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Titre :
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Effectiveness of a Digital Health Game Intervention on Early Adolescent Smoking Refusal Self-Efficacy (2024)
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Auteurs :
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Johanna Nyman, Auteur ;
Sanna Salanterä, Auteur ;
Miko Pasane, Auteur ;
Heidi Parisod, Auteur
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Type de document :
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Article : texte imprimé
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Dans :
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Health Education & Behavior (vol. 51, n° 4, août 2024)
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Article en page(s) :
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pp. 562–572
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Langues:
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Anglais
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Catégories :
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ADOLESCENT
SANTE DE L'ADOLESCENT
EDUCATION POUR LA SANTE
E-SANTE
JEU
COMPORTEMENT DE SANTE
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Résumé :
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"Smoking poses a significant threat to adolescent health because of its immediate and long-term detrimental health effects. Smoking refusal self-efficacy predicts smoking behavior in adolescence. In adolescents’ health education, digital interventions are potential tools to support smoking refusal self-efficacy. The aim of this two-arm cluster randomized controlled trial was to evaluate the effectiveness of a digital health game intervention compared with a no-intervention control group on smoking refusal self-efficacy in 10- to 13-year-old Finnish early adolescents. The early adolescents (n = 781) were randomized to the control group (n = 394) and the health game intervention group (n = 387). Smoking refusal self-efficacy, sources of smoking and snus refusal self-efficacy, and motivation to decline smoking and snus use in the future were measured at baseline, 2-week postintervention, and 3-month follow-up. Data were analyzed using linear mixed model and Wilcoxon rank-based test for clustered data. According to the results, the intervention group made improvements in sources of smoking and snus refusal self-efficacy between baseline and postintervention, and in sources of snus refusal self-efficacy between baseline and follow-up, compared with the control group. The intervention group showed improvements in smoking refusal self-efficacy among 12-year-olds between baseline and follow-up, and postintervention and follow-up compared with the control group. Similar improvements were also found among those with a smoking friend or a smoking parent between postintervention and follow-up. The results were promising for the use of digital health game interventions to promote early adolescent smoking refusal self-efficacy and preventing smoking experimentation. Further research can evaluate the long-term effects for adolescents."
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Catalogueur :
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RESOdoc
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