Assessment of Delivery and Receipt of a Complex School-Based Smoking Intervention: A Systematic Quantitative Process Evaluation

Author:

Jensen Marie PilORCID,Krølner Rikke Fredenslund,Jørgensen Marie Birk,Bast Lotus Sofie,Andersen Susan

Abstract

AbstractComprehensive school tobacco policies have the potential to reduce smoking in vocational education where smoking is widespread. Assessment of the implementation process is important to understand whether and how complex interventions work, yet many studies do not measure receipt among the target group. We conducted a quantitative process evaluation of a newly developed smoking intervention in Danish vocational education to (1) operationalize measures of delivery and receipt, (2) investigate the extent to which the intervention was delivered and received, and (3) analyze whether this differed across school settings. We used questionnaire data collected 4–5 months after baseline among students (N = 644), teachers (N = 54), and principals (N = 11) from 8 intervention schools to operationalize implementation at the school level (delivery; content, quality, and fidelity) and student level (receipt; participation, responsiveness, exposure, and individual-level implementation). We calculated means and compared levels across school settings using stratified analysis and mixed models. The total intervention was delivered by a mean of 76% according to how it was intended and received by a mean of 36% across all students. Relatively low means of participation and responsiveness indicated challenges to reach the students with the intervention components, and delivery and receipt varied between school settings. This study highlights the challenge of reaching the intended target group in complex health behavior interventions even when reaching relatively high levels of fidelity. Further studies using the operationalized measures can give insight into the ‘black box’ of the intervention and strengthen future programs targeting smoking in vocational education.

Funder

Kræftens Bekæmpelse

TrygFonden

Syddansk Universitet

University Library of Southern Denmark

Publisher

Springer Science and Business Media LLC

Subject

General Earth and Planetary Sciences,General Environmental Science

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3