Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/29694
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dc.contributor.authorDobbie, Fionaen_UK
dc.contributor.authorPurves, Richarden_UK
dc.contributor.authorMcKell, Jenniferen_UK
dc.contributor.authorDougall, Nadineen_UK
dc.contributor.authorCampbell, Ronaen_UK
dc.contributor.authorWhite, Jamesen_UK
dc.contributor.authorAmos, Amandaen_UK
dc.contributor.authorMoore, Laurenceen_UK
dc.contributor.authorBauld, Lindaen_UK
dc.date.accessioned2019-06-20T00:09:34Z-
dc.date.available2019-06-20T00:09:34Z-
dc.date.issued2019en_UK
dc.identifier.other742en_UK
dc.identifier.urihttp://hdl.handle.net/1893/29694-
dc.description.abstractBackground: Smoking prevention programmes that reach adolescents before they experiment with tobacco may reduce the prevalence of tobacco use. ASSIST is a school-based, peer-led smoking prevention programme that encourages the diffusion of non-smoking norms among secondary school students (aged 12–13), and was shown in a randomised control trial (conducted 2001–2004) to reduce the prevalence of weekly smoking. This paper presents findings from a process evaluation of the implementation of ASSIST in Scotland in 2014–2017. It examines acceptability and fidelity of implementation and explores the context of message diffusion between peers. Methods: Mixed method implementation study with students (n = 61), school staff (n = 41), trainers (n = 31) and policy and commissioning leads (n = 17), structured observations (n = 42) and student surveys (n = 2130). Results: ASSIST was delivered with a high degree of fidelity to the licensed manual with all elements of the programme implemented. Student survey findings indicated that the frequency of conversations about smoking increased over the ASSIST delivery period (18% at baseline, 26% at follow-up), but student recollection of conversations about smoking with peer supporters was low (9%). The delivery context of ASSIST was important when considering perceptions of message diffusion. In the study schools, survey findings showed that 0.9% (n = 19) of participants were regular smokers (at least once a week), with nine out of ten (89.9%, n = 1880) saying they had never smoked. This very low prevalence may have affected when and with whom conversations took place. Study participants indicated that there were wider benefits of taking part in ASSIST for: peer supporters (i.e. personal and communication skills); schools (an externally delivered health promotion programme that required minimal resource from schools); and communities (via communication about the risks of smoking to wider social networks). Conclusions: ASSIST in Scotland was delivered with a high degree of fidelity to the licensed programme and was acceptable from the perspective of schools, students and trainers. Targeting ASSIST in deprived areas with higher youth smoking prevalence or in other countries where youth smoking rates are rising or higher than in Scotland may be particularly relevant for the future delivery.en_UK
dc.language.isoenen_UK
dc.publisherBMCen_UK
dc.relationDobbie F, Purves R, McKell J, Dougall N, Campbell R, White J, Amos A, Moore L & Bauld L (2019) Implementation of a peer-led school based smoking prevention programme: a mixed methods process evaluation. BMC Public Health, 19 (1), Art. No.: 742. https://doi.org/10.1186/s12889-019-7112-7en_UK
dc.rights© The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stateden_UK
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_UK
dc.subjectTobacco, Tobacco preventionen_UK
dc.subjectAdolescentsen_UK
dc.subjectPeer supporten_UK
dc.subjectSchoolsen_UK
dc.subjectSocial networksen_UK
dc.titleImplementation of a peer-led school based smoking prevention programme: a mixed methods process evaluationen_UK
dc.typeJournal Articleen_UK
dc.identifier.doi10.1186/s12889-019-7112-7en_UK
dc.identifier.pmid31196124en_UK
dc.citation.jtitleBMC Public Healthen_UK
dc.citation.issn1471-2458en_UK
dc.citation.volume19en_UK
dc.citation.issue1en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.funderChief Scientist Officeen_UK
dc.citation.date13/06/2019en_UK
dc.contributor.affiliationInstitute for Social Marketingen_UK
dc.contributor.affiliationInstitute for Social Marketingen_UK
dc.contributor.affiliationInstitute for Social Marketingen_UK
dc.contributor.affiliationHealth Sciences Stirlingen_UK
dc.contributor.affiliationUniversity of Bristolen_UK
dc.contributor.affiliationCardiff Universityen_UK
dc.contributor.affiliationUniversity of Edinburghen_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.contributor.affiliationInstitute for Social Marketingen_UK
dc.identifier.isiWOS:000471659200020en_UK
dc.identifier.scopusid2-s2.0-85067279826en_UK
dc.identifier.wtid1391450en_UK
dc.contributor.orcid0000-0002-8294-8203en_UK
dc.contributor.orcid0000-0002-6527-0218en_UK
dc.contributor.orcid0000-0002-2912-0837en_UK
dc.contributor.orcid0000-0003-3462-6960en_UK
dc.date.accepted2019-06-05en_UK
dcterms.dateAccepted2019-06-05en_UK
dc.date.filedepositdate2019-06-17en_UK
rioxxterms.apcpaiden_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionVoRen_UK
local.rioxx.authorDobbie, Fiona|0000-0002-8294-8203en_UK
local.rioxx.authorPurves, Richard|0000-0002-6527-0218en_UK
local.rioxx.authorMcKell, Jennifer|0000-0002-2912-0837en_UK
local.rioxx.authorDougall, Nadine|0000-0003-3462-6960en_UK
local.rioxx.authorCampbell, Rona|en_UK
local.rioxx.authorWhite, James|en_UK
local.rioxx.authorAmos, Amanda|en_UK
local.rioxx.authorMoore, Laurence|en_UK
local.rioxx.authorBauld, Linda|en_UK
local.rioxx.projectProject ID unknown|Chief Scientist Office|http://dx.doi.org/10.13039/501100000589en_UK
local.rioxx.freetoreaddate2019-06-17en_UK
local.rioxx.licencehttp://creativecommons.org/licenses/by/4.0/|2019-06-17|en_UK
local.rioxx.filenameDobbie-Etal-BMCPublHealth-2019-Implementation-of-a-peer-led-school-based-smoking-prevention-programme-a-mixed-methods-process-evaluation.pdfen_UK
local.rioxx.filecount1en_UK
local.rioxx.source1471-2458en_UK
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