Children Learning About Second-hand Smoke (CLASS II): a mixed methods process evaluation of a school-based intervention.
Children Learning About Second-hand Smoke (CLASS II): a mixed methods process evaluation of a school-based intervention.
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DOI：
10.1186/s40814-021-00853-9
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发表时间：
2021-05-24
影响因子：
1.7
通讯作者：
Siddiqi K
中科院分区：
文献类型：
--
作者：
Jackson C;Huque R;Ahmed F;Nasreen S;Shah S;Ahluwalia JS;Kanaan M;Sheikh A;Siddiqi K
儿童容易受到二手烟的影响。创建无烟家庭是限制接触的有效策略。我们开发了一种无烟干预（SFI），利用儿童作为变革的催化剂，并教授谈判无烟家庭的技能。在本文中，我们提出了一个试点试验过程中进行的评估。这是一个混合方法的研究，包括定性访谈和定量保真度评估的SFI交付。在六所干预学校进行了采访，6名校长和12名教师。这些研讨会探讨了实施可持续森林倡议的经验、可感知的影响、成功的障碍和促进因素以及改进和扩大的想法。使用框架分析对数据进行了分析。观察SFI的输送并计算保真度评分。校长和教师都能接受“自立教育”。忠诚度评分范围为27/40至37/40。教学内容比互动内容得到更充分的落实。完成课程的时间、上课时间和学校日历是主要的挑战。将自立教育纳入课程是一个潜在的解决办法。这些发现为最终确定内容和交付提供了有用的信息，并为我们正在进行的最终试验提供了SFI的扩展信息。ISRCTN68690577
Children are vulnerable to the effects of second-hand smoke exposure. Creating smoke-free homes is an effective strategy to limit exposure. We developed a smoke-free intervention (SFI) using children as a catalyst for change and teaching skills to negotiate a smoke-free home. In this paper, we present the process evaluation conducted within a pilot trial. This was a mixed-methods study comprising qualitative interviews and quantitative fidelity assessment of SFI delivery. Interviews in the six intervention schools were conducted with six headteachers and 12 teachers. These explored experiences of delivering the SFI, perceived impact, barriers and facilitators to success, and ideas for improvement and for scaling up. The data were analysed using framework analysis. Delivery of the SFI was observed and fidelity scores calculated. The SFI was acceptable to headteachers and teachers. Fidelity scores ranged from 27/40 to 37/40. Didactic components were more fully implemented than interactive components. Time to complete the sessions, timing in the school day and school calendar were key challenges. Embedding the SFI into the curriculum was a potential solution. These findings provide useful information to finalise the content and delivery and inform the scale-up of the SFI for our definitive trial, which is now underway. ISRCTN68690577