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<article xml:lang="KO" article-type="research-article">

<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Korean J Health Promot</journal-id>
<journal-id journal-id-type="publisher-id">KJHP</journal-id>
<journal-title-group>
<journal-title>Korean Journal of Health Promotion</journal-title>
</journal-title-group>
<issn pub-type="ppub">2234-2141</issn>
<issn pub-type="epub">2093-5676</issn>
<publisher>
<publisher-name>Korean Society for Health Promotion and Disease Prevention</publisher-name>
</publisher>
</journal-meta>

<article-meta>
<article-id pub-id-type="doi">10.15384/kjhp.2019.19.2.96</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Effects of an Experiential Learning Activities-Focused Smoking Prevention Program in Elementary School Students: On the Basis of the Attitude-Social Influence-Efficacy Model</article-title>
</title-group>

<contrib-group>

<contrib contrib-type="author">
<name>
<surname>Na</surname>
<given-names>Jin Hee</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>

<contrib contrib-type="author" corresp="yes">
<name>
<surname>Choo</surname>
<given-names>Jina</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>

</contrib-group>


<aff id="A1"><label>1</label>Tancheon Elementary School, Seongnam, <country>Korea</country>.</aff>
<aff id="A2"><label>2</label>College of Nursing, Korea University, Seoul, <country>Korea</country>.</aff>

<author-notes>
<corresp>Corresponding author : Jina Choo, PhD, DrPH. College of Nursing, Korea University, 145 Anam-ro, Seongbuk-gu, Seoul 02841, Korea. Tel: +82-2-3290-4925, Fax: +82-2-928-9107, <email>jinachoo@korea.ac.kr</email></corresp>
</author-notes>

<pub-date pub-type="ppub">
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>19</volume>
<issue>2</issue>
<fpage>96</fpage>
<lpage>106</lpage>

<history>
<date date-type="received">
<day>21</day>
<month>03</month>
<year>2019</year>
</date>
<date date-type="rev-recd">
<day>04</day>
<month>04</month>
<year>2019</year>
</date>
<date date-type="accepted">
<day>07</day>
<month>05</month>
<year>2019</year>
</date>
</history>

<permissions>
<copyright-statement>Copyright &#x00A9; 2019 Korean Society for Health Promotion and Disease Prevention</copyright-statement>
<copyright-year>2019</copyright-year>
<copyright-holder>Korean Society for Health Promotion and Disease Prevention</copyright-holder>
<license license-type="open-access" xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">
<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>

<abstract>
<sec>
<title>Background</title>
<p>We aimed to examine the effects of an experiential learning activities-focused smoking prevention (ELSP) program on the basis of the Attitude-Social Influence-Efficacy (ASE) model in elementary school students.</p>
</sec>
<sec>
<title>Methods</title>
<p>A non-equivalent control group pre-test and post-test design was conducted with 84 participants who were in the fifth grade of two elementary schools in Seongnam city, South Korea. The two schools were allocated into either the ELSP (n=42) or control (n=42) group. The ELSP group completed five ELSP classes, while the control group completed five traditional lecture-based classes during the 5 weeks. Both groups were examined before and after 5 weeks, using ASE measures of smoking attitude, social influence, self-efficacy for the refusal of smoking temptation, and intention not to smoke. Data were collected from August to September 2017.</p>
</sec>
<sec>
<title>Results</title>
<p>The ELSP group had significant changes in the scores of smoking attitude (<italic>t</italic>=4.75, <italic>P</italic>&#x003C;0.001) and social influences (<italic>t</italic>=3.73, <italic>P</italic>&#x003C;0.001), compared to those in the control group. However, the ELSP group had non-significant changes in the scores of self-efficacy for the refusal of smoking temptation and intention not to smoke, compared to those in the control group.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>The ELSP program may be effective in improving smoking attitude and perceived social influence of smoking among those in upper grades of elementary schools. However, the duration and intensity of the ELSP program must be revised to effectively enhance smoking refusal self-efficacy and non-smoking intentions.</p>
</sec>
</abstract>

<kwd-group>
<kwd>Smoking</kwd>
<kwd>Attitude</kwd>
<kwd>Peer influence</kwd>
<kwd>Self-efficacy</kwd>
<kwd>Intention</kwd>
</kwd-group>

</article-meta>
</front>

<back>

<fn-group>
<fn fn-type="other">
<p>This article is a condensed form of a master's thesis of the first author from Korea University.</p>
</fn>
</fn-group>

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</back>

<floats-group>


<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption>
  <title>Characteristics and homogeneity test between the groups</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="kjhp-19-96-i001"></graphic>
<table-wrap-foot>
<fn>
  <p>Values are presented as number (%).</p>
  <p>Calculated by chi-square test.</p>
</fn>
</table-wrap-foot>
</table-wrap>

<table-wrap position="float" id="T2">
<label>Table 2</label>
<caption>
  <title>Test on the level of dependent variables and homogeneity between the groups</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="kjhp-19-96-i002"></graphic>
<table-wrap-foot>
<fn>
  <p>Values are presented as mean&#x00B1;standard deviation.</p>
  <p>Calculated by paired <italic>t</italic>-test.</p>
</fn>
</table-wrap-foot>
</table-wrap>

<table-wrap position="float" id="T3">
<label>Table 3</label>
<caption>
  <title>Verification of effectiveness of experience activity-based smoking prevention program (n=84)</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="kjhp-19-96-i003"></graphic>
<table-wrap-foot>
<fn>
  <p>Values are presented as mean&#x00B1;standard deviation.</p>
  <p>Calculated by independent sample <italic>t</italic>-test.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</floats-group>

</article>