Training Secondary School Students as Anti-smoke Ambassadors Using the Service-learning Model (hmrf-antismoke)

August 27, 2026 updated by: Dr Katherine Lam, The Hong Kong Polytechnic University

Learning While Serving: Training Secondary School Students as Anti-smoke Ambassadors Using the Service-learning Model

Building the community's capacity by training youngsters to refer smokers to professional smoking cessation services offers a good strategy to support smoking cessation. Peer pressure is considered the most common reason for smoking in young people. Smoking cessation interventions that target peers are likely to have substantial effects. This health promotion project based on the service-learning model will provide opportunity for young people to learn and practice the AWARD model with hands-on experience under the supervision of nursing students who are considered experienced peer counselors.

Study Overview

Status

Active, not recruiting

Conditions

Detailed Description

A hybrid type 1 effectiveness-implementation design will be adopted. A randomized sample of 368 students will be recruited from 14 secondary schools (Forms 2-4). The outcome measures will include demographic characteristics, the level of knowledge in smoking cessation and the AWARD model, the practice and attitude towards smoking cessation and the AWARD model, and the self-efficacy in using the AWARD model.

Study Type

Interventional

Enrollment (Estimated)

368

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Hong Kong,China
      • Hong Kong, Hong Kong,China, Hong Kong, 0000
        • Katherine Lam

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Secondary school students (Forms 2-4)

Exclusion Criteria:

-

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Health Services Research
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Intervention group
Secondary school students will be required to join a 3-phase 'Learning while serving' program.
The training program will involve training workshops, hands-on sessions, and a smoker referral competition.
Other: Control group
Secondary school students will be only required to attend a 3-hour training workshops.
A 3-hour training workshops in the control group are regarded as usual care since the training workshops are also conducted regularly to other secondary or tertiary schools.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
The self-designed logbook for number of referrals at 6-month follow-up
Time Frame: at 6-month follow-up
The number of smokers that referred to Youth Quitline will be recorded by using a self-designed logbook.
at 6-month follow-up

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
The Knowledge towards Smoking Cessation and Tobacco Control Evaluation Questionnaire at baseline
Time Frame: at baseline
Students' level of knowledge in smoking cessation and the AWARD model will be assessed by using the Knowledge towards Smoking Cessation and Tobacco Control Evaluation Questionnaire.
at baseline
The Knowledge towards Smoking Cessation and Tobacco Control Evaluation Questionnaire at 3-month follow-up
Time Frame: at 3-month follow-up
Students' level of knowledge in smoking cessation and the AWARD model will be assessed by using the Knowledge towards Smoking Cessation and Tobacco Control Evaluation Questionnaire.
at 3-month follow-up
The Knowledge towards Smoking Cessation and Tobacco Control Evaluation Questionnaire at 6-month follow-up
Time Frame: at 6-month follow-up
Students' level of knowledge in smoking cessation and the AWARD model will be assessed by using the Knowledge towards Smoking Cessation and Tobacco Control Evaluation Questionnaire.
at 6-month follow-up
The Knowledge towards Smoking Cessation and Tobacco Control Evaluation Questionnaire at 12-month follow-up
Time Frame: at 12-month follow-up
Students' level of knowledge in smoking cessation and the AWARD model will be assessed by using the Knowledge towards Smoking Cessation and Tobacco Control Evaluation Questionnaire.
at 12-month follow-up
The Attitude/Practice towards Smoking Cessation and Tobacco Control Evaluation Questionnaire at baseline
Time Frame: at baseline
Students' practice and attitude towards smoking cessation and the AWARD model will be assessed by using the Attitude/Practice towards Smoking Cessation and Tobacco Control Evaluation Questionnaire.
at baseline
The Attitude/Practice towards Smoking Cessation and Tobacco Control Evaluation Questionnaire at 3-month follow-up
Time Frame: at 3-month follow-up
Students' practice and attitude towards smoking cessation and the AWARD model will be assessed by using the Attitude/Practice towards Smoking Cessation and Tobacco Control Evaluation Questionnaire.
at 3-month follow-up
The Attitude/Practice towards Smoking Cessation and Tobacco Control Evaluation Questionnaire at 6-month follow-up
Time Frame: at 6-month follow-up
Students' practice and attitude towards smoking cessation and the AWARD model will be assessed by using the Attitude/Practice towards Smoking Cessation and Tobacco Control Evaluation Questionnaire.
at 6-month follow-up
The Attitude/Practice towards Smoking Cessation and Tobacco Control Evaluation Questionnaire at 12-month follow-up
Time Frame: at 12-month follow-up
Students' practice and attitude towards smoking cessation and the AWARD model will be assessed by using the Attitude/Practice towards Smoking Cessation and Tobacco Control Evaluation Questionnaire.
at 12-month follow-up
The Self-efficacy to Quit Evaluation Questionnaire at baseline
Time Frame: at baseline
Students' self-efficacy in using the AWARD model will be measured by using the Self-efficacy to Quit Evaluation Questionnaire.
at baseline
The Self-efficacy to Quit Evaluation Questionnaire at 3-month follow-up
Time Frame: at 3-month follow-up
Students' self-efficacy in using the AWARD model will be measured by using the Self-efficacy to Quit Evaluation Questionnaire.
at 3-month follow-up
The Self-efficacy to Quit Evaluation Questionnaire at 6-month follow-up
Time Frame: at 6-month follow-up
Students' self-efficacy in using the AWARD model will be measured by using the Self-efficacy to Quit Evaluation Questionnaire.
at 6-month follow-up
The Self-efficacy to Quit Evaluation Questionnaire at 12-month follow-up
Time Frame: at 12-month follow-up
Students' self-efficacy in using the AWARD model will be measured by using the Self-efficacy to Quit Evaluation Questionnaire.
at 12-month follow-up
The Knowledge towards Smoking Cessation and Tobacco Control Evaluation Questionnaire at the end of training program
Time Frame: immediately after completion of the training programme
Students' level of knowledge in smoking cessation and the AWARD model will be assessed by using the Knowledge towards Smoking Cessation and Tobacco Control Evaluation Questionnaire.
immediately after completion of the training programme
The Attitude/Practice towards Smoking Cessation and Tobacco Control Evaluation Questionnaire at the end of training program
Time Frame: immediately after completion of the training programme
Students' practice and attitude towards smoking cessation and the AWARD model will be assessed by using the Attitude/Practice towards Smoking Cessation and Tobacco Control Evaluation Questionnaire.
immediately after completion of the training programme
The Self-efficacy to Quit Evaluation Questionnaire at the end of training program
Time Frame: immediately after completion of the training programme
Students' self-efficacy in using the AWARD model will be measured by using the Self-efficacy to Quit Evaluation Questionnaire.
immediately after completion of the training programme

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Ka Wai Katherine Lam, School of Nursing, Hong Kong Polytechnic University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

August 1, 2023

Primary Completion (Actual)

July 31, 2026

Study Completion (Estimated)

January 31, 2027

Study Registration Dates

First Submitted

May 11, 2023

First Submitted That Met QC Criteria

May 31, 2023

First Posted (Actual)

June 9, 2023

Study Record Updates

Last Update Posted (Actual)

August 31, 2026

Last Update Submitted That Met QC Criteria

August 27, 2026

Last Verified

August 1, 2026

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • HP_Anti-smoke ambassadors

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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