IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v15y2018i9p1839-d165852.html
   My bibliography  Save this article

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

Author

Listed:
  • Rima Nakkash

    (Department of Health Promotion and Community Health, Faculty of Health Sciences, American University of Beirut, Beirut 1107-2020, Lebanon)

  • Tamara Lotfi

    (Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut 1107-2020, Lebanon)

  • Dima Bteddini

    (Department of Health Promotion and Community Health, Faculty of Health Sciences, American University of Beirut, Beirut 1107-2020, Lebanon)

  • Pascale Haddad

    (Independent consultant, Dusseldorf 40210, Germany)

  • Hala Najm

    (Soins Infirmiers et Développement Communautaire (SIDC), Sin El Fil 1100, Lebanon)

  • Lina Jbara

    (Academic Coordinator, Sorbonne University Abu Dhabi, 38044 Abu Dhabi, United Arab Emirates)

  • Hala Alaouie

    (Department of Health Promotion and Community Health, Faculty of Health Sciences, American University of Beirut, Beirut 1107-2020, Lebanon)

  • Lama Al Aridi

    (Independent consultant, Aley 1501, Lebanon)

  • Ahmad Al Mulla

    (Department of Medicine, Hamad Medical Corporation, Doha 4147, Qatar)

  • Ziyad Mahfoud

    (Department of Global and Public Health, Weill-Cornell Medicine, Doha 24144, Qatar)

  • Rima A. Afifi

    (Department of Health Promotion and Community Health, Faculty of Health Sciences, American University of Beirut, Beirut 1107-2020, Lebanon
    Department of Community and Behavioral Health, College of Public Health, University of Iowa, Iowa City, IA 52242, USA)

Abstract

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 13–15 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—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.

Suggested Citation

  • Rima Nakkash & Tamara Lotfi & Dima Bteddini & Pascale Haddad & Hala Najm & Lina Jbara & Hala Alaouie & Lama Al Aridi & Ahmad Al Mulla & Ziyad Mahfoud & Rima A. Afifi, 2018. "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," IJERPH, MDPI, vol. 15(9), pages 1-17, August.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:9:p:1839-:d:165852
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/15/9/1839/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/15/9/1839/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Ravinder Mamtani & Sohaila Cheema & Javaid Sheikh & Ahmad Al Mulla & Albert Lowenfels & Patrick Maisonneuve, 2017. "Cancer risk in waterpipe smokers: a meta-analysis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(1), pages 73-83, January.
    2. Kandel, D. & Single, E. & Kessler, R.C., 1976. "The epidemiology of drug use among New York State high school students: distribution, trends, and change in rates of use," American Journal of Public Health, American Public Health Association, vol. 66(1), pages 43-53.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Rainer Schnell & Tobias Bachteler & Jörg Reiher, 2010. "Improving the Use of Self-Generated Identification Codes," Evaluation Review, , vol. 34(5), pages 391-418, October.
    2. Keyes, Katherine M. & Vo, Thomas & Wall, Melanie M. & Caetano, Raul & Suglia, Shakira F. & Martins, Silvia S. & Galea, Sandro & Hasin, Deborah, 2015. "Racial/ethnic differences in use of alcohol, tobacco, and marijuana: Is there a cross-over from adolescence to adulthood?," Social Science & Medicine, Elsevier, vol. 124(C), pages 132-141.
    3. Phyllis L. Ellickson & Domenica Bianca & Diane C. Schoeff, 1988. "Containing Attrition in School-Based Research," Evaluation Review, , vol. 12(4), pages 331-351, August.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:15:y:2018:i:9:p:1839-:d:165852. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.