173016 Evaluation of “Crossroads” a tobacco prevention drama for Middle School students in Hawaii

Wednesday, October 29, 2008: 12:50 PM

Kevin D. Cassel, MPH , National Cancer Institute's Cancer Information Service Pacific Region, University of Hawaii, Cancer Research Center of Hawaii, Honolulu, HI
Karen U. Loebl, BA , Kalihi Palama Health Center, Honolulu, HI
Elitei Tatafu , Kalihi-Palama Health Center, Honolulu, HI
Doris Segal-Matsunaga, MPH , Kalihi Palama Health Center, Honolulu, HI
Diane B. Mitschke, PhD , School of Social Work, The University of Texas at Arlington, Arlington, TX
The evaluation of “Crossroads,” a youth tobacco prevention play in Hawaii, uses pretests and posttests to determine changes in students' knowledge, attitudes and potential behaviors related to tobacco use. Response bias may confound measurement of the play's effect; therefore a controlled intervention of the “Crossroads” play was designed to improve measurement of the drama's effectiveness. ”Crossroads” was performed for 162, 6th grade students at the Kamehameha School for Native Hawaiians on the island of O'ahu. Students completed a pre- and post-assessment that included both quantitative and qualitative items. Simultaneously, 340 students in a comparable Kamehameha School for Native Hawaiians on the island of Hawaii completed a pretest. After a two-week delay, the 6th grade students in the comparison group at the Hawaii Island school completed posttests without viewing the play. SPSS Version 16 was used to analyze quantitative data, while themes were extracted from the compiled qualitative data using grounded theory. Students in the intervention group showed significant improvement (p<.05) from pretest to posttest in response to the nine (9) questions measuring the students' knowledge, attitudes and intended behaviors towards tobacco use. Analysis of the comparison group showed no significant changes in response to these questions. The drama is effective in improving knowledge, attitudes, and potential behavior towards tobacco use in students who viewed the play. This evaluation demonstrated that the effect of response bias was not the mechanism of improvement. Thus, the use of drama may provide a promising venue for tobacco use prevention among young persons.

Learning Objectives:
Explain the effectiveness of the tobacco prevention and education drama "Crossroads" towards improving student audience’s knowledge, attitudes, and intended behaviors about tobacco use in Hawaii. Describe the evaluation of "Crossroads" and the community-based research partnership between a community health center, Kalihi-Palama Health Center, and the National Cancer Institute's Cancer Information Service, Pacific Region.

Keywords: Adolescent Health, Tobacco Control

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I supported the delivery of the intervention, and conducted the evaluation referenced in this abstract.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.