ADHAirE : a Randomized Controlled Trial to Improve the Implementation of Tobacco-free School Policies

Summary

The goal of this cluster randomized controlled trial is to learn if the set up of an advocacy coalition in secondary schools can improve the implementation of tobacco-free school policies (TFSP) to prevent adolescent smoking.

The main questions it aims to answer are:

1. To what extent is an advocacy coalition related to smoking prevention implementable in school's routine ?
2. Is an advocacy coalition an effective way to prevent smoking among adolescents and shift smoking norms in school?

Schools in the intervention arm will be compared to schools in the control arm, to test the effectiness of the advocacy coalition to improve the implementation of TFSP.

Schools in the intervention arm will put in place an advocacy coalition, that is

* Set up a task force composed of school stakeholders (students, teachers, educators, principle,...)
* Share their good practices regarding implementation with the other schools of the intervention arm
* Be supported to reffer nicotine-dependant students and staff members to smoking cessation programs

Continuous evaluation is planned to assess the effectiveness of this intervention.

Conditions

• Smoking
• Adolescent Behavior

Interventions

BEHAVIORAL

Advocacy coalition

* set up a task force composed of school stakeholders (students, teachers, educators, principle,...). These stakeholders will meet 4 times a year to improve the implementation and enforcement of TFSP through rules that are accepted, adopted and to which all school actors adhere. * share of good practices in implementation with the other schools of the intervention arm through a sharing platform and two annual meetings. * support to reffer nicotine-dependant students and staff members to smoking cessation programs. * support in the implementation of TFSP and in getting all school actors on board, by the research team, but also by local health promotion partners.

BEHAVIORAL

Feedback

Feedback on the basis of the audit and the surveys

Sponsors & Collaborators

• FARES (Fonds des affections respiratoires asbl)

  collaborator UNKNOWN

• Observatoire de la santé du Hainaut

  collaborator UNKNOWN

• SEPT (Service d'Etude et de Prévention du Tabagisme)

  collaborator UNKNOWN

• Université Catholique de Louvain

  lead OTHER

Principal Investigators

• Vincent Lorant, Professor · Université Catholique de Louvain

Study Design

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

13 Years

Max Age

19 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2024-04-25

Primary Completion

2026-06-30

Completion

2026-06-30

Countries

• Belgium

Study Locations