Testing the effectiveness of a teacher-training intervention to make schools tobacco-free in India: Results from a quasi-experimental post-only study
Introduction Tobacco-free schools (TFS) are critical for preventing tobacco-use among adolescents, who constitute nearly 21% of India’s population. This study tested the effectiveness of a teacher-training intervention for achieving tobacco-free schools in the state of Maharashtra in India. Methods...
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Language: | English |
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European Publishing
2020-09-01
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Series: | Population Medicine |
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Online Access: | http://www.journalssystem.com/popmed/Testing-the-effectiveness-of-a-teacher-training-intervention-to-make-schools-tobacco,125912,0,2.html |
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author | Nilesh Chatterjee Deepak Patil Rajashree Kadam |
author_facet | Nilesh Chatterjee Deepak Patil Rajashree Kadam |
author_sort | Nilesh Chatterjee |
collection | DOAJ |
description | Introduction
Tobacco-free schools (TFS) are critical for
preventing tobacco-use among adolescents, who constitute
nearly 21% of India’s population. This study tested the
effectiveness of a teacher-training intervention for achieving
tobacco-free schools in the state of Maharashtra in India.
Methods
A quasi-experimental post-only study was
conducted in four districts in Maharashtra state. Starting in
2013, designated teachers from 2188 government schools in
two intervention districts received a day-long tobacco-free
school training intervention each year for five years. About
1707 similar schools in two comparison districts did not
receive the intervention. At the end of five years, in 2018, we
assessed adherence to 11 TFS criteria by visiting randomly
selected schools in the intervention and comparison districts.
Results
In intervention districts, 37.8% (34) of visited
schools fulfilled all 11 TFS criteria, 34.4% (31) fulfilled
7–10, and 27.8% (25) schools fulfilled ≤6 criteria. This was
significantly (p<0.001) higher than in comparison schools,
where none fulfilled all 11 criteria, 13.2% (9) met 7–10, and
86.8% (59) fulfilled ≤6 criteria.
Conclusions
The TFS intervention achieved 100% fulfillment
in nearly two out of five schools, with another one in three
schools fulfilling 7–10 criteria; in contrast, 4 out of 5
schools in the comparison districts fulfilled ≤6 criteria. The
proportion of tobacco-free schools can be increased and
the process accelerated in rural districts by adding more
components to the existing teacher training intervention. |
first_indexed | 2024-12-10T10:30:37Z |
format | Article |
id | doaj.art-12427fde42e1434ca19a7374afeb47f1 |
institution | Directory Open Access Journal |
issn | 2654-1459 |
language | English |
last_indexed | 2024-12-10T10:30:37Z |
publishDate | 2020-09-01 |
publisher | European Publishing |
record_format | Article |
series | Population Medicine |
spelling | doaj.art-12427fde42e1434ca19a7374afeb47f12022-12-22T01:52:35ZengEuropean PublishingPopulation Medicine2654-14592020-09-012September11010.18332/popmed/125912125912Testing the effectiveness of a teacher-training intervention to make schools tobacco-free in India: Results from a quasi-experimental post-only studyNilesh Chatterjee0Deepak Patil1Rajashree Kadam2Salaam Mumbai Foundation, Mumbai, IndiaSalaam Mumbai Foundation, Mumbai, IndiaSalaam Mumbai Foundation, Mumbai, IndiaIntroduction Tobacco-free schools (TFS) are critical for preventing tobacco-use among adolescents, who constitute nearly 21% of India’s population. This study tested the effectiveness of a teacher-training intervention for achieving tobacco-free schools in the state of Maharashtra in India. Methods A quasi-experimental post-only study was conducted in four districts in Maharashtra state. Starting in 2013, designated teachers from 2188 government schools in two intervention districts received a day-long tobacco-free school training intervention each year for five years. About 1707 similar schools in two comparison districts did not receive the intervention. At the end of five years, in 2018, we assessed adherence to 11 TFS criteria by visiting randomly selected schools in the intervention and comparison districts. Results In intervention districts, 37.8% (34) of visited schools fulfilled all 11 TFS criteria, 34.4% (31) fulfilled 7–10, and 27.8% (25) schools fulfilled ≤6 criteria. This was significantly (p<0.001) higher than in comparison schools, where none fulfilled all 11 criteria, 13.2% (9) met 7–10, and 86.8% (59) fulfilled ≤6 criteria. Conclusions The TFS intervention achieved 100% fulfillment in nearly two out of five schools, with another one in three schools fulfilling 7–10 criteria; in contrast, 4 out of 5 schools in the comparison districts fulfilled ≤6 criteria. The proportion of tobacco-free schools can be increased and the process accelerated in rural districts by adding more components to the existing teacher training intervention.http://www.journalssystem.com/popmed/Testing-the-effectiveness-of-a-teacher-training-intervention-to-make-schools-tobacco,125912,0,2.htmltobaccoadolescentstobacco-free schools (tfs)tobacco policy implementationindia |
spellingShingle | Nilesh Chatterjee Deepak Patil Rajashree Kadam Testing the effectiveness of a teacher-training intervention to make schools tobacco-free in India: Results from a quasi-experimental post-only study Population Medicine tobacco adolescents tobacco-free schools (tfs) tobacco policy implementation india |
title | Testing the effectiveness of a teacher-training intervention to make schools tobacco-free in India: Results from a quasi-experimental post-only study |
title_full | Testing the effectiveness of a teacher-training intervention to make schools tobacco-free in India: Results from a quasi-experimental post-only study |
title_fullStr | Testing the effectiveness of a teacher-training intervention to make schools tobacco-free in India: Results from a quasi-experimental post-only study |
title_full_unstemmed | Testing the effectiveness of a teacher-training intervention to make schools tobacco-free in India: Results from a quasi-experimental post-only study |
title_short | Testing the effectiveness of a teacher-training intervention to make schools tobacco-free in India: Results from a quasi-experimental post-only study |
title_sort | testing the effectiveness of a teacher training intervention to make schools tobacco free in india results from a quasi experimental post only study |
topic | tobacco adolescents tobacco-free schools (tfs) tobacco policy implementation india |
url | http://www.journalssystem.com/popmed/Testing-the-effectiveness-of-a-teacher-training-intervention-to-make-schools-tobacco,125912,0,2.html |
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