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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 information

Korean J Health Promot. 2019;19(2):96-106
Publication date (electronic) : 2019 June 30
doi : https://doi.org/10.15384/kjhp.2019.19.2.96
Jin Hee Na1, Jina Choo2
1Tancheon Elementary School, Seongnam, Korea.
2College of Nursing, Korea University, Seoul, Korea.
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, jinachoo@korea.ac.kr
Received 2019 March 21; Revised 2019 April 04; Accepted 2019 May 07.

Abstract

Background

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.

Methods

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.

Results

The ELSP group had significant changes in the scores of smoking attitude (t=4.75, P<0.001) and social influences (t=3.73, P<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.

Conclusions

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.

Keywords: Smoking; Attitude; Peer influence; Self-efficacy; Intention

Notes

This article is a condensed form of a master's thesis of the first author from Korea University.

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Copyright © 2019 Korean Society for Health Promotion and Disease Prevention
Korean Society for Health Promotion and Disease Prevention

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Table 1

Characteristics and homogeneity test between the groups

Table 1

Values are presented as number (%).

Calculated by chi-square test.

Table 2

Test on the level of dependent variables and homogeneity between the groups

Table 2

Values are presented as mean±standard deviation.

Calculated by paired t-test.

Table 3

Verification of effectiveness of experience activity-based smoking prevention program (n=84)

Table 3

Values are presented as mean±standard deviation.

Calculated by independent sample t-test.