EFFECTS OF A SMOKING PREVENTION PROGRAM BASED ON EXTENDED PARALLEL PROCESS MODEL(EPPM) AMONG MIDDLE SCHOOL MALE STUDENTS IN SHIRAZ

Health Promotion Perspectives

Volume 1 - Number Supple.1

Article Type: Original Article
Abstract: Introduction: Cigarette smoking is a preventable cause of morbidity and mortality in the world. Because of side effects of tobacco use, about 50000 people die each year in Iran. Early start of smoking among adolescents is worrisome and is a strong predictor for using it in adulthood. The most important action for prevention of smoking is supporting students for applying resistance skills against peer pressure.Therefore, the effects of interventional programs for prevention of smoking among middle school male students was studied based on Extended Parallel Process Model as a theoretical framework. Materials and Methods: Method: A quasi-experimental study carried out in the middle school male students of Shiraz in 2009-2010 academic year. Before start of the study a baseline study was carried out and 2 schools were selected then a total number of 240 students were randomly assigned to intervention (n=120) and the control (n=120) groups. Educational curriculum was designed based on students’ educational needs. A questionnaire, based on the Extended Parallel Process Model, was designed for prevention of smoking in students. Results: The results showed that educational intervention had significant effect on intervention group’s average response for knowledge (t= -13.96, p<0.000) , perceived susceptibility (t= 6.84, p<0.000), perceived severity (t= -11.46, p<0.000), perceived response efficacy of recommended message for avoid smoking (t= -7.07, p<0.000 ), perceived self efficacy of avoid smoking (t= -11.64, p<0.000), preventive behavior (t= -24.36, p<0.000)and danger control process or fear control process(t= -7.58, p<0.000)
Discussion & Conclusion: These findings suggest that applying Extended Parallel Process Model within education of resistance skills against peer pressure would be an efficient tool for preventing and increasing protective behavior for smoking. But further studies are needed to increase perceived susceptibility for cigarette smoking in adolescents.