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The brief intervention comprised the main intervention (tobacco industry denormalisation [TID] video, TID worksheet and sugar-sweetened beverages [SSB] worksheet) and booster intervention (worksheets where key contents in the main intervention reappeared).
The worksheets in the main intervention were printed in colour and contained eight pictures and eight texts which described the pictures. Students needed to match the pictures and texts. The booster worksheets contained the previous eight coloured pictures for the TID and SSB worksheet groups or six coloured screenshots from the TID video. Students needed to complete the six true or false questions based on the pictures provided.
Assessments were conducted immediately (T1), two weeks (T2), one month (T3) and three months (T4) after the main intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TID video | Experimental |
| |
| TID worksheet | Active Comparator |
| |
| SSB worksheet | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TID video | Other | Main intervention: A video introducing the tobacco industry's marketing tactics to attract children and adolescents to smoke and their manipulation of tobacco control policy formation. Booster intervention: 6 screenshots from the video and 6 true or false questions. |
| Measure | Description | Time Frame |
|---|---|---|
| TID beliefs |
All the statements have 5 options from strongly disagree to strongly agree. The options were scored as 1-5 or 5-1, as appropriate, with higher scores indicating stronger TID beliefs. | Immediately after the main intervention |
| Alternative smoking product (ASP)-related knowledge | Electronic cigarettes (ECs) and heated tobacco products (HTPs) are less harmful than cigarettes. The statement has 5 options from strongly disagree to strongly agree. The options were scored as 5-1, with higher scores indicating better knowledge. | Immediately after the main intervention |
| Risk perceptions of ASPs |
Both statements have 11 options from not harmful at all to very harmful. The options were scored as 0-10, with higher scores indicating stronger anti-tobacco attitudes. | Immediately after the main intervention |
| Acceptability of ASPs |
Both statements have 11 options from very unacceptable to very acceptable. The options were scored as 0-10, with lower scores indicating stronger anti-tobacco attitudes. | Immediately after the main intervention |
| General views on the tobacco industry | What do you think of the tobacco industry? The statement has 11 options from very bad to very good. The options were scored as 0-10, with lower scores indicating stronger anti-tobacco attitudes. |
| Measure | Description | Time Frame |
|---|---|---|
| Susceptibility to use ASPs |
All the statements have 5 options from definitely yes to definitely not. Responses were dichotomised as a binary outcome, students who chose "definitely not" for both items were deemed not susceptible to a specific smoking product and otherwise susceptible. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| SAI YIN HO | The University of Hong Kong | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Local primary schools | Hong Kong | Hong Kong |
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|
| TID worksheet | Other | Main intervention: A worksheet using pictures and texts to introduce the tobacco industry's marketing tactics to attract children and adolescents to smoke and their manipulation of tobacco control policy formation. Booster intervention: 8 pictures from the TID worksheet in the main intervention and 6 true or false questions. |
|
| SSB worksheet | Other | Main intervention: A worksheet using pictures and texts to introduce the beverage industry's marketing tactics to attract children and adolescents to drink SSBs and the health risks of SSBs. Booster intervention: 8 pictures from the SSB worksheet in the main intervention and 6 true or false questions. |
|
| Immediately after the main intervention |
| Immediately after the main intervention |
| TID beliefs |
All the statements have 5 options from strongly disagree to strongly agree. The options were scored as 1-5, with higher scores indicating stronger TID beliefs. | One month after the main intervention |
| ASP-related knowledge |
Both statements have 5 options from strongly disagree to strongly agree. The options were scored as 1-5 or 5-1, as appropriate, with higher scores indicating better knowledge. | One month after the main intervention |
| Risk perceptions of ASPs |
Both statements have 11 options from not harmful at all to very harmful. The options were scored as 0-10, with higher scores indicating stronger anti-tobacco attitudes. | One month after the main intervention |
| Acceptability of ASPs |
Both statements have 11 options from very unacceptable to very acceptable. The options were scored as 0-10, with lower scores indicating stronger anti-tobacco attitudes. | One month after the main intervention |
| General views on the tobacco industry | What do you think of the tobacco industry? The statement has 11 options from very bad to very good. The options were scored as 0-10, with lower scores indicating stronger anti-tobacco attitudes. | One month after the main intervention |
| Susceptibility to use ASPs |
All the statements have 5 options from definitely yes to definitely not. Responses were dichotomised as a binary outcome, students who chose "definitely not" for both items were deemed not susceptible to a specific smoking product and otherwise susceptible. | One month after the main intervention |
| TID beliefs |
Both statements have 5 options from strongly disagree to strongly agree. The options were scored as 1-5, with higher scores indicating stronger TID beliefs. | Three months after the main intervention |
| ASP-related Knowledge |
All the statements have 5 options from strongly disagree to strongly agree. The options were scored as 1-5 or 5-1, as appropriate, with higher scores indicating better knowledge. | Three months after the main intervention |
| Risk perceptions of ASPs |
Both statements have 11 options from not harmful at all to very harmful. The options were scored as 0-10, with higher scores indicating stronger anti-tobacco attitudes. | Three months after the main intervention |
| Acceptability of ASPs |
Both statements have 11 options from very unacceptable to very acceptable. The options were scored as 0-10, with lower scores indicating stronger anti-tobacco attitudes. | Three months after the main intervention |
| General views on the tobacco industry | What do you think of the tobacco industry? The statement has 11 options from very bad to very good. The options were scored as 0-10, with lower scores indicating stronger anti-tobacco attitudes. | Three months after the main intervention |
| Susceptibility to use ASPs |
All the statements have 5 options from definitely yes to definitely not. Responses were dichotomised as a binary outcome, students who chose "definitely not" for both items were deemed not susceptible to a specific smoking product and otherwise susceptible. | Three months after the main intervention |