How Do Adolescent Smoking Prevention Interventions Work in Different Contextual Settings? A Qualitative Comparative Study Between the UK and Colombia.

IF 2 3区 心理学 Q3 PSYCHOLOGY, CLINICAL
Sharon Sánchez-Franco, Shannon C Montgomery, Erika S Torres-Narvaez, Ana M Ramírez, Jennifer M Murray, Christopher Tate, Blanca Llorente, Linda Bauld, Ruth F Hunter, Frank Kee, Olga L Sarmiento
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Abstract

Background: Adolescent smoking is associated with significant health and social risks. Previous research has demonstrated the effectiveness of interventions based on behavior change theories in preventing adolescent smoking uptake. However, evidence from the theory-based perspective of evaluation is limited, especially for how such complex interventions work, and how they work when implemented in different contextual settings.

Method: A comparative qualitative analysis was conducted to explore various influences on behavior change among participants taking part in two smoking prevention interventions in Northern Ireland and Bogotá. Twenty-seven focus groups were conducted in 12 schools (6 in Northern Ireland and 6 in Bogota, n = 195 pupils participated; aged 11-15 years). The Theoretical Domains Framework guided a content analysis of the data.

Results: We found similarities across settings in terms of knowledge, skills, and beliefs related to smoking or vaping behavior change, as well as differences in contextual resources and social influence. Different environmental resources included availability to purchase tobacco products in the neighborhoods and previous information about tobacco risk. Participants in both interventions perceived behavioral change outcomes related to personal skills and intention to not smoke or vape.

Conclusion: These findings have highlighted how both individual factors and contextual resources influence behavior change for smoking prevention in practice. Local contextual factors and social influences affecting pupils should be taken into account in the implementation and evaluation of health behavior change interventions. In particular, this study supports using social and contextual influence strategies in interventions to reduce the onset of adolescent smoking and vaping.

Abstract Image

青少年吸烟预防干预在不同环境下如何发挥作用?英国与哥伦比亚的定性比较研究。
背景:青少年吸烟具有重大的健康和社会风险。以往的研究表明,基于行为改变理论的干预措施在预防青少年吸烟方面非常有效。然而,从基于理论的角度进行评估的证据却很有限,尤其是对于这种复杂的干预措施是如何发挥作用的,以及在不同的环境下实施时是如何发挥作用的:方法:对北爱尔兰和波哥大的两项预防吸烟干预措施的参与者进行了比较定性分析,以探讨影响行为改变的各种因素。在 12 所学校(北爱尔兰 6 所,波哥大 6 所,n = 195 名学生参与;年龄在 11-15 岁之间)开展了 27 个焦点小组。在理论领域框架的指导下,对数据进行了内容分析:结果:我们发现,在与吸烟或吸食电子烟行为改变相关的知识、技能和信念方面,不同环境具有相似性,而在环境资源和社会影响方面则存在差异。不同的环境资源包括在社区内购买烟草制品的可能性以及以前关于烟草风险的信息。两种干预措施的参与者都认为行为改变的结果与个人技能和不吸烟或不吸食的意愿有关:这些发现强调了个人因素和环境资源如何在实践中影响预防吸烟的行为改变。在实施和评估健康行为改变干预时,应考虑到影响学生的当地环境因素和社会影响。本研究尤其支持在干预措施中使用社会和环境影响策略,以减少青少年吸烟和吸食电子烟的发生。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.20
自引率
3.70%
发文量
97
期刊介绍: The International Journal of Behavioral Medicine (IJBM) is the official scientific journal of the International Society for Behavioral Medicine (ISBM). IJBM seeks to present the best theoretically-driven, evidence-based work in the field of behavioral medicine from around the globe. IJBM embraces multiple theoretical perspectives, research methodologies, groups of interest, and levels of analysis. The journal is interested in research across the broad spectrum of behavioral medicine, including health-behavior relationships, the prevention of illness and the promotion of health, the effects of illness on the self and others, the effectiveness of novel interventions, identification of biobehavioral mechanisms, and the influence of social factors on health. We welcome experimental, non-experimental, quantitative, qualitative, and mixed-methods studies as well as implementation and dissemination research, integrative reviews, and meta-analyses.
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