Smoking Clinical Trial
Official title:
Evaluation of The KOTAK, a School-based Smoking Prevention and Cessation Programme in Negeri Sembilan, Malaysia
School-based smoking cessation programmes stretched longer than a year had 12% reduction in preventing smoking uptake. With regards to smoking intervention programme among adolescents, there is a lack of evidences regarding its long-term effectiveness. This was due to lack of clear guidelines, methodological issues and the fact that adolescents were likely to be sporadic or non-daily smoker, leading to discrepancies in their self-reported claim. Adolescent's smoking relapse rate was at 47% while those who never smoke have a 13% chance to become smoker. Light and regular smokers have 30% and 75% chance becoming an adult smoker respectively. A review paper in smoking research in Malaysia showed that the provision of anti-smoking education in school was associated with reduced susceptibility in female smoking.Male students perceived printable media, radio and the Internet as effective in delivering anti-smoking messages.School-based smoking cessation programme has been shown to be cost-effective in helping the students to quit smoking both in developed and developing countries.For this reason, it is essential to explore what are the factors that amplify the success rate of smoking cessation effect of the KOTAK programme.
Through this study the investigators will seek to answer the following questions:
- To determine the quit-smoking rate of the KOTAK programme
- To determine the factors associated with quitting smoking with the KOTAK programme
Important aspects of the KOTAK programme evaluation will involve assessing its impacts on
preventing smoking initiation and promoting smoking cessation among the adolescents. This
form of assessment is vital in achieving the KOTAK's objectives to reduce the prevalence of
smokers in Malaysian schools. An average of 8 hours of training were required for dental
officers and dental nurses to deliver the modules in the KOTAK programme. This programme has
an important financial implication as it involved almost 4 thousand dental officers and 3
thousand dental nurses to screen almost 4.6 million Malaysian schoolchildren in 2018.
Factors yielding promising results for adolescents to quit smoking are important to be
researched. This will provide us with valuable insights from the perspectives of the
stakeholders pertaining on areas that needed improvement. Despite the existence of various
tobacco-prevention program in public schools, KOTAK is deemed significant as it is a yearly
collaboration of School Dental Services with the schools. This study will compare the quit
smoking rate between Intervention (with KOTAK Programme) and Control (without KOTAK programme
) schools. The sampling unit was the school.
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