Development, Implementation, and Evaluation of School-based Smoking Prevention Education Program Among Non-smoking Adolescents

National University of Singapore

Status: Completed

Conditions: Smoking Behaviors

Treatments: Other: Smoking Prevention Education Program

Study type: Interventional

Funder types: Other

Identifiers

NCT04036474

IIUM/504/14/11/2/IREC650

Details and patient eligibility

About

Preventing smoking among adolescents is critical to end the epidemic of smoking in Malaysia. Despite the implementation of several smoking prevention programs, the prevalence of adolescent smoking and experimenting with tobacco in Malaysia is still increasing. Therefore, the purpose of this quasi-experimental study was to evaluate the effectiveness of Smoking Prevention Education Programs (SPEP) in preventing the smoking initiation among non-smoker adolescents based on their smoking status on follow-up and smoking intention, which includes; attitude, subjective norms, and perceived behavioural control as described by the Theory of Planned Behaviour. A total of 140 Primary five students (non- smokers) were involved in this study. Four schools in Kuantan district were randomly assigned to intervention and control groups. The intervention schools received a lecture on the hazards of smoking and SPEP intervention whereas the control schools received just a lecture on the hazards of smoking. The questionnaires and exhale carbon monoxide levels were first assessed at baseline and then again after three months.

Enrollment: 145 patients

Sex: All

Ages: 11 to 11 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Primary school students (standard 5)
• 11years' old
• Non- smoker (CO level less than 4ppm) to maintain baseline never- smoker
• Both genders
• Consented by parent

Exclusion criteria

• Ex-smoker (self- reporting) and smoker (CO level more than 4ppm)
• Students unable to understand and read the national language (Bahasa Malaysia)
• Children with special needs

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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145 participants in 2 patient groups

Smoking Prevention Education Program

Experimental group

Description:

In addition to the lecture on the hazards of smoking, students received the SPEP intervention. The SPEP consisted of three lessons and each lesson took one to two hours to be implemented. The SPEP intervention was delivered to participants in their usual classroom setting, during school hours combined with relevant school subjects such as physical education class. The duration of SPEP intervention took approximately one month.

Treatment:

Other: Smoking Prevention Education Program

Control

No Intervention group

Description:

Immediately after the collection of baseline data, students received a one-time lecture on the hazards of smoking by the research assistant.