Effect of Educational Intervention based on the Theory of Planned Behavior on Preventing Water Pipe Smoking in Secondary School Students

Jeihooni, Ali Khani; Razavi, Mahboobeh; Kashfi, Mansour; Ansari, Mehdi; Gholami, Tahereh

doi:10.29252/jech.7.1.13

Cited by 8 publications

(7 citation statements)

References 26 publications

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“…Four months after the educational intervention, there was a significant increase in the experimental group’s mean score of behavioral intention, which is consistent with the results of studies by Khani Jeihooni and Athamneh et al (2020) [ 23 , 42 ] which shows the effect of educational intervention on improving behavioral intention in the intervention group.Concerning the relationship between behavioral intention and tobacco use [ 37 , 39 , 43 – 46 ], Therefore, it is possible to prevent and control the use of hookah by influencing the behavioral intention of hookah users. our findings are consistent with those of Momenabadi (2018) [ 47 ], Lareyre et al (2021) [ 20 ], and Khani Jeihooni et al (2020) [ 23 ].…”

Section: Discussionsupporting

confidence: 89%

“…In a study by Sabzmakan et al, a positive attitude and misconceptions and regarding hookah usage were the primary determinants of the intention not to quit [ 26 ]. In addition, in other studies verified the correlation between misunderstandings regarding hookah use and hookah smoking behavior [33–34].Based on research findings, educational programs designed Based on Theory of Planned Behaviour to prevent and regulate tobacco, cigarettes, and hookah are beneficial [ 22 , 23 , 29 – 31 ].…”

Section: Introductionmentioning

confidence: 84%

“…Using PowerPoint and WhatsApp boosted the experimental group’s understanding. In a study by Khani Jeihooni et al (2020) with the aim of investigating Effect of Educational Intervention based on TPB on Preventing Water Pipe Smoking in Secondary School Students, comparable results were obtained, and TPB-based intervention dramatically boosted target group knowledge [ 23 ]. In a study by Hassani et al (2019), with the aim of investigating Effect of Educational Intervention Based on Theory of Planned Behaviour on the Reduction of Water Pipe Smoking in Women, the intervention group increased significantly in all constructs [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

“…The association between attitude and hookah smoking behavior is clear [ 23 ], as in a qualitative study by Sabzmakan et al (2020), a positive attitude and misconceptions regarding hookah usage were the primary determinants of the intention not to quit [ 26 ]. In addition, studies by Abedini et al (2014) and Elias et al (2017) verified the correlation between misunderstandings regarding hookah use and hookah smoking behavior [33–34].…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, due to the rapid increase in hookah use among Iranian women and the harmful effects of smoking on women’s health, including reproductive health, intervention programs are necessary to reduce hookah use among this group. Given the WHO’s emphasis on further research into the development of hookah prevention strategies [ 10 ], the role of factors such as knowledge, attitudes, and subjective norms in hookah use among women [ 15 , 16 ], the role of TPB in explaining different health behaviors, the effect of interventions based on this theory on reducing hookah smoking behavior [ 23 ], and the relationship between hookah smoking and oral cancer [ 11 ], the present study aimed to investigate the effect of educational intervention based on a theory of planned behavior (TPB) on promoting preventive behaviors of oral cancer in rural women.…”

Section: Introductionmentioning

confidence: 99%

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Effect of educational intervention based on theory of planned behaviour on promoting preventive behaviours of oral cancer in rural women

et al. 2023

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Background Oral cancer has created an alarming situation around the world, and being the 16th most common cancer worldwide, it has become a global concern. The present study aimed to investigate the effect of educational intervention based on a theory of planned behavior (TPB) on promoting preventive behaviors of oral cancer in rural women. Methods This quasi-experimental study was conducted on 120 female hookah users referring to rural health centers in Fasa and Shiraz city, Fars province, Iran. The subjects were divided into experimental and control groups by simple random sampling. The educational intervention for the experimental group consisted of 8 training sessions of 50 min. Both groups completed a questionnaire including demographic characteristics and constructs of TPB before and four months after the educational intervention. Data were analyzed using SPSS 22 software through independent t-test, chi-square, and paired t-test (p = 0.05). Results The mean age of the experimental and control group subjects were 41.12 ± 8.86 and 40.63 ± 9.62 years, respectively (p = 0.185). The mean age of onset of hookah use in the experimental and control group was 24.16 ± 9.50 and 23.35 ± 9.44 years, respectively (p = 0.182). Also, before the educational intervention, there was a significant difference between the experimental and control groups in terms of knowledge (p < 0.189), attitude (p < 0.122), perceived behavioral control (p < 0.142), subjective norms (p < 0.236), behavioral intention (p < 0.126), oral cancer prevention behaviors (p < 0.108) and nicotine dependence (p < 0.218); however, four months after the educational intervention, there was a significant increase in the experimental group in all variables except nicotine dependence (p < 0.005). Conclusion Due to the alarming situation of oral cancer and the prevalence of hookah use among women, educational programs based on TPB could effectively prevent hookah use and oral cancer.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effect of educational intervention based on theory of planned behaviour on promoting preventive behaviours of oral cancer in rural women

et al. 2023

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Effects of educational interventions based on the theory of planned behavior on oral cancer-related knowledge and tobacco smoking in adults: a cluster randomized controlled trial

Ghasemian,

Sargeran,

Khami

et al. 2024

BMC Cancer

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Background The theory of planned behavior (TPB) is an effective model for facilitating behavioral change. The aim of the present study was to evaluate the impact of TPB-based educational interventions on oral cancer-related knowledge and tobacco smoking behavior in an Iranian adult population in 2022. Methods In this randomized controlled trial, a total of 400 healthy individuals were enrolled. The study was implemented in 20 urban health centers in the south of Tehran, Iran. The health centers were randomly allocated into two intervention groups. In group PowerPoint (PP), the participants received education through a 20-minute PowerPoint presentation complemented by a pamphlet. Group WhatsApp (WA) was educated via WhatsApp messages and images. Data was collected using a structured questionnaire at baseline, and at one- and three-month follow-ups. The outcomes were evaluated in terms of knowledge, tobacco smoking behavior, and the related model constructs i.e. intention, attitude, subjective norm, and perceived behavioral control. Generalized estimating equations (GEE) regression models were applied to assess the effect of interventions on repeated measurements of the outcomes. All analyses were conducted using STATA Software Version 17. Results Out of all the participants, 249 (62%) were women. The mean and standard deviation (SD) of age were 39.67 and 13.80 years. Overall, group PP had a significantly higher score of knowledge compared to group WA (β = 0.43, p = 0.005). No significant differences were found between the groups with regard to tobacco smoking and the related TPB constructs, except for attitude with a higher score in group PP compared to group WA (β = 0.50, p = 0.004). At the three-month follow-up, both interventions had significant effects on increasing knowledge (β = 4.41), decreasing tobacco smoking (OR = 0.54), and increasing intention (β = 1.11), attitude (β = 1.22), subjective norm (β = 1.37), and perceived behavioral control (β = 1.08) (P < 0.001). Conclusions Both interventions were effective in improving knowledge, tobacco smoking, and the TPB constructs after three months. Therefore, the application of both methods could be considered in the design and implementation of oral cancer prevention programs. Trial registration The trial protocol was registered in the Iranian Registry of Clinical Trials (IRCT) on 04/03/2022 (registration number: IRCT20220221054086N1).

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The effect of training intervention based on the theory of planned behavior on oral and dental health behaviors in pregnant women

Mohammadkhah,

Amirhajelu,

Bakhtiar

et al. 2023

BMC Oral Health

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Background Pregnancy is a transient physiological condition that causes adverse oral and dental consequences. The present study aimed to determine the effect of a training intervention based on the theory of planned behavior on oral and dental behaviors in pregnant women. Methods This quasi-experimental study was conducted on 140 pregnant women (70 in the intervention group and 70 in the control group) supported by comprehensive health centers on the outskirts of Shiraz, Iran, in 2019–2020. The sampling was performed in each center by a simple random method. The tool included a demographic characteristics questionnaire, a questionnaire based on the theory of planned behavior, a self-care behavior questionnaire, and checklists for recording DMFT(Decayed, Missing due to caries, and Filled Teeth(DMFT)) and dental plaque indices. The questionnaires were completed before and 3 months after the intervention by both groups. The intervention group received six 50-min training sessions. The data were analyzed using SPSS 22, the chi-squared test, independent t-test, paired t-test, and descriptive statistics (p < 0.05). Results The mean ages of the intervention and control groups were 32.28 ± 6.14 and 31.84 ± 6.71, respectively. The results showed that the average scores of all constructs of the theory of planned behavior, dental plaque indices (PI), and MDFT in the intervention group significantly changed after the intervention (p < 0.001). Conclusion According to the results, training based on the theory of planned behavior was effective on dental and oral health behaviors in pregnant women and improved the clinical results of their self-care behaviors. Therefore, training sessions will increase the knowledge of pregnant women, and providing timely consultations and examinations can be helpful and effective in developing oral and dental health behaviors in pregnant women.

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Effect of Educational Intervention based on the Theory of Planned Behavior on Preventing Water Pipe Smoking in Secondary School Students

Cited by 8 publications

References 26 publications

Effect of educational intervention based on theory of planned behaviour on promoting preventive behaviours of oral cancer in rural women

Effect of educational intervention based on theory of planned behaviour on promoting preventive behaviours of oral cancer in rural women

Effects of educational interventions based on the theory of planned behavior on oral cancer-related knowledge and tobacco smoking in adults: a cluster randomized controlled trial

The effect of training intervention based on the theory of planned behavior on oral and dental health behaviors in pregnant women

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