The Effect of a Web-based Educational Program on Perevention of Hookah Smoking among Adolescent Girls: Application of Theory of Planned Behavior

Document Type : Original Article

Authors

1 Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran

2 Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran

3 Research Center for Environmental Determinacies of Health, Department of Public Health, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran

4 Department of Public Health, School of Health, Hamadan University of Medical Sciences, Hamadan AND Asadabad School of Medical Sciences, Asadabad, Iran

Abstract

Background: The prevalence of hookah is increasing worldwide and in all age groups, especially among 
women. Therefore, this study was conducted to determine the effect of web-based educational program in the 
prevention of hookah smoking among girls in Kermanshah, Iran, using theory of planned behavior (TPB).

Methods: This study was a randomized controlled trial performed on 110 adolescent girls in Kermanshah City 
in 2020. Multistage random sampling was used in this study. The data collection tool included a researchermade questionnaire. Designed intervention was implemented for the intervention group in 5 educational 
sessions according to analysis of pre-test results. Data were collected 3 months after the end of the training 
intervention. Data analysis was carried out using SPSS software.

Findings: The presented interventions significantly improved the structures of attitude (P < 0.001), 
subjective norms (P < 0.001), and intention (P < 0.001) in the intervention group compared with the control 
group. However, the difference between perceived behavioral control score in the two groups was not 
significant (P = 0.131). There was also a significant difference in reducing the behavior of hookah smoking 
between the intervention and control groups after the educational intervention.

Conclusion: Using web-based interventions is a good educational strategy for prevention of hookah smoking 
in adolescent girls.

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