Laloux Pierre, Mélard Nora, Lorant Vincent
Institute of Health and Society, Université Catholique de Louvain, Louvain, Belgium.
Foundation Against Cancer, Schaerbeek, Belgium.
Tob Prev Cessat. 2025 Mar 24;11. doi: 10.18332/tpc/202392. eCollection 2025.
Secondary schools still struggle to enforce their tobacco policy and to keep their learning environment smoke-free. Yet, enforcement is the key to improve the effectiveness of those policies. This article describes the ADHAirE study which aims to reduce smoking at school through an improved enforcement of the school's tobacco policy. The ADHAirE study will be carried out during 2 years in 20 Belgian secondary schools. Schools will be randomized either in the experimental or the control group. Schools in the experimental group will create an advocacy coalition involving students, staff and the principal. Those schools will also be linked to the others to share best practices about their school tobacco policy. Members of the advocacy coalition will share beliefs and values about the tobacco policy and about the school's role in tobacco prevention. This randomized controlled trial will assess the effectiveness of the advocacy coalition to enforce the school tobacco policy. The ADHAirE study is based on the latest research and recommendations on school tobacco prevention. Following the social norm theory, this study goes further than many others before which only focused on health education, targeting the individual and not the social environment in which smoking occurs. Through the advocacy coalition, ADHAirE will initiate a community-level intervention that will ensure that all stakeholders are involved in decision-sharing about the rules, ensuring their acceptability, adoption and sustainability. The study is registered on the official website of ClinicalTrials.gov ID NCT06655038.
中学仍在努力执行其烟草政策，以保持学习环境无烟。然而，执行是提高这些政策有效性的关键。本文介绍了ADHAirE研究，该研究旨在通过加强学校烟草政策的执行来减少校园吸烟现象。ADHAirE研究将在比利时的20所中学进行两年。学校将被随机分为实验组或对照组。实验组的学校将组建一个由学生、教职员工和校长组成的倡导联盟。这些学校还将与其他学校建立联系，分享学校烟草政策的最佳实践。倡导联盟的成员将分享有关烟草政策以及学校在烟草预防方面作用的信念和价值观。这项随机对照试验将评估倡导联盟执行学校烟草政策的有效性。ADHAirE研究基于学校烟草预防的最新研究和建议。遵循社会规范理论，这项研究比之前许多仅关注健康教育、针对个人而非吸烟发生的社会环境的研究更进一步。通过倡导联盟，ADHAirE将发起一项社区层面的干预措施，确保所有利益相关者都参与关于规则的决策共享，确保规则的可接受性、采用和可持续性。该研究已在ClinicalTrials.gov官方网站注册，编号为NCT06655038。
