校本多成分预防吸烟干预措施的实施保真度对职业学生吸烟行为的影响:分组随机对照试验》。

IF 3 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Prevention Science Pub Date : 2024-08-01 Epub Date: 2024-08-02 DOI:10.1007/s11121-024-01712-8
Marie Pil Jensen, Rikke Fredenslund Krølner, Lau Caspar Thygesen, Lisbeth Lund, Susan Andersen
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引用次数: 0

摘要

预防青少年吸烟是公共卫生工作的重中之重,而吸烟现象在职业学校尤为普遍。在预防工作的配合下,学校全面烟草政策的良好实施显示出减少吸烟的潜力,但要达到预期效果,实施过程至关重要。我们利用一项群组研究的问卷调查数据,调查了丹麦职业教育与培训(全国年龄范围为 15-65 岁,平均 25.6 岁)和基础教育预备班(全国年龄范围为 15-25 岁,平均 17.6 岁)机构的学生在 4-5 个月后,多成分预防吸烟干预措施的实施忠诚度是否以及如何影响学生的吸烟结果。干预措施包括无烟课时政策、教育课程和班级竞赛。我们结合教职员工报告的学校层面的实施情况(忠实度)和学生报告的接受情况(参与度、响应度),计算了总体实施忠实度,并使用多层次回归模型分析了与吸烟结果(每天吸烟、经常吸烟和在校期间吸烟)之间的关联。我们还使用限制性三次样条回归对分析进行了补充。此外,我们还按学校类型进行了分层分析,并分析了不同干预内容的实施保真度与吸烟结果之间的关联。高实施率与较低的定期吸烟率(OR:0.37,95% CI:0.18-0.78)和在校期间吸烟率相关,但与每日吸烟率无关,而且这些关联在不同的学校环境中存在差异。在单独分析时,各组成部分的实施保真度对结果没有显著影响。我们的研究结果凸显了支持学校烟草政策干预措施实施过程的必要性,以确保达到减少学生吸烟的预期效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The Impact of Implementation Fidelity of a School-Based Multi-Component Smoking Prevention Intervention on Vocational Students' Smoking Behavior: A Cluster-Randomized Controlled Trial.

The Impact of Implementation Fidelity of a School-Based Multi-Component Smoking Prevention Intervention on Vocational Students' Smoking Behavior: A Cluster-Randomized Controlled Trial.

Preventing young people's cigarette smoking is a major public health priority, and smoking is especially prevalent in vocational schools. Well-enforced comprehensive school tobacco policies accompanied by preventive efforts show potential to reduce smoking, but the implementation process is crucial to achieve the intended effect. We investigate whether and how implementation fidelity of a multi-component smoking prevention intervention impacted student smoking outcomes after 4-5 months among students in Danish vocational education and training (national age range 15-65 years, mean 25.6) and preparatory basic education (national age range 15-25 years, mean 17.6) institutions using questionnaire data from a cluster-RCT. The intervention included a smoke-free school hours policy, educational curriculum, and class competition. We calculated an overall implementation fidelity measure combining staff-reported school-level delivery (fidelity) and student-reported receipt (participation, responsiveness), and used multilevel regression models to analyze associations with smoking outcomes (smoking daily, regularly, and during school hours). We supplemented the analysis with restricted cubic spline regression. Additionally, we stratified the analyses by school types and analyzed associations between implementation fidelity of the separate intervention components and smoking outcomes. High implementation was associated with lower odds of regular smoking (OR: 0.37, 95% CI: 0.18-0.78) and smoking during school hours, but not daily smoking, and these associations varied between the school settings. When analyzed separately, implementation fidelity of the components did not affect the outcomes significantly. Our findings underline the need to support the implementation process of school tobacco policy interventions to ensure the intended effects of reducing students' smoking.

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来源期刊
Prevention Science
Prevention Science PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
6.50
自引率
11.40%
发文量
128
期刊介绍: Prevention Science is the official publication of the Society for Prevention Research. The Journal serves as an interdisciplinary forum designed to disseminate new developments in the theory, research and practice of prevention. Prevention sciences encompassing etiology, epidemiology and intervention are represented through peer-reviewed original research articles on a variety of health and social problems, including but not limited to substance abuse, mental health, HIV/AIDS, violence, accidents, teenage pregnancy, suicide, delinquency, STD''s, obesity, diet/nutrition, exercise, and chronic illness. The journal also publishes literature reviews, theoretical articles, meta-analyses, systematic reviews, brief reports, replication studies, and papers concerning new developments in methodology.
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