Journal article
Process evaluation and challenges of implementation of a school-based waterpipe tobacco smoking prevention program for teens in Lebanon
Tobacco prevention & cessation, Vol.3(April), pp.11-11
2017
DOI: 10.18332/tpc/70087
PMCID: PMC7232821
PMID: 32432185
Abstract
Waterpipe tobacco smoking is increasing globally particularly among youth. In Lebanon, the high prevalence of waterpipe tobacco smoking among younger age groups calls for immediate intervention particularly given its negative health effects. To date, such interventions have rarely been implemented or evaluated.
This manuscript describes the process evaluation of a school-based intervention to prevent/delay waterpipe tobacco smoking among 6th and 7th graders (n=844) in Lebanon. Process evaluation documents whether an intervention is implemented as planned, and guides understanding of the relationship between the intervention activities and outcomes. The intervention was carried out over 5 months during 2011-2012 on school premises and during school hours, using a participatory approach. The ten intervention sessions included knowledge, skills and a social promise. The process evaluation assessed fidelity, dose delivered, dose received, reach, satisfaction, and the influence of context. Tools included observation and satisfaction forms, attendance log sheets, focus group discussions, and daily journal entries.
The majority of participants (87.2%) attended at least 75% of the sessions. Results indicate high fidelity of implementation; 72.3% of the activities were rated by facilitators to be fully implemented - with high participant satisfaction; 89.5% of children chose a happy face to express their rating of the session. Facilitators rated children's participation as 'positive and active' in 77.9% of the sessions.
Main challenges to implementation were contextual at the country and school level, and related to local pro social norms around waterpipe tobacco smoking. The experience of this intervention confirms the critical importance of context in program implementation.
Details
- Title: Subtitle
- Process evaluation and challenges of implementation of a school-based waterpipe tobacco smoking prevention program for teens in Lebanon
- Creators
- Dima Bteddini - Department of Health Promotion and Community Health, Faculty of Health Sciences, American University of Beirut, Beirut, LebanonRima Afifi - Department of Health Promotion and Community Health, Faculty of Health Sciences, American University of Beirut, Beirut, LebanonPascale Haddad - Biostatistics, Epidemiology and Biomathematics Research Core, Weill Cornell Medical College, Doha, QatarLina Jbara - Department of Health Promotion and Community Health, Faculty of Health Sciences, American University of Beirut, Beirut, LebanonHala Alaouie - Department of Health Promotion and Community Health, Faculty of Health Sciences, American University of Beirut, Beirut, LebanonLama Al Aridi - Department of Health Promotion and Community Health, Faculty of Health Sciences, American University of Beirut, Beirut, LebanonZiyad Mahfoud - Department of Global and Public Health, Weill Cornell Medical College, Doha, QatarAhmad Al Mulla - Department of Medicine, Hamad Medical Corporation, Doha, QatarRima Nakkash - Department of Health Promotion and Community Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
- Resource Type
- Journal article
- Publication Details
- Tobacco prevention & cessation, Vol.3(April), pp.11-11
- DOI
- 10.18332/tpc/70087
- PMID
- 32432185
- PMCID
- PMC7232821
- NLM abbreviation
- Tob Prev Cessat
- ISSN
- 2459-3087
- eISSN
- 2459-3087
- Language
- English
- Date published
- 2017
- Academic Unit
- Injury Prevention Research Center; Community and Behavioral Health
- Record Identifier
- 9984214672302771
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