cope with stress or pressure, or their self-esteem and self-efficacy?
What are the barriers and facilitators to successful adoption of the intervention by the population?
Smokefree Class Competitions (SFCC) are a school-based incentive intervention for preventing the uptake of smoking, usually among children between 11 and 14 years old. SFCC gives responsibility for preventing smoking uptake (and stopping smoking for the duration of the competition, for those who already smoke) to the class of students. The intended effect is to denormalise smoking and create a smokefree class through the use of peer expectations of each other. There has previously been mixed evidence of effectiveness, and some concerns about whether the intervention might have adverse effects when implemented to do with bullying and peer pressure."
"No [NICE] recommendations were made from this evidence review."