Online Program

Efficacy of School Based Waterpipe Smoking Cessation Intervention to address the waterpipe strain of global tobacco epidemic

Monday, November 2, 2015

Sukaina A. Alzyoud, PhD, Community and Mental Health, Hashemite University, Zarqa, Jordan
Sreenivas P. Veeranki, MBBS, DrPH, Department of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, TX
Khalid A. Kheirallah, PhD, Public Health, Medical Faculty of Jordan University of Science and Technology (JUST), Irbid, Jordan
Nihaya Al-sheyab, Department of Pediatric and Maternal Health, Jordan University of Science and Technology (JUST), Irbid, Jordan
Lori Pbert, Ph.D., Division of Preventive & Behavioral Medicine, University of Massachusetts Medical School, Worcester, MA
Background: Tobacco use, particularly waterpipe use, has increased significantly among adolescents particularly in Jordan making them a high risk population. Yet no waterpipe cessation interventions have been developed to date for adolescents.

Method: We aim to conduct a randomized controlled trial among Jordanian school students to test the efficacy of behavioral counseling-based waterpipe cessation intervention delivered by school counselors adapted from the 5A’s guidelines originally developed for cigarette smokers, compared to an information only control condition.  A cluster random sampling methodology will be employed to recruit study participants from eight schools in the Zarqa First Educational District. Study participants will include students enrolled in grades 9–12 who have reported currently smoking waterpipe, and assessments will be conducted at baseline, and 1-, 3-, and 6-month follow-ups. Intention to treat analyses will be conducted to determine the impact of the intervention on waterpipe smoking abstinence, and further validated with biological cotinine levels.

Results: For study power of 80%, we plan to recruit 27 students per school with a total study population of 216 school students. We hypothesize that we will find a significant impact (p<0.05) of the intervention compared to the control condition, evidenced by reduced waterpipe smoking rates and increased abstinence rates at 1-, 3- and 6-month follow-up and results validated using cotinine levels.

Conclusion: This is the first school-based smoking cessation intervention targeted towards adolescent waterpipe smokers. Study findings will help understand the need for tailored behavioral interventions targeting young adolescents to prevent the rising waterpipe tobacco epidemic.

Learning Areas:

Administer health education strategies, interventions and programs
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Other professions or practice related to public health
Planning of health education strategies, interventions, and programs
Social and behavioral sciences

Learning Objectives:
Describe the methodology to be used in a randomized controlled trial of an adolescent waterpipe smoking cessation intervention. Discuss the impact of the intervention on waterpipe smoking rates and abstinence Promote development of school-based waterpipe smoking cessation intervention programs to address the waterpipe strain of the global tobacco epidemic.

Keyword(s): Adolescents, Tobacco Use

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am an Assistant Professor of Community Health Nursing, at the Hashemite University Faculty of Nursing. I am considered an active researcher in the field of adolescents health in the community settings. My primary research focus is the design and evaluation of research studies of health risk behavior particularly waterpipe tobacco use among adolescents in community settings. I have been the principle or co-investigator of multiple funded grants focusing on tobacco and other substances.
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.

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