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The effect of a “class smoke free pledge” on breath carbon monoxide in Arabic male adolescents

Al sheyab, NA, Khader, YS, Shah, S, Roydhouse, J and Gallagher, R 2018 , 'The effect of a “class smoke free pledge” on breath carbon monoxide in Arabic male adolescents' , Nicotine & Tobacco Research , 568–574 , doi:

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Introduction: Arabic male adolescents have a high smoking prevalence. Introduction of “Classsmoke-free” pledges have been successful amongst European adolescents but have not beenevaluated using objective valid measures. We tested the impact of adding a smoke free pledgestrategy to a proven peer-led asthma and smoking prevention program on breath carbon monoxide level (BCO) in male high-school students in Jordan.Methods: We enrolled male students from four high-schools in Irbid, Jordan. Schools were randomlyassigned to receive either TAJ (Triple A in Jordan, n = 218) or TAJ-Plus (with added class smoke-freepledge, n = 215). We hypothesized that students receiving TAJ-Plus would have greater reduction inBCO levels than those only receiving the TAJ intervention. Asthma and smoking status were assessedby self-administered questionnaires. Smoking outcomes were collected using a BCO Monitor.Results: Both groups had significant reductions in BCO levels post-intervention (p p p= .085), asthma status (p = .602), or acombination of the two (p = .702).Conclusions: An added smoke-free pledge strategy to a proven peer-led asthma education programappears to be a promising approach to motivate adolescents to abstain from smoking in Jordan. Futureresearch is required to determine if these results can be extended to Jordanian adolescent females.Implications: A commitment by students via a “class smoke-free” pledge can be an added incentive to motivate adolescents in Arabic-speaking countries to abstain from smoking. Social influenceapproaches in schools can be useful in countering the aggressive tobacco marketing campaignstargeting Jordanian and other Arabic-speaking youth. The combination of “class smoke-free”pledges and an evidence-based peer-led asthma and smoking education can be implemented inschools to influence adolescents with asthma to abstain from smoking.

Item Type: Article
Authors/Creators:Al sheyab, NA and Khader, YS and Shah, S and Roydhouse, J and Gallagher, R
Keywords: trial, smoking prevention, intervention, adolescents
Journal or Publication Title: Nicotine & Tobacco Research
Publisher: Oxford University Press
ISSN: 1469-994X
DOI / ID Number:
Copyright Information:

Copyright 2017 The Authors

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