Longitudinal Assessment of the Effectiveness of a Tobacco Prevention Programme among school-aged adolescents

Isabel Sousa; Vânia Rocha; Catarina Samorinha; José Cunha-Machado; Henedina Antunes; José Precioso

doi:10.21134/haaj.v20i2.484

Autores/as

Isabel Sousa
Vânia Rocha
Catarina Samorinha
José Cunha-Machado
Henedina Antunes
José Precioso

DOI:

https://doi.org/10.21134/haaj.v20i2.484

Palabras clave:

Smoking, Prevention, Adolescents, Intervention programme, School

Resumen

Implementing effective prevention programmes is critical to prevent tobacco use. Objectives. This study aims to assess the long-term effectiveness of the "SmokeOut-I" programme in the smoking prevention of school-aged adolescents, by gender. Methodology. A quasi-experimental study was conducted including a pre-test and a post-test, as well as a experimental group (N = 163) and a control group (N = 148) of adolescents attending the 6^th grade at Braga schools in 2014/2015. A follow-up was conducted three years later. A self-report questionnaire was administered to both groups before and after the programme implementation, and at the follow-up. The programme was only administered to the experimental group. Results. The programme has shown long-term effectiveness in preventing smoking experimentation, and in enhancing smoking refusal skills. There was a lower prevalence of tobacco use and intention to smoke in the experimental group than in the control group, although not statistically significant. It was found that the experimental group maintained adequate knowledge about smoking over time. Conclusions. The positive effects on health and on the environment justify the broad implementation of this programme, which implies the involvement and commitment of governmental institutions.

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REFERENCES

Andersen, A., Krølner, R., Bast, L.S., Thygesen, L. C., & Due, P. (2015). Effects of the X:IT smoking intervention: a school-based cluster randomized trial. International Journal of Epidemiology, 44, 1900–8. doi:10.1093/ije/dyv145

Currie, C., Gabhainn, S., Godeau, E., Roberts, C., Smith, R., Currie, D., … Barnekow, V. (2008). Inequalities in young people’s health. Health Behaviour in School-aged Children (HBSC) - International report from the 2005/2006 survey. Edinburgh: HBSC International Coordinating Centre.

Currie, C., Hurrelmann, K., Settertobulte, W., Smith, R., & Todd, J. (2004). Young People’s health in context. Health Behaviour in School-aged Children (HBSC). Study: International report from the 2001/2002 survey. Copenhagen: World Health Organization Regional Office for Europe.

Currie, C., Zanotti, C., Morgan, A., Currie, M.L., Roberts, C., Samdal, O., … Barnekow, V. (2012). Social determinants of health and well-being among young people. Health Behaviour in School-aged Children (HBSC). Study: International report from the 2009/2010 survey. Copenhagen: World Health Organization Regional Office for Europe.

Ferreira, G., & Castiglione, R. (2018). TIC na educação: ambientes pessoais de aprendizagem nas perspetivas e práticas de jovens [ICT in Education: personal learning environments in perspectives and practices of young people]. Educação e Pesquisa, 44, e153673. doi:10.1590/s1678-4634201702153673

Fishbein, M., & Ajzen, I. (1975). Belief, Attitude, Intention, and Behavior: An Introduction to Theory and Research. Reading, MA: Addison-Wesley.

Inchley, J., Currie, D., Young, T., Samdal, O., Torsheim, T., Augustson, L., … Barnekow, V. (2016). Growing up unequal: gender and socioeconomic differences in young people's health and well-being. Health Behaviour in School-aged Children (HBSC) study: international report from the 2013/2014 survey. Copenhagen, World Health Organization Regional Office for Europe.

Kanicka, M., Poniatowski, B., Szpak, A., & Owoc, A. (2013a). Differences in the effects of anti-tobacco health education programme in the areas of knowledge, attitude and behaviour, with respect to nicotinism among boys and girls. Annals of Agricultural and Environmental Medicine, 20(1), 173-77.

Kanicka, M., Poniatowski, B., Szpak, A., & Owoc, A. (2013b). Effect of an anti-tobacco programme of health education on changes in health behaviours among junior high school adolescents in Białystok, Poland. Annals of Agricultural and Environmental Medicine, 20(1), 167-72.

Mercken, L., Moore, L., Crone, M.R., De Vries, H., De Bourdeaudhuij, I., … Van Lenthe, F.J. (2012). The effectiveness of school-based smoking prevention interventions among low and high SES European teenagers. Health Education Research, 27(3), 459-69.

Ministério da Saúde (2018). Retrato da Saúde, Portugal [Health Situation, Portugal]. Lisboa: Ministério da Saúde.

Müller-Riemenschneider, F., Bockelbrink, A., Reinhold, T., Rasch, A., Greiner, W., & Willich, S.N. (2008). Long-term effectiveness of behavioural interventions to prevent smoking among children and youth. Tobacco Control, 17, 301–312. doi:10.1136/tc.2007.024281

Nădăşan, V., Chirvăsuţă, R., Ábrám, Z., & Mihăicuţă, Ş. (2015). Types of Interventions for Smoking Prevention and Cessation in Children and Adolescents. Pneumologia, 64(3), 58-62.

Precioso, J. (1999). Não fumar é o que está a dar. Lisboa: Instituto de Inovação Educacional.

Precioso, J. (2001). Educação para a prevenção do comportamento de fumar. Avaliação de uma intervenção pedagógica no 3º Ciclo do Ensino Básico [Education for the prevention of smoking behavior – Evaluation of an educational intervention in the 3rd cycle of basic education]. PhD thesis presented at IE-UM. Braga.

Precioso, J., & Samorinha, C. (2014). Fatores associados com o consumo de tabaco em jovens escolarizados portugueses, por sexo: Pensar e agir, global, local e sistematicamente contra o tabaco [Factors associated with smoking in Portuguese school-aged children, by sex: Think and act, globally, locally and systematically against tobacco]. Braga: Associação para a Prevenção e Tratamento do Tabagismo de Braga & Centro de Investigação em Estudos da Criança – Universidade do Minho.

Precioso, J., Reis, MF., Sousa, I., Samorinha, C., Sousa, C., Correia, C., … Machado, J. (2014). SmokeOut-II (3º ciclo). Programa de Prevenção do Consumo de Tabaco [Smoke-Out-II (3rd cycle of education). Prevention programme for Tobacco Use]. Braga: Associação para a Prevenção e Tratamento do Tabagismo de Braga (APTTB) & Centro de Investigação em Estudos da Criança – Universidade do Minho (CIEC).

Precioso, J., Samorinha, C., & Macedo, M. (2016). A prevenção do tabagismo em meio escolar: teoria e prática [Smoking prevention at school: theory and practise]. In: J. A. Garcia del Castillo & P. C. Dias (Eds.), Estudos sobre o Tabaco: Contributos para a Prática [Studies about Tobacco: Contributions for Practise] (pp.83-107). Braga: Axioma - Publicações da Faculdade de Filosofia.

Sá, C., Rocha, V., Machado, J.C., & Precioso, J. (2018). Preventing alcohol use among adolescents: assessment of the "alcohol-free" programme. Health and Addictions, 18(2), 133-41. doi:10.21134/haaj.v18i2.386

Silva, S.T., Martins, M.C., Faria, F.R., & Cotta, R.M. (2014). Combate ao Tabagismo no Brasil: a importância estratégica das ações governamentais [Combating smoking in Brazil: the strategic importance of government actions]. Ciência & Saúde Coletiva, 19(2), 539-52. doi:10.1590/1413-81232014192.19802012

Sousa, I. (2018). Prevenção do tabagismo na escola: avaliação de um programa baseado no currículo [Smoking prevention in schools: Evaluation of a programme based on the curriculum]. Psicologia, Saúde & Doenças, 19(2), 337-53. doi: 10.15309/18psd190214

Sousa, I., Samorinha, C., Machado, J.C., & Precioso, J. (2018). Avaliação de um programa multidisciplinar na melhoria dos conhecimentos e crenças dos alunos em relação ao tabagismo [Evaluation of a multidisciplinary program to improve students' knowledge and beliefs regarding smoking]. Cross-Curricular Teaching, Curriculum Flexibility and Innovation [abstract]. Guimarães: Universidade do Minho.

Sousa, I., Precioso, J., Machado, J., Reis, M. F., Sousa, C., … Antunes, A. (2017). Assessing the effectiveness of a tobacco use prevention programme based on the school curriculum. Conexão Ciência, 12, 45-51.

Thomas, R.E., McLellan, J., & Perera, R. (2013). School-based programmes for preventing smoking. Cochrane Database of Systematic Reviews, Issue 4. Nova Jersey: John Wiley & Sons, Ltd. doi: 10.1002/14651858.CD001293.pub3

Vitória, P., Raposo, C., Peixoto, F. Carvalho, A., & Clemente, M. (2001). “Querer é poder II” – Programa de Prevenção do Tabagismo para o 3º Ciclo do Ensino Básico – Manual do professor [“Querer é poder II” – Smoking Prevention Programme for the 3rd cycle of education – Teacher manual]. Lisboa: Conselho de Prevenção do Tabagismo, Ministério da Saúde.

Vitória, P., Raposo, C., Peixoto, F., & Clemente, M. (2000). “Querer é Poder I” – Programa de Prevenção do Tabagismo para o 3º Ciclo do Ensino Básico – Manual do Professor [“Querer é Poder II” – Smoking Prevention Programme for the 3rd cycle of education – Teacher manual]. Lisboa: Conselho de Prevenção do Tabagismo, Ministério da Saúde.

Vitória, P., Silva, S., & De Vries, H. (2011). Avaliação longitudinal de um programa de prevenção do tabagismo para adolescentes [Longitudinal assessment of a smoking prevention program for adolescents]. Revista Saúde Pública, 45(2), 343-54.

World Health Organization (2017). Tobacco threatens us all: protect health, reduce poverty and promote development. Geneva: World Health Organization.