Health Education Program to Promote Roll-Your-Own Smoking Cessation Among Women in Maechan District, Chiang Rai Province*

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Sunaree Tanapek
Mondha Kengganpanich
Supreya Tansakul
Tharadol Kengganpanich


This quasi-experimental research aimed to study the effects of the application of protection
motivation theory and social support to promote a roll-your-own (RYO) smoking cessation program
among women in Maechan District, Chiang Rai Province. There were 24 women in the experimental
group who received the health education program, and 30 women in the comparison group. This
program was composed of four sessions of health education activities within six weeks. The
comparison group received regular advice by health officers. Data collection was done by using an
interview schedule for three times; in the pre, post-program, and follow-up after the last activity for eight
weeks. The data were analyzed by computing percentage, mean, standard deviation, Repeated Measures
one way ANOVA Independent t-test, and Z-test
The results showed that the experimental group had significantly higher mean scores of
knowledge about harmful effect of RYO smoking, perceived susceptibility of disease caused by RYO
smoking and cessation behavior of RYO smoking than the pre-program and comparison group. In the
following-up period it was found that 33.3 percent of the experimental group quit the roll-your-own
smoking comparing with 13.3 percent of the comparison group. In post-program and follow-up, mean
score of noxiousness of disease from RYO smoking and self-efficacy for RYO smoking cessation were
higher than those from the pre-program. When compared with the comparison group, the only
difference was in the post-program results. The terms of the response efficacy for RYO smoking
cessation, the experimental group had significantly higher mean scores in the post-program and followup than the pre-program, but there was no difference in the comparison group in post-program and

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