J Korean Acad Nurs JKAN Journal of Korean Academy of Nursing 2005-3673 2093-758X Korean Society of Nursing Science 10.4040/jkan.2014.44.6.649 Original Article Effect of School-based Peer Leader Centered Smoking Prevention Program Shin Sung Rae 1 Oh Pok Ja 1 Youn Hye Kyung 2 Shin Sun Hwa 3 Department of Nursing, Sahmyook University, Seoul, Korea. Graduate School of Health Science & Social Welfare, Sahmyook University, Seoul, Korea. Graduate School of Division of Nursing Science, Ewha Womans University, Seoul, Korea. Address reprint requests to: Shin, Sun Hwa. Department of Nursing, Sahmyook University, 815 Hwarang-ro, Nowon-gu, Seoul 139-742, Korea. Tel: +82-2-3399-1593, Fax: +82-2-3399-1594, ffssh@hanmail.net 12 2014 31 12 2014 44 6 649 659 10 06 2014 30 06 2014 17 10 2014 © 2014 Korean Society of Nursing Science 2014 This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium. Purpose

The purpose of this study was to develop and evaluate a school-based peer leader centered smoking prevention program.

 Methods

Non-equivalent control group with a pre/post-test design was used. Students (n=174) in two boys' junior high schools located in D city, Korea participated with 85 being selected for the experimental group and 89 for the control group. Five sessions were given to the experimental group and a 50 minute lecture to the control group. Knowledge, attitude, non-smoking intention, and non-smoking efficacy were measured for the both experimental and control group at two weeks before the program and one month after the program was completed. Data were analyzed using χ2-test, Fisher's exact test, independent t-test and paired t-test with the SPSS 21.0 program.

 Results

The experimental group showed higher overall knowledge, negative attitude toward smoking, and higher non-smoking intention and efficacy. After receiving the school based peer leader centered smoking prevention program scores for attitude toward smoking and non-smoking efficacy increased in the experimental group were higher than in the control group.

 Conclusion

The school-based peer leader centered smoking prevention program needs longitudinal evaluation, but from this study, there is an indication that this program can be used with junior high school students and effectively change students' attitude toward smoking and promote non-smoking efficacy.

 Smoking Program development Adolescent Peer group Sahmyook University

This study was supported by Sahmyook University Research Fund in 2014.

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Research Design

O1=General characteristics, knowledge of smoking, attitude toward smoking, non-smoking intention, non-smoking efficacy; X1=School based peer leader centered smoking prevention program; X2=Lecture on smoking prevention for 50 minutes; O2=Knowledge of smoking, attitude toward smoking, non-smoking intention, non-smoking efficacy.

School based Peer Leader Centered Smoking Prevention Program

Homogeneity Test between Experimental and Control Group (N=174)

*Fisher's exact test; Exp.=Experimental group; Cont.=Control group.

Baseline Outcome Measures between Experimental and Control Group (N=174)

Exp.=Experimental group; Cont.=Control group.

Differences of Variables between Experimental and Control Group (N=174)

Exp.=Experimental group; Cont.=Control group.