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      Application of the Logic Model to the School-Based Fit and Smart Adolescent Smoking Cessation Programme

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          Abstract

          Background

          School-based smoking cessation intervention programmes are challenging to implement and evaluate. This study aimed to explain the process of developing the Fit and Smart Adolescent Smoking Cessation Programme (FSSCP). Logic model is a visual tool that helps programme planners to create an activity action plan that suits the target group to achieve programme objectives and goals.

          Methods

          This two-arm cluster-randomised controlled trial was implemented between January 2018 and November 2018. Six schools were selected using stratified random sampling, whereby students were purposively selected and invited. The criteria of inclusion to the programme were secondary school students (aged 13 years old–17 years old) who smoked conventional cigarettes (CC) and electronic cigarettes (EC).

          Results

          A total of 422 students from six schools participated in this study. Three schools were designated as intervention ( n = 250) and the other three as control schools ( n = 172). Formative evaluation of participants in the FSSCP using the logic model showed that participants were satisfied with the overall programme (91.5%), were motivated to stop smoking (90.4%) and were prevented from relapse (89.2%). The quit rate at a 3-month follow-up was 41.8%.

          Conclusion

          The logic model supported the development of the programme, with details on the processes, dissemination activities, identification of barriers, evaluation criteria and outcomes provided.

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          Most cited references44

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          G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences

          G*Power (Erdfelder, Faul, & Buchner, 1996) was designed as a general stand-alone power analysis program for statistical tests commonly used in social and behavioral research. G*Power 3 is a major extension of, and improvement over, the previous versions. It runs on widely used computer platforms (i.e., Windows XP, Windows Vista, and Mac OS X 10.4) and covers many different statistical tests of the t, F, and chi2 test families. In addition, it includes power analyses for z tests and some exact tests. G*Power 3 provides improved effect size calculators and graphic options, supports both distribution-based and design-based input modes, and offers all types of power analyses in which users might be interested. Like its predecessors, G*Power 3 is free.
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            Implementation matters: a review of research on the influence of implementation on program outcomes and the factors affecting implementation.

            The first purpose of this review was to assess the impact of implementation on program outcomes, and the second purpose was to identify factors affecting the implementation process. Results from over quantitative 500 studies offered strong empirical support to the conclusion that the level of implementation affects the outcomes obtained in promotion and prevention programs. Findings from 81 additional reports indicate there are at least 23 contextual factors that influence implementation. The implementation process is affected by variables related to communities, providers and innovations, and aspects of the prevention delivery system (i.e., organizational functioning) and the prevention support system (i.e., training and technical assistance). The collection of implementation data is an essential feature of program evaluations, and more information is needed on which and how various factors influence implementation in different community settings.
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              Putting the pieces together: an integrated model of program implementation.

              Considerable evidence indicates that variability in implementation of prevention programs is related to the outcomes achieved by these programs. However, while implementation has been conceptualized as a multidimensional construct, few studies examine more than a single dimension, and no theoretical framework exists to guide research on the effects of implementation. We seek to address this need by proposing a theoretical model of the relations between the dimensions of implementation and outcomes of prevention programs that can serve to guide future implementation research. In this article, we focus on four dimensions of implementation, which we conceptualize as behaviors of program facilitators (fidelity, quality of delivery, and adaptation) and behaviors of participants (responsiveness) and present the evidence supporting these as predictors of program outcomes. We then propose a theoretical model by which facilitator and participant dimensions of implementation influence participant outcomes. Finally, we provide recommendations and directions for future implementation research.
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                Author and article information

                Journal
                Malays J Med Sci
                Malays J Med Sci
                Malaysian Journal of Medical Sciences
                The Malaysian Journal of Medical Sciences : MJMS
                Penerbit Universiti Sains Malaysia
                1394-195X
                2180-4303
                October 2022
                28 October 2022
                : 29
                : 5
                : 133-145
                Affiliations
                [1 ]Centre for Community Health Studies (ReaCH), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
                [2 ]National Cancer Society Malaysia (NCSM), Kuala Lumpur, Malaysia
                [3 ]School of Medicine, Faculty of Medical and Health Sciences, Taylor’s University, Selangor, Malaysia
                Author notes
                Correspondence: Professor Dr Wee Lei Hum, PhD (Universiti Malaya), School of Medicine, Faculty of Medical and Health Sciences, Taylor’s University, No. 1 Jalan Taylor’s, 47500 Subang Jaya, Selangor, Malaysia., Tel: +6016 2185585, E-mail: weeleihum@ 123456gmail.com
                Article
                14mjms2905_oa
                10.21315/mjms2022.29.5.14
                9681005
                b012a297-2611-4a91-981c-67066d7e5c36
                © Penerbit Universiti Sains Malaysia, 2022

                This work is licensed under the terms of the Creative Commons Attribution (CC BY) ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 23 August 2021
                : 13 January 2022
                Categories
                Original Article

                smoking cessation programme,intervention,adolescent,logic model,school-based

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