Not-On-Tobacco (N-O-T) is a tobacco cessation program serving regular smokers 14 through 19 years of age, who most likely are addicted to nicotine. Based on social cognitive theory, the program trains youth in self-management and stimulus control, social skills and social influence, stress management, relapse prevention, techniques to manage nicotine withdrawal, weight management, and peer pressure. The program’s 10-session curriculum can be delivered in a school or community setting and is designed to help youth— • Stop smoking • Reduce the number of cigarettes smoked • Increase healthy lifestyle behaviors • Improve life-management skills N-O-T is a voluntary non-punitive program that uses life-management skills to help teen smokers handle stress, decisionmaking, and peer and family relationships. The program also addresses unhealthy lifestyle behaviors such as alcohol or illegal drug use, as well as related healthy lifestyle components such as exercise and nutrition.

The program is intended for youth 14 through 19 years of age who currently smoke, especially youth who are daily smokers or who are likely to be addicted. The program evaluation reviewed by NREPP* was implemented with African American, American Indian, Asian American, Hispanic/Latino, Native Hawaiian and Other Pacific Islander, and White youth 12 through 19 years of age, in rural, urban, and suburban schools and communities.
The N-O-T curriculum includes ten 50-minute sessions that typically occur once a week for 10 consecutive weeks and offers four optional booster sessions. Because males and females may start and stop smoking for different reasons, the N-O-T program is gender-tailored to include different components, content, and techniques for males and females. Teachers, school nurses, counselors, or other staff and volunteers facilitate sessions in schools or other community sites in small private group settings. N-O-T program facilitators receive training from the American Lung Association (ALA), which includes a bound copy of the curriculum, evaluation tools, and ongoing technical support. The 1-day experiential training offers support, guidance, and instruction on topics such as understanding reasons for smoking, preparing to quit, nicotine addiction and withdrawal, accessing and maintaining social support, coping with stress, and preventing relapses.