A Randomized Controlled Trial of a Theory-Informed School-Based Intervention to Prevent Waterpipe Tobacco Smoking: Changes in Knowledge, Attitude, and Behaviors in 6th and 7th Graders in Lebanon
| العنوان: | A Randomized Controlled Trial of a Theory-Informed School-Based Intervention to Prevent Waterpipe Tobacco Smoking: Changes in Knowledge, Attitude, and Behaviors in 6th and 7th Graders in Lebanon |
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| المؤلفون: | Dima Bteddini, Ahmad Al Mulla, Tamara Lotfi, Rima Afifi, Hala Najm, Rima Nakkash, Ziyad Mahfoud, Pascale Haddad, Hala Alaouie, Lama Al Aridi, Lina Jbara |
| المصدر: | International Journal of Environmental Research and Public Health Volume 15 Issue 9 International Journal of Environmental Research and Public Health, Vol 15, Iss 9, p 1839 (2018) |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Male, Health Knowledge, Attitudes, Practice, Adolescent, Health, Toxicology and Mutagenesis, school, lcsh:Medicine, Intervention effect, Smoking Prevention, Social Environment, Tobacco, Waterpipe, Article, law.invention, 03 medical and health sciences, 0302 clinical medicine, Randomized controlled trial, law, Intervention (counseling), Tobacco Smoking, Waterpipe Tobacco, Humans, 030212 general & internal medicine, Lebanon, School based intervention, Child, Students, intervention, Social influence, waterpipe, 030505 public health, Schools, evaluation, lcsh:R, fungi, Public Health, Environmental and Occupational Health, Social environment, body regions, Female, 0305 other medical science, Psychology, Social cognitive theory, RCT, Clinical psychology |
| الوصف: | Waterpipe tobacco smoking (WTS) is spreading worldwide. Research has indicated health consequences of WTS similar to cigarettes. Prevalence of WTS is high among young people. In Lebanon, current use rates of 35% have been documented among 13&ndash 15 year olds. We evaluated a school-based intervention. Method: We conducted a randomized-controlled-trial of a theory-informed WTS intervention. The intervention consisted of ten sessions based on social cognitive theory and the social influences approach. Thirty-one schools participated: 14 intervention and 17 control a total of 1279 students completed pre and post assessments. We measured knowledge, attitudes and self-reported behaviors related to WTS using Chi-square tests and regression analyses to compare results between the two study arms. Results: The intervention increased knowledge of intervention group compared to control group participants&mdash about WTS constituents and health consequences and shifted attitudes of intervention group participants to be even more unfavorable towards WTS. We found no impact of the intervention on WTS behaviors. Discussion: The effectiveness of the intervention on knowledge and attitudes supports previous research. The lack of intervention effect on behavior is not surprising given the timing of the post assessment immediately after the intervention, and the social context that was supportive of waterpipe use. |
| وصف الملف: | application/pdf |
| تدمد: | 1660-4601 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::83f8201927fd0d02b0388196323c8040 https://pubmed.ncbi.nlm.nih.gov/30149668 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....83f8201927fd0d02b0388196323c8040 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 16604601 |
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