School-Based Intervention of Smoking Media Literacy Among South Korean Adolescents: A Cluster Randomized Trial

IF 2.9 3区医学 Q2 NURSING

Asian Nursing Research Pub Date : 2026-02-01 Epub Date: 2025-05-20 DOI:10.1016/j.anr.2025.03.001

Sunhee Park , Haein Lee

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引用次数: 0

Abstract

Purpose

Western literature has well established that (a) exposure to pro-smoking media messages is positively associated with adolescent smoking, and (b) an increase in smoking media literacy (SML) can mitigate the harmful effects of pro-smoking advertisements on adolescent smoking behavior. However, little is currently known about this phenomenon in South Korea. Thus, we aimed to investigate the effects of a SML intervention on SML, smoking attitudes, and smoking norms among Korean adolescents.

Methods

Based on the media literacy framework, we developed a five-lesson SML education program. We conducted a cluster randomized trial in one male high school to investigate the effects of the intervention. We randomly allocated ten classes in a one-to-one ratio to either the intervention or control group (N = 250, 10th graders). The intervention group participated in the SML program; the control group participated in a traditional anti-smoking program. We assessed the three outcomes (i.e., SML, smoking attitudes, and norms) at 1-week and 3-month follow-ups. We analyzed data obtained from 249 students after excluding one participant who did not complete the baseline test. Specifically, we conducted a mixed-model regression analysis three times after accounting for intraclass correlations.

Results

SML, smoking attitudes, and norms assessed in a pre-test before the intervention did not significantly differ between the intervention and control groups. After the intervention, we found a significant increase in SML at both 1-week (coefficient = .91) and 3-month follow-ups (coefficient = .73), although we did not find important intervention effects on smoking attitudes and norms at both follow-ups.

Conclusions

We found a strong effect of the SML education on an increase in SML, which could mitigate the negative effects of pro-smoking advertisements. Thus, health professionals need to actively incorporate strategies that enhance SML, developed based on the multidimensional core concepts of media literacy, into traditional anti-smoking programs.

Trial registration

Clinical Research Information Service, KCT0009514.

查看原文本刊更多论文

韩国青少年吸烟媒体素养的学校干预：一项聚类随机试验。

目的：西方文献已经很好地确立了(a)接触吸烟的媒体信息与青少年吸烟呈正相关，(b)增加吸烟媒体素养（SML）可以减轻吸烟广告对青少年吸烟行为的有害影响。然而，目前对韩国的这种现象知之甚少。因此，我们的目的是调查SML干预对韩国青少年SML、吸烟态度和吸烟规范的影响。方法：基于媒介素养框架，我们开发了一个五课的SML教育计划。我们在一所男子高中进行了一项随机分组试验，以调查干预的效果。我们以一对一的比例随机分配了10个班级给干预组或对照组（N = 250, 10年级学生）。干预组参与SML项目；对照组参加了传统的禁烟计划。我们在1周和3个月的随访中评估了三个结果（即SML、吸烟态度和规范）。在排除了一名未完成基线测试的参与者后，我们分析了来自249名学生的数据。具体来说，在考虑了类内相关性后，我们进行了三次混合模型回归分析。结果：在干预前的预测试中评估的SML，吸烟态度和规范在干预组和对照组之间没有显着差异。干预后，我们发现SML在1周（系数= 0.91）和3个月随访时（系数= 0.73）均显著增加，尽管我们在两次随访中均未发现干预对吸烟态度和规范的重要影响。结论：我们发现SML教育对SML的增加有很强的作用，可以减轻吸烟广告的负面影响。因此，卫生专业人员需要积极地将加强基于媒体素养多维核心概念的SML战略纳入传统的反吸烟方案。试验注册：临床研究信息服务中心，KCT0009514。

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

Asian Nursing Research NURSING-

CiteScore

4.20

自引率

4.50%

发文量

审稿时长

45 days

期刊介绍： Asian Nursing Research is the official peer-reviewed research journal of the Korean Society of Nursing Science, and is devoted to publication of a wide range of research that will contribute to the body of nursing science and inform the practice of nursing, nursing education, administration, and history, on health issues relevant to nursing, and on the testing of research findings in practice.