Document Detail


Process evaluation of a tobacco prevention program in Indian schools--methods, results and lessons learnt.
MedLine Citation:
PMID:  20884731     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In India, 57% of men between 15 and 54 years and 10.8% of women between 15 and 49 years use tobacco. A wide variety of tobacco gets used and the poor and the underprivileged are the dominant victims of tobacco and its adverse consequences. Project MYTRI (Mobilizing Youth for Tobacco-Related Initiatives in India) was a tobacco prevention intervention program, a cluster-randomized trial in 32 Indian schools which aimed to decrease susceptibility to tobacco use among sixth- to ninth-grade students in urban settings in India. This culture-specific intervention, which addressed both smokeless and smoked forms of tobacco, was Indian in content and communication. We qualitatively developed indicators which would help accurately measure the dose of the intervention given, received and reached. A multi-staged process evaluation was done through both subjective and objective measures. Training the teachers critically contributed toward a rigorous implementation and also correlated with the outcomes, as did a higher proportion of students participating in the classroom discussions and better peer-leader-student communication. A sizeable proportion of subjective responses were 'socially desirable', making objective assessment a preferred methodology even for 'dose received'. The peer-led health activism was successful. Teachers' manuals need to be concise.
Authors:
Shifalika Goenka; Abha Tewari; Monika Arora; Melissa H Stigler; Cheryl L Perry; J P Saulina Arnold; Sangita Kulathinal; K Srinath Reddy
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural     Date:  2010-09-30
Journal Detail:
Title:  Health education research     Volume:  25     ISSN:  1465-3648     ISO Abbreviation:  Health Educ Res     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-08     Completed Date:  2011-03-02     Revised Date:  2011-12-21    
Medline Journal Info:
Nlm Unique ID:  8608459     Medline TA:  Health Educ Res     Country:  England    
Other Details:
Languages:  eng     Pagination:  917-35     Citation Subset:  T    
Affiliation:
Centre for Chronic Disease Control, Delhi, India. shifalika.goenka@iiphd.org
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Female
Health Promotion / organization & administration*
Humans
India
Male
Middle Aged
Program Evaluation*
Schools*
Smoking / prevention & control*
Young Adult
Grant Support
ID/Acronym/Agency:
R01TW05952-01/TW/FIC NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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