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Six-months follow-up of a cluster randomized trial of school-based smoking prevention education programs in Aceh, Indonesia.
- Source :
-
BMC Public Health . 10/24/2015, Vol. 15 Issue 1, p1-10. 10p. 1 Diagram, 3 Charts, 1 Graph. - Publication Year :
- 2015
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Abstract
- <bold>Background: </bold>Smoking prevention programs have been taught in schools to reduce the high smoking prevalence and its related problems among adolescent populations. Although short-term benefits have been observed, the long-term effectiveness of such programs appear to be inconsistent. This study aims at investigating the long-term impact of both health and Islamic focused interventions amongst students in Indonesia.<bold>Methods: </bold>At 6 months after completion of the interventions, 427 of the original 447 participants (control group = 128, intervention groups = 299) from a school-based cluster randomized control trial were re-assessed for their smoking knowledge, attitudes, intentions and behaviours using a self-report questionnaire. Data was analyzed according to the study's 2 × 2 factorial design with adjustment for baseline scores, school and classroom clustering effects and multiple comparisons.<bold>Results: </bold>Compared to the control group, significant long term effects were found for the health-based intervention program in improved health (β = 4.3 ± 0.4, p < 0.001), Islamic (β = 1.1 ± 0.4, p = 0.01) knowledge and a reduction of smoking attitudes (β = -11.5 ± 1.8, p < 0.001). For the Islamic-based intervention programs there was an improvement of health (β = 3.7 ± 0.4, p < 0.001) and Islamic (β = 2.2 ± 0.5, p < 0.001) knowledge and a reduction towards smoking attitude (β = -6.0 ± 1.9, p < 0.01) and smoking behaviors in the past month (OR = 0.1, 95 % CI = 0.0-0.8, p = 0.03). The effects were greater but less than additive in the combined group for health (β = -3.2 ± 0.9, p < 0.001 for interaction) and Islamic knowledge (β = -2.3 ± 0.9, p = 0.01 for interaction) but were additive for smoking attitudes (β = 6.1 ± 3.2, p = 0.07 for interaction). No significant effects on smoking intentions were observed at 6 months follow-up in the health or Islamic-based intervention programs.<bold>Conclusion: </bold>School-based programs can provide long term benefits on Indonesian adolescents' smoking knowledge and attitudes. Tailoring program intervention components with participants' religious background might maximise program effectiveness. A larger and more encompassing study is now required to confirm the effectiveness of this new Indonesia culturally-based program. Adolescents in similar areas might also benefit from this type of school-based smoking cessation program.<bold>Trial Registration: </bold>Australian New Zealand Clinical Trial Registry, ACTRN12612001070820. [ABSTRACT FROM AUTHOR]
- Subjects :
- *SMOKING prevention
*HEALTH education
*TOBACCO use
*TEENAGERS
*CLUSTER randomized controlled trials
*TEENAGER attitudes
*SELF-evaluation
*MULTIPLE comparisons (Statistics)
*COMPARATIVE studies
*COUNSELING
*CULTURE
*HEALTH attitudes
*HEALTH promotion
*ISLAM
*LONGITUDINAL method
*RESEARCH methodology
*MEDICAL cooperation
*RESEARCH
*SCHOOL health services
*SCHOOLS
*SMOKING
*SMOKING cessation
*STUDENTS
*EVALUATION research
*RANDOMIZED controlled trials
*DISEASE prevalence
*EVALUATION of human services programs
Subjects
Details
- Language :
- English
- ISSN :
- 14712458
- Volume :
- 15
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- BMC Public Health
- Publication Type :
- Academic Journal
- Accession number :
- 110579385
- Full Text :
- https://doi.org/10.1186/s12889-015-2428-4