Objectives: This study was performed to examined the effectiveness evaluation of peer education program on smoking prevention and cessation for elementary school students. Methods: Data were collected from 60 students in a rural area through self-administrated questionnaires. Child-leaders participated the peer education program to assist their friend, parent, and adult in community to quit the smoking for 4 weeks. Results and Conclusions: Major conclusions were as follows : 1. The peer education program on smoking prevention and cessation for elementary school students was reinforce to increasing the tobacco knowledge and the cessation skill, learning the communication skill, and improving the empowerment. 2. Image of tobacco, intention of smoking in future, recommendation for smoking cessation, pro of smoking. con of smoking, and level of assert in post-test were higher than those in pre-test. 3. There were significant differences in image of tobacco, con of smoking, and level of assert by grade between the pre-test and the post-test of peer education program. But intention of smoking in future, recommendation for smoking cessation, and pro of smoking were not related to effectiveness of peer education program. 4. Child-leaders for smoking prevention and cessation performed the their task to 1.4 persons per student. 5. Participating students were satisfied with the contents of program, the usefulness of educational materials, and preference of parents, but they were not satisfied with the usefulness of task note, learning time, and lecture room.
Objectives: To analyze the characteristics of smoking prevention programs for the adolescent, and to synthesize the common effect sizes on smoking prevention programs for the adolescent. Methods: Seventeen studies for meta-analysis were selected from dissertations, these, and papers that had been published from 1996 to 2005 and had a randomized or nonequivalent control group in a pre test-post test design. The analysis of the data was computed by using the meta-analysis software package developed by Song(2003). Results: Smoking prevention programs for the adolescent have resulted in a significant effect size on smoking-knowledge( .62), smoking-attitude( .55) of smoking prevention programs for the adolescent showed more than 'medium effect' size. In smoking-knowledge and amount of smoking, the effect size was smoking-attitudes, the effect size was large in the studies which consists of more than 10 sessions of intervention. Conclusion: From the above results, we notice that the smoking prevention programs for the adolescent were effective in increasing the smoking-knowledge, smoking-attitudes, and the intention of smoking-cessation.
Purpose: The aim of this study was to identify the effects of community mapping based on volunteered Geographic Information System on smoking prevention among female middle school students. Methods: This study used a triangulation method which integrated quantitative data from a "pre-post" study on a nonequivalent control group and qualitative data from focus group interviews. Data was collected from 4 August 2015 to 10 January 2016. The experimental group (n=24) participated in community mapping along with education on smoking prevention and the control group (n=28) participated only in routine education. Both groups were measured on their knowledge and attitude related to smoking prevention through self-report questionnaires. The quantitative data was analyzed by descriptive statistics, $x^2$ analysis, and t-test using SPSS 23.0. The qualitative data was collected through focus group interviews to investigate the social-environmental effect of smoking prevention. Results: Knowledge related to smoking prevention was significantly higher (t=2.591, p=.013) in the experimental group than the control group. But attitude related to smoking prevention did not show significant differences between the two groups. When asked about their experiences of the community mapping program, it turned out to be a process where they could learn practical knowledge related to smoking prevention and experience their individual practices manifested as collective intelligence while working together with community members. The study found that community mapping had an effect on smoking prevention from a social and environmental aspect. Conclusion: To be more effective, school education on smoking prevention should be provided in connection with the community. It is also desirable to provide an opportunity where adolescents can experience discovering and solving practical problems along with their own community.
This study aimed at examining the risk factors of smoking behavior among middle school students and preparing school-based smoking prevention program. This study surveyed at February 1995 from 892 students at 3 middle schools in Seoul. The major findings of this study are follows; The proportion of current smoker among students in this study was 3.8%, and the proportion of intentions to smoking was 8.4%. At demographic variables male, pocket money of month was significantly positive association with smoking behavior, but economic status and education status of father were significantly negative association with smoking behavior. Results indicated that social influence variables(peer influence), alcohol, and positive attitudes of smoking were significantly positive association with smoking behavior. So implications for smoking prevention programs may be more effective at risk populations than using general adolescent population. Also ‘School-based smoking prevention programs’ may be learning social pressure resistance skills and giving knowledge and information about negative attitudes about smoking.
The purpose: This study was to get database of health service for smoking prevention through investigating the state of the students' experience, knowledge and attitude on smoking. Method: The subjects were cosisted of 545 students who were currently enrolled in 3, 4, 5 and 6th grade of 4 primary school in J community. The instruments for this study were Smoking Knowledge and Smoking Attitude questionaire (40 items) developed by WHO(l982). Frequency, percentage, t-test, ANOY A and Chi- square test with SAS program were used to analyze the data. Result: Among the students 10.8% answered they had the experience of smoking, while 0.5% said they are current smokers. The experience of smoking related to general characteristics were showed significantly different according to sex, grade and received or not received of smoking exhort. With regard to smokers smoking behavior, first beginning time of smoking was most by 29.8% preschooler and the first motive of smoking was most by 80.8% curiosity. The main smoking area is most by 31.1 % own house or friend's house. The main purchase route of tobacco appeared by thing which house(father or brother's tobacco) most by 34.9%. Smoking period was most less than 1 day and smoking frequency was most stops while bum sometimes. The amount for a day was less than one cigarette. Smoking time was appeared highest when curiosity occurs. Students' knowledge level about smoking prevention is high comparatively to mean 15.44(±2.66). Smoking prevention knowledge level related to general characteristics were showed significantly different according to the grade, academic score and learned or not of smoking prevention. Therefore, was expose that the smoking prevention knowledge level is high in students who results high grade, high academic score level and learned of smoking prevention. Students' attitude level about smoking prevention was high level to mean 55.90(±3.58). Smoking prevention attitude level related to general characteristics were showed significantly different according to academy score and received or not of smoking exhort(t=2.33, p=.020). Therefore, was expose that the smoking prevention attitude level is high in students who result high academic score level and received of smoking exhort group. Conclusion: It follows from this study that education for smoking prevention should be continued from lower grade students and teaching for refusal skill against smoking is needed.
Recently the rate of adolescent smoking in Korea has increased rapidly, and various health problems related to smoking can be expected to increase in the future. Studies on smoking behavior report that assertiveness is important factor influencing on the adolescent smoking. Purpose: This study was conducted to develope a educational video for the purpose of adolescent's smoking prevention. Method: The 533 participating subjects, 269 in experimental group and 264 control group, in the study were 7th grade students. The content of video introduces three smoke tempting situations. The experimental group received 17 minute video education, and the control group did not receive any treatments. Result: The results show that the student's assertiveness was increased significantly in the experimental group after the video education. Student's attitude on smoking became more negative in the experimental group. However, in the control group, the intention, assertiveness, attitude was not changed. Conclusion: This assertiveness video can be useful educational resource for the smoking prevention program for adolescents. Also further study on longitudinal effect and application on drinking, drug abuse are needed.
This study examined smoking behavior of Korean female college students by applying the Ajzen's Theory of Planned Behavior, and tried to uncover the factors influencing smoking behavior. The main findings are as follows: First, the attitude toward smoking behavior and the perceived behavioral control were statistically significant in predicting smoking intention. The smoking intention was also significant in predicting smoking behavior. Thus, in order to promote to stop smoking, smoking prevention education emphasizing to reduce smoking intention, to lower the positive attitude toward smoking behavior and to enhance the capacity for perceived behavioral control seems to be helpful. Second, the smoking intention influenced significantly over the smoking behavior in all situations. But the influences of the attitude toward smoking behavior, the subjective norms, and the perceived behavioral control over the smoking intention varied from not significant in one situation to significant in the other situation. Thus, different prevention programs according to the characteristics of individuals need to be developed. Third, in a path analysis, the grade and the degree of satisfaction with college life had the indirect influence, and the growth place had the direct influence over the attitude toward smoking behavior and smoking intention. Thus the smoking prevention program focusing on the students who are the first grade, less satisfied with college life, and growing up in small cities should be developed.
The National Health Promotion Law passed in 1995 was a milestone for initiating a national health promotion program in Korea, and local governments and health related organizations are developing and providing health promotion programs for the public. The purpose of this study was to explore the effectiveness of a smoking prevention video for adolescents. There was no educational video on smoking prevention for school students in Korea. Based on funding from the National Health Promotion Fund, an educational video on smoking prevention has been developed and tested for the effectiveness. The primary subject of the video was middle school students. The result of the study has shown that there was a statistically significant difference between pre-and post test among middle school students and elementary school students. Students' knowledge on the harm of smoking has been increased after the video education. In addition, more than half of the students responded that the educational video was interesting and helpful. To reduce initiation of smoking among adolescents, both policies and school health education programs should be reinforced. Policies on tobacco should focus on demand of smokers and potential smokers. So government officials should keep monitor obedience of the law on prohibition of smoking for those under age 19. School teachers should focus on social influence of smoking for adolescents.
Objectives: To prevent smoking among adolescents, we should facilitate school-based smoking prevention programs and provide supports for teachers to participate actively in these programs. This study investigated Korean middle teachers' intentions, perceptions, and attitudes toward participating in smoking prevention programs. Methods: The study design was cross-sectional. Our conceptual framework utilized the Theory of Planned Behavior by Fishbein and Ajzen. We conducted open-ended elicitation interviews with teachers. We developed the survey questionnaire contents with data from these interviews, and distributed the questionnaires in 2002 to 194 school teachers from four schools in Seoul and Kyounggi-Do. Teachers' beliefs(behavioral, normative & control) and intentions about participating in smoking prevention programs were measured by 7-point scales. Results: The majority of teachers surveyed reported participating in adolescents' smoking prevention programs, while only less than 10% teachers reported having educational training for such programs. Teachers' attitudes toward participating in smoking prevention programs were positive, but they did not feel strong subjective norms about participating in the programs. They reported several barriers as well as facilitating conditions in participating in those programs. In correlation analysis, teachers' subjective norms and attitudes toward participating in smoking prevention were significantly correlated with their intentions to participating in those programs. Teachers with positive perceptions about smoking prevention programs were more likely to have strong intentions to participation in them, while teachers who received educational training and instructions on how to teach in smoking prevention programs were more likely to have positive perceptions than those who did not. Conclusion: We concluded that smoking prevention programs for adolescents can be made more effective by increasing societal expectations that teachers participate in these programs, and by providing additional resources dedicated to facilitating teachers' active participation in them.
Objectives: A content analysis was conducted to examine whether the current school textbooks providing smoking information are effective or not. Methods: The authors reviewed 111 qualified textbooks using elementary through high schools during 2006-2007 academic year in Korea. Educational components were coded with an analysis tool developed through the present research. Result: Tobacco education components were narrowly focused on long-term physiological consequences of tobacco use, addictiveness, and harmful ingredients and they were repetitively shown in the textbooks. Negative health consequences such as lung cancer were emphasized 10 times among 12 smoking-related textbooks. Educational messages or contents are mainly based on medical knowledge (72%) rather than psycho-social components. The US school-based smoking prevention programs, however, employ psycho-social approach with cognitive and life-skill components and they contain only 7-17% of smoking-related medical knowledge. In order to increase psycho-social smoking prevention components in Korean textbooks, the present study identified social subjects of textbooks (and relating core sessions) for elementary, middle, and high school. It also provided guidelines for school instructors to use. Conclusion: Adolescent smoking behavior is not caused by the deficit of health information, but mostly by social influences including media and peer pressure. School textbooks proving smoking information need to increase psycho-social context. One of the most effective ways as a psycho-social smoking prevention program is to use social subjects (or curriculum) of textbooks such as social studies, ethics, social cultures, social environment, and home management.
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