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Comparing Smartphone to In-person Training to Scale up a Tobacco Control Program for Teachers in India
Sponsor: Harvard School of Public Health (HSPH)
Summary
This study aims to compare the implementation and effectiveness of the Tobacco-Free Teachers, Tobacco-Free Society (TFT-TFS) program when delivered through in-person training versus a smartphone-based training model. Investigators will conduct a comparative effectiveness trial using a cluster-randomized design in which principals or their designees-known as the Program in Charge (PIC)-at schools in the Indian state of Madhya Pradesh (MP) will be trained in person or via smartphone to deliver TFT-TFS in their schools. Schools will be randomly assigned to each training arm, and investigators will compare program implementation (primary outcome) as well as tobacco use cessation (secondary outcome). We report here the results for our secondary outcome (tobacco use cessation) among school personnel (principals, teachers, and non-teaching staff) in the participating schools from both arms who implemented TFT-TFS in their schools.
Official title: Scaling up Tobacco Control in India: Comparing Smartphone to In-person Training for Implementing an Evidence-based Intervention to Reduce Tobacco Use Among Schoolteachers
Key Details
Gender
All
Age Range
20 Years - 65 Years
Study Type
INTERVENTIONAL
Enrollment
2718
Start Date
2023-06-27
Completion Date
2025-07-31
Last Updated
2026-10-15
Healthy Volunteers
No
Conditions
Interventions
Smart phone based training
The study team will acquaint the principal or designee - known as the program in charge (PIC) - to the Tobacco Free Teachers-Tobacco Free Society (TFT-TFS) program and the smartphone training app at an orientation session. PICs will receive six monthly trainings on smartphones, including brief animated videos followed by quizzes with feedback, school progress displays, and the ability to review the content as needed. PICs will implement TFT-TFS at monthly school meetings with teachers. TFT-TFS consists of four program components: (1) six group discussions with teachers, (2) cessation support and referrals to government resources, (3) posting six thematic tobacco control posters in the school, and (4) implementing a school tobacco policy. These four components incorporate the program's six themes: Teachers as Role Models; Health Effects of Tobacco; Motivation to Quit Tobacco Use; Skills to Quit Tobacco and to Help Others Quit; Dealing with Withdrawal; and Maintenance and Celebration.
In person training
The principal or their designee - known as the program in charge (PIC) - will receive three face-to-face trainings, each 60-75 minutes and held at convenient locations. The study team will introduce PICs to the TFT-TFS program and teach them how to use paper-based materials to implement TFT-TFS in their schools. The trainings will encourage PICs to discuss successes and come up with solutions to overcome challenges. PICs will implement TFT-TFS at monthly school meetings with teachers. TFT-TFS consists of four program components: (1) 6 group discussions with teachers, (2) cessation support and referrals to government resources, (3) posting six thematic tobacco control posters in the school, and (4) implementing a school tobacco policy. These four components incorporate the program's six themes: Teachers as Role Models; Health Effects of Tobacco; Motivation to Quit Tobacco Use; Skills to Quit Tobacco and to Help Others Quit; Dealing with Withdrawal; and Maintenance and Celebration.
Locations (1)
Healis Sekhsaria Institute for Public Health
Indore, Madhya Pradesh, India