title: [Development and evaluation of self-study material for smoking prevention education].
abstract: A booklet for smoking prevention education was developed for junior high school students, which is a role-play activity book for self-study and discusses not only the harmful effects and dependency of smoking but also psychosocial factors affecting smoking behavior among students. The purpose of this material is to provide students with basic information needed to choose a non-smoking lifestyle even without a teacher's direct instruction. Process evaluation and impact evaluation studies were carried out between September 1991 and September 1992. Six hundred sixty-nine students and 9 teachers from three junior high schools in Osaka, Tokyo and Yamagata participated in the process evaluation study. More than 90% of the students were able to complete the material in one school hour and less than 4% students expressed difficulty in learning from the booklet. Nine hundred seventy-seven students from 2 junior high schools in Tokyo participated in an intervention study to evaluate the effectiveness of the material. There were 500 students in the experimental school and 477 students in the control school. All students were given a pretest and posttest, 2 months apart. Knowledge concerning smoking increased and attitudes toward smoking were modified significantly in the experimental school. However, intention to smoke and smoking behavior did not change significantly, due to the small numbers of students with intention to smoke at the time of pretest and because there was not enough time for their intention to change. This study demonstrates the effectiveness of the material in junior high school. However, teacher participation during the instruction is also seen to be necessary for greater effect.
authors.affiliation: Faculty of Education, Yamagata University.
authors.forename: H
authors.initials: H
authors.lastname: Takahashi
authors.forename: M
authors.initials: M
authors.lastname: Nakamura
authors.forename: A
authors.initials: A
authors.lastname: Oshima
mesh_terms: D000293:Adolescent; D005260:Female; D006266:Health Education; D006801:Humans; D008297:Male; D011380:Programmed Instructions as Topic; D000074606:Smoking Prevention