The Impact of a Pharmacist-Conducted Interactive Anti-Smoking Education Program on the Attitudes and Knowledge of High School Students

Abstract

Introduction: Smoking among adolescents remains a major concern because of its long term health hazards. An effective adolescent-specific anti-smoking education is needed. Objectives: To measure the impact of a school-based tobacco prevention program provided by pharmacists on the attitudes and knowledge of senior high students. Methods: An anti-smoking program specifically aimed at high school students was developed by pharmacists and introduced to 354 students inTaiwan. It consisted of a role play and a lecture. The students were asked to complete a structural questionnaire right before and after the intervention. Results: After the intervention, the average of the total attitude scores increased from 41.7 to 43.2 (p = 0.001), and the total knowledge scores increased from 6.4 to 8.2 (p < 0.001). The average practice score was 31.2 (maximum score = 50) and the result suggested that the practice score was associated with attitude rather than knowledge. Conclusion: This pharmacist-conducted anti-smoking program for high school students resulted in positive changes regarding both attitude and knowledge. This suggests that further anti-smoking programs targeting students would be effective in helping to prevent youth smoking.

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Wu, M. , Shen, W. , Chang, J. , Chiang, Y. , Chen, H. & Chen, H. (2013). The Impact of a Pharmacist-Conducted Interactive Anti-Smoking Education Program on the Attitudes and Knowledge of High School Students. Creative Education, 4, 423-429. doi: 10.4236/ce.2013.47061.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Ajzen, I. (2001). Nature and operation of attitudes. Annual Review of Psychology, 52, 27-58. doi:10.1146/annurev.psych.52.1.27
[2] Ali, M. M., & Dwyer, D. S. (2009). Estimating peer effects in adolescent smoking behavior: A longitudinal analysis. Journal of Adolescent Health, 45, 402-408. doi:10.1016/j.jadohealth.2009.02.004
[3] Aung, A. T., Hickman, N. J., & Moolchan, E. T. (2003). Health and performance related reasons for wanting to quit: Gender differences among teen smokers. Substance Use & Misuse, 38, 1095-1107. doi:10.1081/JA-120017652
[4] The World Bank (1999). Curbing the epidemic: Governments and the economics of tobacco control. Tob Control, 8, 196-201.
[5] Escobedo, L. G., Anda, R. F., Smith, P. F., Remington, P. L., & Mast, E. E. (1990). Sociodemographic characteristics of cigarette smoking initiation in the United States. Implications for smoking prevention policy. JAMA, 264, 1550-1555. doi:10.1001/jama.1990.03450120062030
[6] Fagerstrom, K. (2002). The epidemiology of smoking: Health consequences and benefits of cessation. Drugs, 62, 1-9. doi:10.2165/00003495-200262002-00001
[7] Hill, K. G., Hawkins, J. D., Catalano, R. F., Abbott, R. D., & Guo, J. (2005). Family influences on the risk of daily smoking initiation. Journal of Adolescent Health, 37, 202-210. doi:10.1016/j.jadohealth.2004.08.014
[8] Hodgetts, G., Broers, T., & Godwin, M. (2004). Smoking behaviour, knowledge and attitudes among Family Medicine physicians and nurses in Bosnia and Herzegovina. BMC Family Practice, 5, 12. doi:10.1186/1471-2296-5-12
[9] Hsia, F. N., & Spruijt-Metz, D. (2003). The meanings of smoking among Chinese American and Taiwanese American college students. Nicotine & Tobacco Research, 5, 837-850. doi:10.1080/14622200310001615259
[10] Jackson, C., & Dickinson, D. (2004). Cigarette consumption during childhood and persistence of smoking through adolescence. Archives of Pediatrics & Adolescent Medicine, 158, 1050-1056. doi:10.1001/archpedi.158.11.1050
[11] Keyes, M., Legrand, L. N., Iacono, W. G., & McGue, M. (2008). Pa rental smoking and adolescent problem behavior: An adoption study of general and specific effects. American Journal of Psychiatry, 165, 1338-1344. doi:10.1176/appi.ajp.2008.08010125
[12] Khuder, S. A., Dayal, H. H., & Mutgi, A. B. (1999). Age at smoking onset and its effect on smoking cessation. Addictive Behaviors, 24, 673-677. doi:10.1016/S0306-4603(98)00113-0
[13] Lynch, B. S., & Bonnie, R. J. (1994). Growing up tobacco free: Pre venting nicotine addiction in children and youths. National Academy Press, 1.
[14] Meier, K. S. (1991). Tobacco truths: the impact of role models on children’s attitudes toward smoking. Health Education Quarterly, 18, 173-182. doi:10.1177/109019819101800203
[15] Minagawa, K.-E., Nishioka, N., Kawabata, T., Takahashi, H., MOChizuki, Y., Nozu, Y., et al. (1992). Tobacco use among Japanese school children: results from preliminary study of Japan adolescent smoking survey (JASS). Health Promotion International, 7, 8. doi:10.1093/heapro/7.1.37
[16] Nabors, L., Iobst, E. A., & McGrady, M. E. (2007). Evaluation of school based smoking prevention programs. The Journal of School Health, 77, 331-333. doi:10.1111/j.1746-1561.2007.00215.x
[17] Executive Summary (1994). Preventing tobacco use among young people. A report of the surgeon general. The MMWR Recommendations and Reports, 43, 1-10.
[18] Robinson, L. A., Vander Weg, M. W., Riedel, B. W., Klesges, R. C., & McLain-Allen, B. (2003). "Start to stop": Results of a randomised controlled trial of a smoking cessation programme for teens. Tob Control, 12, IV26-IV33. doi:10.1136/tc.12.suppl_4.iv26
[19] Summary of Findings from the 1998 National Household Survey on Drug Abuse (1999). Substance abuse and mental health services administration. US Department of Health and Human Services.
[20] Sussman, S., Sun, P., & Dent, C. W. (2006). A meta-analysis of teen cigarette smoking cessation. Health Psychology, 25, 549-557. doi:10.1037/0278-6133.25.5.549
[21] Taiwan Tobacco Control 2009 Annual Report (2009). Bureau of Health Promotion. Chinese Tapei: Department of Health.
[22] Takakura, M., & Wake, N. (2003). Association of age at onset of cigarette and alcohol use with subsequent smoking and drinking patterns among Japanese high school students. The Journal of School Health, 73, 226-231. doi:10.1111/j.1746-1561.2003.tb06566.x
[23] Torabi, M. R., Yang, J., & Li, J. (2002). Comparison of tobacco use knowledge, attitude and practice among college students in China and the United States. Health Promotion International, 17, 247-253. doi:10.1093/heapro/17.3.247
[24] Wang, M. Q., Fitzhugh, E. C., Westerfield, R. C., & Eddy, J. M. (1995). Family and peer influences on smoking behavior among American adolescents: An age trend. Journal of Adolescent Health, 16, 200-203. doi:10.1016/1054-139X(94)00097-X

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