Evaluation Research on the Nakhon Pathom Province Smoke Free Project : The case of youth in educational institutions
Provincial Smoke-free Projects had the specific goal of reducing the rate of smoking among Thai people which were implemented in 10 provinces with high smoking rates since 2012. Nakhon Pathom Province has implemented the project both in educational and community settings. The CIPP Model was applied to evaluate the Nakhon Pathom Province Smoke-Free Project in educational institutions during the year 2017. The data collection tools were developed by the Tobacco Control Capacity Building Center and the Research Team. The questionnaires were examined the content validity of the experts. The samples were 1,080 youth aged 15-19 years old in educational institutions. The participants were selected by multi-stage random sampling. The duration of the research was 12 months. The statistics used for data analysis were descriptive and comparing the proportion of smoking status at before and after the project using chi-square statistics and content analysis methods was used for analysis of qualitative data.
According to the provincial context, the results revealed that the inputs and implementation process led to a statistically significant difference (p = 0.015) in the current smoking rate of youth and the proportion of smoker or non-smoker status was statistically significantly different (p<0.001). The main activities of the project were 1S 3C (s=search c=cessation c=campaign c=close follow up) and campaign activities in festivals or important days in the educational setting. In additional, content analysis revealed that closely monitoring smokers, using several of activities, create databases and using research results as guidelines for carrying out activities were successful supporting factors.
The results indicated that the project including 1S 3C, campaign activities, and using all supporting factors were suitable for using as a model of implementation and development of tobacco-control. The tobacco control policy should be highlighted as a provincial agenda. Systemic evaluation should be proposed for continuing provincial non-smoking completion and sustainable.
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