The implementation of a school-based tobacco prevention program: Lessons learned

This article presents the results of a mediation analysis of Project MYTRI (Mobilizing Youth for Tobacco Related Initiatives in India), a randomized, controlled trial of a multiple-component, school-based tobacco prevention program for sixth- to ninth-graders ( n = 14,085) in Delhi and Chennai, India. A mediation analysis identifies how an intervention achieves its effects. In MYTRI, changes in students’ (a) knowledge about the negative health effects of tobacco, (b) beliefs about its social consequences, (c) reasons to use tobacco, (d) reasons not to use tobacco, (e) advocacy skills self-efficacy, and (f) normative beliefs about tobacco use were significantly associated with reductions in students’ intentions to use tobacco and tobacco use behaviors. In contrast, changes in students’ perceptions of the prevalence of smoking and chewing tobacco were significantly related to increases in students’ intentions to use and use of tobacco. Implications for intervention design are considered.

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Long-Term Efficacy of Click City(R): Tobacco: A School-Based Tobacco Prevention Program

Nicotine & Tobacco Research ◽

10.1093/ntr/ntt106 ◽

2013 ◽

Vol 16 (1) ◽

pp. 33-41 ◽

Cited By ~ 16

Author(s):

J. A. Andrews ◽

J. S. Gordon ◽

S. H. Hampson ◽

B. Gunn ◽

S. M. Christiansen ◽

...

Keyword(s):

Prevention Program ◽

Tobacco Prevention ◽

Term Efficacy ◽

School Based

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Life Years Saved, Quality-Adjusted Life Years Saved and Cost-Effectiveness of a School-Based Tobacco Prevention Program

10.1007/springerreference_73427 ◽

2012 ◽

Keyword(s):

Cost Effectiveness ◽

Prevention Program ◽

Tobacco Prevention ◽

Quality Adjusted Life Years ◽

School Based ◽

Life Years ◽

Quality Adjusted Life

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Effectiveness of a School-Based Tobacco Prevention Program for Middle School Students in Saudi Arabia: A Quasi-Experimental Controlled Trial

Tobacco Use Insights ◽

10.1177/1179173x20953403 ◽

2020 ◽

Vol 13 ◽

pp. 1179173X2095340

Author(s):

Dania E Al Agili ◽

Hamisu M Salihu

Keyword(s):

Saudi Arabia ◽

Tobacco Use ◽

Prevention Program ◽

Intervention Group ◽

Tobacco Prevention ◽

Post Intervention ◽

School Based ◽

Post Test ◽

Quasi Experimental ◽

And Control

Objective: To evaluate the effect of a school-based tobacco program in preventing initiation of tobacco use among adolescents in Saudi Arabia. Methods: We used a quasi-experimental controlled design. Four intervention and four control schools were selected from the regional education registry. A baseline questionnaire was administered to all grade 7 students before implementing the tobacco prevention program, Dentists Fighting Nicotine Dependence (DFND). The intervention group (n =379) received the DFND program whereas the control group (n = 255) received the regular tobacco program administered by the Department of Education. The program was delivered by trained health educators over 5 weeks. Pre- and post-test surveys (immediate and 2-year post-intervention) were collected. Study outcomes were current tobacco use, tobacco knowledge, attitude towards not using tobacco, and perceived behavioral control (PBC) of tobacco use. Covariates included sex, parent education, academic performance, absenteeism, student allowance, and religiosity. Data were analyzed using a two-level hierarchical mixed models. Results: In the immediate post-test, 597 participants (intervention, n = 366; control, n = 231) were surveyed. There was no difference in tobacco use between intervention and control schools, however, the intervention group had significantly higher mean scores for knowledge (β = 1.27, SE = 0.27, P < .01) and attitude toward not using tobacco (β = 5.17, SE = 2.48, P < .05) after adjusting for covariates. At 2-year post-intervention, 463 participants (intervention, n = 289; control, n = 173) were surveyed. There were no differences in tobacco use, knowledge, attitude or PBC between intervention and control groups. Conclusions: Our program did not impact tobacco use. In the short-term, the program significantly improved knowledge and attitude towards not using tobacco. These effects decayed 2 years post-intervention without additional programming. Increasing the effectiveness of DFND may be achieved by expanding curriculum content and practice time throughout the school years and by targeting high-risk adolescents within the program.

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Experiences of the First Year Implementation of a Nationwide School-Based Smoking Prevention Program in Korea

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18063291 ◽

2021 ◽

Vol 18 (6) ◽

pp. 3291

Author(s):

Sookyung Kim ◽

Seunghyun Yoo ◽

Sung-il Cho ◽

Hanna Jung ◽

Yeaseul Yang

Keyword(s):

Prevention Program ◽

School Environment ◽

Smoking Prevention ◽

First Year ◽

Tobacco Prevention ◽

Prevention Measures ◽

School Contexts ◽

Lead Teachers ◽

School Based ◽

Free Generation

Encouraged by the Framework Convention on Tobacco Control, Korea has implemented a nationwide School-based Smoking Prevention Program (SSPP) to reduce the prevalence of youth smoking. This qualitative study explored the school contexts of launching the SSPP in Seoul, Korea. Five focus groups were studied with 29 lead teachers in charge of the SSPP. Thematic analysis reveals three key findings. First, while infrastructure was insufficiently prepared due to the abrupt implementation, lead teachers agreed on the purpose of the SSPP. However, they perceived the program as myopic in only targeting smoking students and spending the mandatory budgets as a burdensome task. Second, the SSPP increased experience-based activities, influenced smoking family members, and created a smoke-free school environment. Third, to ensure more effective implementation, school principals should support inducing staff engagement. The teachers also maintained that the SSPP must be institutionalized as part of regular curricula with standardized books. For a more meaningful impact, the SSPP needs instructors and counselors to support smoking cessation programs that reflect school contexts. The teachers urged tobacco prevention measures at community, policy, and society levels. This study provides insights into a nationwide approach to initiating school-based smoking prevention program to achieve a tobacco-free generation.

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