Training Secondary School Students as Anti-smoke Ambassadors Using the Service-learning Model

Study Overview
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Brief Summary
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Building the community's capacity by training youngsters to refer smokers to professional smoking cessation services offers a good strategy to support smoking cessation. Peer pressure is considered the most common reason for smoking in young people. Smoking cessation interventions that target peers are likely to have substantial effects. This health promotion project based on the service-learning model will provide opportunity for young people to learn and practice the AWARD model with hands-on experience under the supervision of nursing students who are considered experienced peer counselors.

Detailed Description
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A hybrid type 1 effectiveness-implementation design will be adopted. A randomized sample of 368 students will be recruited from 14 secondary schools (Forms 2-4). The outcome measures will include demographic characteristics, the level of knowledge in smoking cessation and the AWARD model, the practice and attitude towards smoking cessation and the AWARD model, and the self-efficacy in using the AWARD model.

Official Title
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Learning While Serving: Training Secondary School Students as Anti-smoke Ambassadors Using the Service-learning Model

Conditions
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Smoking Cessation

Intervention / Treatment
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* Other: 'Learning while serving' training program
* Other: Usual care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: secondary school students (Forms 2-4) Exclusion Criteria: -
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: 14 clusters will be randomized to the intervention or control group using a 1:1 ratio by a research assistant using an independent computerized randomization sequence process.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention group<br>Secondary school students will be required to join a 3-phase 'Learning while serving' program. | Other: 'Learning while serving' training program<br>* The training program will involve training workshops, hands-on sessions, and a smoker referral competition.<br>|
| Other: Control group<br>Secondary school students will be only required to attend a 3-hour training workshops. | Other: Usual care<br>* A 3-hour training workshops in the control group are regarded as usual care since the training workshops are also conducted regularly to other secondary or tertiary schools.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The self-designed logbook for number of referrals at 6-month follow-up | The number of smokers that referred to Youth Quitline will be recorded by using a self-designed logbook. | at 6-month follow-up | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The Knowledge towards Smoking Cessation and Tobacco Control Evaluation Questionnaire at baseline | Students' level of knowledge in smoking cessation and the AWARD model will be assessed by using the Knowledge towards Smoking Cessation and Tobacco Control Evaluation Questionnaire. | at baseline | 
| The Knowledge towards Smoking Cessation and Tobacco Control Evaluation Questionnaire at the end of training program | Students' level of knowledge in smoking cessation and the AWARD model will be assessed by using the Knowledge towards Smoking Cessation and Tobacco Control Evaluation Questionnaire. | at the end of training program, an average of 2 years | 
| The Knowledge towards Smoking Cessation and Tobacco Control Evaluation Questionnaire at 3-month follow-up | Students' level of knowledge in smoking cessation and the AWARD model will be assessed by using the Knowledge towards Smoking Cessation and Tobacco Control Evaluation Questionnaire. | at 3-month follow-up | 
| The Knowledge towards Smoking Cessation and Tobacco Control Evaluation Questionnaire at 6-month follow-up | Students' level of knowledge in smoking cessation and the AWARD model will be assessed by using the Knowledge towards Smoking Cessation and Tobacco Control Evaluation Questionnaire. | at 6-month follow-up | 
| The Knowledge towards Smoking Cessation and Tobacco Control Evaluation Questionnaire at 12-month follow-up | Students' level of knowledge in smoking cessation and the AWARD model will be assessed by using the Knowledge towards Smoking Cessation and Tobacco Control Evaluation Questionnaire. | at 12-month follow-up | 
| The Attitude/Practice towards Smoking Cessation and Tobacco Control Evaluation Questionnaire at baseline | Students' practice and attitude towards smoking cessation and the AWARD model will be assessed by using the Attitude/Practice towards Smoking Cessation and Tobacco Control Evaluation Questionnaire. | at baseline | 
| The Attitude/Practice towards Smoking Cessation and Tobacco Control Evaluation Questionnaire at the end of training program | Students' practice and attitude towards smoking cessation and the AWARD model will be assessed by using the Attitude/Practice towards Smoking Cessation and Tobacco Control Evaluation Questionnaire. | at the end of training program, an average of 2 years | 
| The Attitude/Practice towards Smoking Cessation and Tobacco Control Evaluation Questionnaire at 3-month follow-up | Students' practice and attitude towards smoking cessation and the AWARD model will be assessed by using the Attitude/Practice towards Smoking Cessation and Tobacco Control Evaluation Questionnaire. | at 3-month follow-up | 
| The Attitude/Practice towards Smoking Cessation and Tobacco Control Evaluation Questionnaire at 6-month follow-up | Students' practice and attitude towards smoking cessation and the AWARD model will be assessed by using the Attitude/Practice towards Smoking Cessation and Tobacco Control Evaluation Questionnaire. | at 6-month follow-up | 
| The Attitude/Practice towards Smoking Cessation and Tobacco Control Evaluation Questionnaire at 12-month follow-up | Students' practice and attitude towards smoking cessation and the AWARD model will be assessed by using the Attitude/Practice towards Smoking Cessation and Tobacco Control Evaluation Questionnaire. | at 12-month follow-up | 
| The Self-efficacy to Quit Evaluation Questionnaire at baseline | Students' self-efficacy in using the AWARD model will be measured by using the Self-efficacy to Quit Evaluation Questionnaire. | at baseline | 
| The Self-efficacy to Quit Evaluation Questionnaire at the end of training program | Students' self-efficacy in using the AWARD model will be measured by using the Self-efficacy to Quit Evaluation Questionnaire. | at the end of training program, an average of 2 years | 
| The Self-efficacy to Quit Evaluation Questionnaire at 3-month follow-up | Students' self-efficacy in using the AWARD model will be measured by using the Self-efficacy to Quit Evaluation Questionnaire. | at 3-month follow-up | 
| The Self-efficacy to Quit Evaluation Questionnaire at 6-month follow-up | Students' self-efficacy in using the AWARD model will be measured by using the Self-efficacy to Quit Evaluation Questionnaire. | at 6-month follow-up | 
| The Self-efficacy to Quit Evaluation Questionnaire at 12-month follow-up | Students' self-efficacy in using the AWARD model will be measured by using the Self-efficacy to Quit Evaluation Questionnaire. | at 12-month follow-up | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Adolescents, Training Activities, Knowledge, Attitudes, Practice, Self Efficacy