Effect of Educational Intervention Based on Theory of Planned Behavior on Reducing Smoking and Hookah Use Among High School Male Students

IF 2.3 4区医学 Q3 RESPIRATORY SYSTEM

Clinical Respiratory Journal Pub Date : 2025-08-11 DOI:10.1111/crj.70119

Ali Zarei, Abbas Shamsalinia, Asiyeh Yari, Pooyan Afzali Hasirini, Ali Khani Jeihooni

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Abstract

Background

Using smoking and hookah has increased among high school students in recent years. Therefore, the present study aimed to determine the effect of educational intervention based on the theory of planned behaviour (TPB) on reducing smoking and hookah use among high school students.

Methods

This experimental study was conducted on 300 high school male students in Fasa City, Fars Province, Iran, in 2021–2022. Subjects were selected using a simple sampling method and were randomly divided into intervention (n = 150) and control (n = 150) groups. The educational intervention for the experimental group included 7 sessions of 45–55 min using small group discussion, question and answer, practical demonstrations, video clips, PowerPoint, and booklets. Before the intervention and 3 months after the educational intervention, both experimental and control groups completed the questionnaire. Data were analyzed using SPSS 22 software through Chi-square, independent t-test, paired t-test, and McNemar test.

Results

The mean age of the experimental and control groups was 17.89 + 1.46 and 17.1 + 1.58 years. The results showed that before the educational intervention, there was no significant difference between the experimental and control groups in terms of awareness, attitude, subjective norms, perceived behavioral control, and behavioral intention; however, 4 months after the educational intervention, there was a significant increase in the experimental group. Also, before the educational intervention, there was no significant difference between the two groups in terms of current smoking and hookah use; however, 4 months after the intervention, there was a significant difference between the two groups.

Conclusion

Implementing the TPB-directed instructional sessions resulted in reducing smoking and hookah use among high school students.

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基于计划行为理论的教育干预对减少高中男生吸烟和水烟使用的影响

近年来，高中生吸烟和使用水烟的情况有所增加。因此，本研究旨在探讨基于计划行为理论的教育干预对减少高中生吸烟和水烟使用的影响。方法以伊朗法尔斯省法萨市300名高中男生为研究对象，于2021-2022年进行实验研究。采用简单抽样法选取受试者，随机分为干预组（n = 150）和对照组（n = 150）。实验组的教育干预包括7次45-55分钟的小组讨论、问答、实践演示、视频剪辑、PowerPoint和小册子。干预前和教育干预后3个月，实验组和对照组分别填写问卷。采用SPSS 22软件对数据进行卡方、独立t检验、配对t检验和McNemar检验。结果实验组和对照组的平均年龄分别为17.89 + 1.46岁和17.1 + 1.58岁。结果表明：在教育干预前，实验组与对照组在认知、态度、主观规范、感知行为控制和行为意向方面均无显著差异；然而，在教育干预4个月后，实验组有显著增加。同样，在教育干预之前，两组在当前吸烟和水烟使用方面没有显著差异；然而，干预4个月后，两组之间有显著差异。结论实施以tbp为指导的教学课程可以减少高中生吸烟和水烟的使用。

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

Clinical Respiratory Journal 医学-呼吸系统

CiteScore

3.70

自引率

0.00%

发文量

104

审稿时长

>12 weeks

期刊介绍： Overview Effective with the 2016 volume, this journal will be published in an online-only format. Aims and Scope The Clinical Respiratory Journal (CRJ) provides a forum for clinical research in all areas of respiratory medicine from clinical lung disease to basic research relevant to the clinic. We publish original research, review articles, case studies, editorials and book reviews in all areas of clinical lung disease including: Asthma Allergy COPD Non-invasive ventilation Sleep related breathing disorders Interstitial lung diseases Lung cancer Clinical genetics Rhinitis Airway and lung infection Epidemiology Pediatrics CRJ provides a fast-track service for selected Phase II and Phase III trial studies. Keywords Clinical Respiratory Journal, respiratory, pulmonary, medicine, clinical, lung disease, Abstracting and Indexing Information Academic Search (EBSCO Publishing) Academic Search Alumni Edition (EBSCO Publishing) Embase (Elsevier) Health & Medical Collection (ProQuest) Health Research Premium Collection (ProQuest) HEED: Health Economic Evaluations Database (Wiley-Blackwell) Hospital Premium Collection (ProQuest) Journal Citation Reports/Science Edition (Clarivate Analytics) MEDLINE/PubMed (NLM) ProQuest Central (ProQuest) Science Citation Index Expanded (Clarivate Analytics) SCOPUS (Elsevier)