A quasi-experimental study to assess the effectiveness of Refusal Skill Training on motivation and self-efficacy on tobacco use among college students aged 18+ in selected colleges of Delhi.
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 140
- 试验地点
- 1
- 主要终点
- Change in motivation to quit tobacco use (measured using a standardized Motivation Scale for Tobacco Cessation).
研究概览
简要总结
Title of Study A Quasi-Experimental Study to Assess the Effectiveness of Refusal Skill Training on Motivation and Self-Efficacy on Tobacco Use among College Students Aged 18+ in Selected Colleges of Delhi
Background & Rationale Tobacco use among college students (18–24 years) in India remains a major public health issue, influenced by peer pressure, stress, and poor enforcement of tobacco laws. Existing interventions largely focus on awareness but neglect psychological determinants such as motivation and self-efficacy, which are critical for long-term cessation. Few experimental studies exist in urban college settings. This study addresses these gaps using a structured refusal skill training (RST) intervention.
Objectives
- Assess baseline levels of motivation and self-efficacy among tobacco-using college students.
- Develop and implement refusal skill training (RST) for the experimental group.
- Evaluate the effectiveness of RST on motivation and self-efficacy between experimental and control groups.
- Examine associations between selected demographic variables and outcomes.
Methodology
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Design: Quasi-experimental, pretest–posttest control group.
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Population: College students aged 18+ years, current tobacco users.
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Sample Size: 120 (60 experimental, 60 control; accounting for attrition).
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Sampling: Convenient selection of colleges; simple random sampling of students.
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Intervention: 1-day workshop (5 sessions) on refusal skills, motivation, and self-efficacy.
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Tools:
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Adapted Global Youth Tobacco Survey (GYTS)-based questionnaire (motivation).
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Tobacco Refusal Self-Efficacy Questionnaire (TRSEQ).
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Data Collection: Pre-test, immediate post-test, and short follow-up.
Hypotheses
- RST will significantly improve motivation and refusal self-efficacy compared to control.
- Demographic variables will show associations with intervention outcomes.
Ethical Considerations
- IEC approval obtained from IHBAS.
- Written informed consent will be taken.
- Confidentiality and voluntary participation ensured.
Expected Outcomes
- Significant improvement in motivation and refusal self-efficacy among experimental group.
- Evidence to support integration of RST in college wellness programs.
Implications
- Scale-up to multiple campuses.
- Shift from awareness-based to skill-based interventions.
- Basis for digital reinforcement and long-term follow-up studies.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- None
入排标准
- 年龄范围
- 18.00 Year(s) 至 26.00 Year(s)（—）
- 性别
- All
入选标准
- •College students aged 18 years and above Current users of tobacco in any form Willing to participate and provide informed consent.
排除标准
- •Students undergoing treatment or previous experience of tobacco cessation.
结局指标
主要结局
Change in motivation to quit tobacco use (measured using a standardized Motivation Scale for Tobacco Cessation).
时间窗: at baseline, immediate post-intervention, and 1 month follow-up
Change in self-efficacy related to refusal skills (measured using a validated Self-Efficacy/Refusal Skills Questionnaire).
时间窗: at baseline, immediate post-intervention, and 1 month follow-up
次要结局
- Reduction in frequency of tobacco use (self-reported past 30 days use) at baseline and 1 month follow-up.”
研究者
Dr Sushil Kumar Maheshwari
Institute of Human Behaviour and Allied Sciences