The impact of education programs on smoking prevention: a randomized controlled trial among 11 to 14 year olds in Aceh, Indonesia

BMC Public Health

Paul R Ward³  John Coveney³  Richard J Woodman²  Teuku Tahlil¹ 

[1]Nursing Department, Medicine Faculty, Syiah Kuala University, Banda Aceh 23111, Indonesia

[2]Discipline of General Practice, School of Medicine, Flinders University, Adelaide, SA 5001, Australia

[3]Discipline of Public Health, School of Medicine, Flinders University, Adelaide, SA 5001, Australia

关键词: Intention;    Behavior;    Attitude;    Health knowledge;    Schools;    Indonesia;    Smoking prevention;   

Others  :  1162314
DOI  :  10.1186/1471-2458-13-367

 received in 2012-08-29, accepted in 2013-04-15,  发布年份 2013

【 摘 要 】

Background

School-based smoking prevention programs have been shown to increase knowledge of the negative effects of smoking and prevent tobacco smoking. The majority of evidence on effectiveness comes from Western countries. This study investigated the impact of school-based smoking prevention programs on adolescents’ smoking knowledge, attitude, intentions and behaviors (KAIB) in Aceh, Indonesia.

Methods

We conducted a 2 × 2 factorial randomized controlled trial among 7^th and 8^th grade students aged 11 to 14 years. Eight schools were randomly assigned to a control group or one of three school-based programs: health-based, Islamic-based, or a combined program. Students in the intervention groups received eight classroom sessions on smoking prevention education over two months. The KAIB impact of the program was measured by questionnaires administered one week before and one week after the intervention.

Results

A total of 477 students participated (58% female, 51% eighth graders). Following the intervention, there was a significant main effect of the Health based intervention for health knowledge scores (β = 3.9 ± 0.6, p < 0.001). There were significant main effects of the Islamic-based intervention in both health knowledge (β = 3.8 ± 0.6, p < 0.001) and Islamic knowledge (β = 3.5 ± 0.5, p < 0.001); an improvement in smoking attitude (β = −7.1 ± 1.5, p < 0.001). The effects of Health and Islam were less than additive for the health and Islamic factors for health knowledge (β = −3.5 ± 0.9, p < 0.01 for interaction) and Islamic knowledge (β = −2.0 ± 0.8, p = 0.02 for interaction). There were no significant effects on the odds of intention to smoke or smoking behaviors.

Conclusions

Both Health and Islamic school-based smoking prevention programs provided positive effects on health and Islamic related knowledge respectively among adolescents in Indonesia. Tailoring program interventions with participants’ religion background information may provide additional benefits to health only focused interventions.

Trial registration

Australia and New Zealand Clinical Trials Register, ACTRN12612001070820

【 授权许可】

   
2013 Tahlil et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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