Project EX-4 is an adaptation of the previous Project EX program (based in the school clinic) to a classroom-based setting. Project EX-4 addresses smoking cessation among adolescent smokers and smoking prevention for nonsmokers. The program stresses motivation, coping skills, and personal commitment. It uses engaging and motivating activities such as games, mock talk shows, and yoga to prevent, reduce, or stop smoking among adolescents. The program also teaches self-control, anger management, mood management, and goal-setting techniques. Adolescents are provided with accurate information about the social, emotional, environmental, and physiological consequences of tobacco use.
Consisting of eight 40-45-minute sessions delivered over a 6-week period, the program curriculum includes strategies for coping with stress, dealing with nicotine withdrawal, and avoiding relapses. The first four sessions are held in a 2-week period and are intended to prepare students for an attempt to quit smoking. The second four sessions are held approximately once per week during the following month, focusing on intentions not to use tobacco or attempts to quit. The classroom-based sessions are delivered to all students enrolled in the subject area selected by the school for program implementation (e.g., health, science, biology, or physical education).