None listed
Conditions
Brief summary
China is the largest tobacco consumer and producer in the world. Smoking cessation interventions among teenagers will help China to reduce the number of smoking-related illnesses and deaths, many of which are preventable. This research project will pilot a smoking cessation intervention among about 160 Chinese grade 10 students (15-17 years) based on a common decision-making model, the Theory of Planned Behaviour (TPB). It is hypothesised that smoking behaviour, intention, and willingness will reduce after a 4-session intervention by targeting smoking-related beliefs and social images of smokers. The research will include three waves of paper-and-pencil self-reported questionnaire surveys: the pretest is to examine the influence of the extended TPB constructs in relation to individuals' intentions to smoke, the posttest (administered 4 weeks after the first pretest) is to assess actual (self-reported) behaviour in the short-term, and a follow-up questionnaire survey will be conducted 6 months after the intervention, so as to assess smoking cognitive and behavioural changes in the long-term. The study will provide valuable information about the effectiveness of the intervention in improving the anti-smoking attitudes, intentions, and behaviours of Chinese adolescents.
Interventions
The intervention aims at (1) encouraging anti-smoking attitudes and beliefs, (2) fostering perceptions of normative support for anti-smoking behaviour, (3) increasing perceptions of control/self-efficacy to resist smoking, and (4) enhancing favourability of non-smoker images. Intervention sessions will be facilitated by a PhD student from Queensland University of Technology. For better understanding of local culture and school settings, this facilitator will be a registered school counsellor, with teaching and counselling experience in middle schools. To comply with Queensland regulations, the facilitator will also have a Positive Notice Blue Card (a safety check card that allows access to work with children). The intervention will be undertaken within middle school students during school hours. Approval of the form teacher of each participating class will be obtained before starting the intervention. All intervention-related activities will be conducted following the directions of the Principal or other senior staff regarding access to student participants and the location of testing. Testing will take place in an accessible area designated by the school principal or other administrative staff, in proximity to normal classroom activities. Assistance will be available from school staff when required. The facilitator will follow the required procedures for visitors to the school (e.g., registering with an ID card at the school gate). The intervention will be a 1 x 40 minute session (equal to 1 class-time session) per week for 4 weeks. Each intervention session will address a different construct. Session one will be designed to encourage anti-smoking attitudes and beliefs. Session two will focus on fostering perceptions of normative support for anti-smoking behaviour. Session three will aim to increase perceptions of control/self-efficacy to resist smoking. Session four will target enhancing favourability of non-smoker images. Activities for the intervention will include class-based discussions, generic skill training (e.g., culturally appropriate refusal skills), and critical thinking over tobacco packaging and smoker images. At the conclusion of each session, participants will evaluate the program.
Sponsors
Study design
Eligibility
Inclusion criteria
Eligibility criteria includes male and female 10th grade students from one public middle school and one private middle school in Kunming, China.
Exclusion criteria
Nil