Sarkar Chaity, Mohanty Vikrant, Balappanavar Aswini Y, Chahar Puneet, Rijhwani Kavita
Department of Public Health Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India.
Indian J Community Med. 2022 Oct-Dec;47(4):536-542. doi: 10.4103/ijcm.ijcm_1507_21. Epub 2022 Dec 14.
National legislation (COTPA) in India has focused on school children with dedicated section (6a and 6b) for tobacco control at Educational Institutions. Innovative mediums like Comic offer unique and engaging medium for dissemination of health information. However, its true potential remains unexplored in tobacco control. The study was conducted to develop and validate Comic for promotion of tobacco control laws in school settings.
The present cross-sectional study was conducted among school teachers in Delhi in three phases: (1) need assessment, (2) development of Comic, and (3) validation (face/content validity by experts in public health/tobacco control, and construct validity by school teachers). Ethical clearance was obtained from Institutional Ethical Review Board. Prevalidated, structured, close-ended, and self-administered Questionnaire was used for the data collection. SPSS version 21 was used for descriptive and inferential results.
Phase 1 showed, out of 150 school teachers, 121 participated (80.66%). Mean age and teaching experience was 41.85 ± 9.76 years and 10.35 ± 6.53 years, respectively. Overall awareness about COTPA was 47.9% ( = 58) and COTPA sections 4 and 6 were 37.2% ( = 45). Majority 59.5% ( = 72) reported lack of access to training material. Phase 2 and 3 showed overall content validity index (CVI) score of 0.84. Construct validity evaluation from pre-postintervention yield mean ± SD scores of 3.94 ± 0.99 and 7.97 ± 1.17, respectively, ( < 0.001).
Comic was developed on sound theoretical basis with satisfactory face, content and construct validity, to raise awareness about tobacco control among school children, and teachers to promote tobacco-free school.
印度的国家立法（《香烟与其他烟草制品法案》）在教育机构中设有专门针对学童的烟草控制章节（第6a和6b条）。漫画等创新媒介为健康信息传播提供了独特且引人入胜的方式。然而，其在烟草控制方面的真正潜力尚未得到探索。本研究旨在开发并验证用于在学校环境中推广烟草控制法律的漫画。
本横断面研究分三个阶段在德里的学校教师中开展：（1）需求评估，（2）漫画开发，（3）验证（由公共卫生/烟草控制专家进行表面/内容效度评估，由学校教师进行结构效度评估）。获得了机构伦理审查委员会的伦理批准。使用预先验证的、结构化的、封闭式的自填问卷进行数据收集。使用SPSS 21版进行描述性和推断性结果分析。
第一阶段显示，在150名学校教师中，121人参与（80.66%）。平均年龄和教学经验分别为41.85±9.76岁和10.35±6.53年。对《香烟与其他烟草制品法案》的总体知晓率为47.9%（n = 58），对该法案第4条和第6条的知晓率为37.2%（n = 45）。大多数59.5%（n = 72）报告无法获取培训材料。第二阶段和第三阶段显示总体内容效度指数（CVI）得分为0.84。干预前后的结构效度评估得出的平均±标准差分数分别为3.94±0.99和7.97±1.17（P < 0.001）。
漫画是在坚实的理论基础上开发的，具有令人满意的表面效度、内容效度和结构效度，以提高学童和教师对烟草控制的认识，促进无烟校园建设。
