Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan.
Charles Perkins Centre/Sydney Nursing School, University of Sydney, Sydney, Australia.
Nicotine Tob Res. 2018 Apr 2;20(5):568-574. doi: 10.1093/ntr/ntx050.
Arabic male adolescents have a high smoking prevalence. Introduction of "Class smoke-free" pledges have been successful amongst European adolescents but have not been evaluated using objective valid measures. We tested the impact of adding a smoke free pledge strategy to a proven peer-led asthma and smoking prevention program on breath carbon monoxide level (BCO) in male high-school students in Jordan.
We enrolled male students from four high-schools in Irbid, Jordan. Schools were randomly assigned to receive either TAJ (Triple A in Jordan, n = 218) or TAJ-Plus (with added class smoke-free pledge, n = 215). We hypothesized that students receiving TAJ-Plus would have greater reduction in BCO levels than those only receiving the TAJ intervention. Asthma and smoking status were assessed by self-administered questionnaires. Smoking outcomes were collected using a BCO Monitor.
Both groups had significant reductions in BCO levels post-intervention (p < .0001), however, decreases were greater in TAJ-Plus group (3.9 ± 0.2 vs. 4.8 ± 0.2, p < .0001). Intervention effects on BCO over time did not vary by smoking status (p = .085), asthma status (p = .602), or a combination of the two (p = .702).
An added smoke-free pledge strategy to a proven peer-led asthma education program appears to be a promising approach to motivate adolescents to abstain from smoking in Jordan. Future research is required to determine if these results can be extended to Jordanian adolescent females.
A commitment by students via a "class smoke-free" pledge can be an added incentive to motivate adolescents in Arabic-speaking countries to abstain from smoking. Social influence approaches in schools can be useful in countering the aggressive tobacco marketing campaigns targeting Jordanian and other Arabic-speaking youth. The combination of "class smoke-free" pledges and an evidence-based peer-led asthma and smoking education can be implemented in schools to influence adolescents with asthma to abstain from smoking.
阿拉伯裔男性青少年的吸烟率很高。在欧洲青少年中，引入“班级无烟”誓言已取得成功，但尚未使用客观有效的措施进行评估。我们测试了在约旦的一项经过验证的同伴主导的哮喘和吸烟预防计划中加入“无烟班级”誓言策略对男性高中生的呼吸一氧化碳水平（BCO）的影响。
我们招募了来自约旦伊尔比德的四所高中的男学生。学校被随机分配接受 TAJ（三重 A 在约旦，n = 218）或 TAJ-Plus（增加班级无烟誓言，n = 215）。我们假设接受 TAJ-Plus 的学生的 BCO 水平降低幅度将大于仅接受 TAJ 干预的学生。哮喘和吸烟状况通过自我管理的问卷进行评估。吸烟结果使用 BCO 监测器收集。
两组干预后 BCO 水平均显著降低（p <.0001），但 TAJ-Plus 组降低幅度更大（3.9 ± 0.2 与 4.8 ± 0.2，p <.0001）。随着时间的推移，干预对 BCO 的影响不因吸烟状况（p =.085）、哮喘状况（p =.602）或两者的组合而变化（p =.702）。
将“班级无烟”誓言策略添加到经过验证的同伴主导的哮喘教育计划中，似乎是一种很有前途的方法，可以激励青少年在约旦戒烟。需要进一步的研究来确定这些结果是否可以扩展到约旦青少年女性。
学生通过“班级无烟”誓言做出的承诺，可以作为激励阿拉伯语国家青少年戒烟的额外动力。学校中的社会影响方法对于对抗针对约旦和其他阿拉伯语青少年的攻击性烟草营销活动可能是有用的。“班级无烟”誓言和基于证据的同伴主导的哮喘和吸烟教育的结合可以在学校中实施，以影响患有哮喘的青少年戒烟。
