Applying a Social–Ecological Framework to Factors Related to Nicotine Replacement Therapy for Adolescent Smoking Cessation

King, J. Stanton; Merten, Julie Williams; Wong, Tzu-Jung; Pomeranz, Jamie L.

doi:10.1177/0890117117718422

Cited by 64 publications

(12 citation statements)

References 66 publications

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“…Ecological models are often used to identify the correlates of behaviors (e.g., King et al, 2018) and can be used to inform and provide a structure for intervention strategies and targets. Evidence suggests that targeting all domains within ecological models holds the greatest potential for behavior change (e.g., Kellou et al, 2014;World Health Organization, 2009).…”

Section: Summary Of the Overall Evidencementioning

confidence: 99%

Changing Behavior Using Ecological Models

Salmon¹,

Hesketh²,

Arundell³

et al. 2020

The Handbook of Behavior Change

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Ecological models have their origins in ecological psychology which acknowledges the importance of human-environment interactions in understanding and changing human behavior. Most ecological models incorporate multiple levels of influence including policy, community, organizational, social and individual. Some ecological models have been further developed to inform interventions to change human behavior, however, many lack the specificity of behavioral theories. For this reason they have often been paired with theories such as social cognitive theory, organizational theory, behavioral choice theory, etc. A review of 157 intervention studies targeting nutrition, physical activity, smoking, sexual behavior, alcohol/substance use, disease screening and other behaviors reported that fewer than 10% used ecological models to inform intervention design, and 63% focused on just one or two levels of the ecological model. A meta-analysis of 96 health promotion interventions that used ecological models to target child and adolescent smoking, physical activity and diet found an overall effect size of g=0.2, and an effect of g=0.07 after approximately 12-months follow-up. However, organizational and policy targets remain understudied, with a further review reporting just 9% of interventions to prevent unhealthy weight amongst children were multi-level. A major challenge with ecological models is their partial use in interventions. It is recommended that behavior change interventions target all levels of ecological models. Future research should focus on how ecological models can help change the behavior of whole communities, how ecological models can be used within a systems framework, and how they can assist with the scaling up of interventions to improve population reach.

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Section: Summary Of the Overall Evidencementioning

confidence: 99%

Changing Behavior Using Ecological Models

Salmon¹,

Hesketh²,

Arundell³

et al. 2020

The Handbook of Behavior Change

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“…Intrapersonal and interpersonal factors have been identified to contribute to smoking initiation among adolescents. [13][14] Amongst the intrapersonal factors are knowledge and attitude towards smoking. [15][16][17][18] Those with poor knowledge and a positive attitude towards smoking have a higher likelihood to start smoking.…”

Section: Introductionmentioning

confidence: 99%

Construct validity and reliability of Malay Language-perception towards smoking questionnaire (BM-PTSQ) among secondary school adolescents

Lim¹,

Hock²,

Ghazali³

et al. 2022

IJPHR

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Introduction: Multitude studies have shown perception is an integral factor associated with smoking, However, no such tool was available in Malay language. In this study, we established a Bahasa Malaysia version of PTSQ (BM-PTSQ) and tested the validity and reliability among secondary school adolescents. Methods: The English version of PTSQ originally consists of 12 items. It was translated into Bahasa Malaysia and back-translated again into English to check for consistency. After face validity (face-to-face query) was determined among 20 secondary school adolescents, only 10 items were included in the survey. Construct validity was established from 407 school adolescents through random selection in the same locality. More than 60% of the respondents were female, a majority (67.3%) were schooling in rural areas. Then, the reliability of the questionnaire was determined with Cronbach’s alpha. Results: EFA has grouped PTSQ into two components, they are associated with either knowledge or attitude towards smoking. The variance and Cronbach’s alpha for the first and second component were 38.24% and 0.861 (7 items) and 21.62% and 0.661 (3 items) respectively. Conclusion: The PTSQ showed good validity and reliability for measurement of perception in smoking among school adolescents in Malaysia, thus this is a viable measurement tool. More importantly this study shows an urgent need to improve the smoking education among adolescents in Malaysia.

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“…Besides elements pertaining to the study design, it would be important to note that the effectiveness 8,19,20 . The present study did not take into account the smoking culture (e.g.…”

Section: Discussionmentioning

confidence: 99%