ADHAirE : a Randomized Controlled Trial to Improve the Implementation of Tobacco-free School Policies

NCT06655038 | Enrolling By Invitation

• 1 other identifier: ADHAIRE
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this cluster randomized controlled trial is to learn if the set up of an advocacy coalition in secondary schools can improve the implementation of tobacco-free school policies (TFSP) to prevent adolescent smoking. The main questions it aims to answer are:

• Set up a task force composed of school stakeholders (students, teachers, educators, principle,...)
• Share their good practices regarding implementation with the other schools of the intervention arm
• Be supported to reffer nicotine-dependant students and staff members to smoking cessation programs Continuous evaluation is planned to assess the effectiveness of this intervention.

Conditions

Smoking; Adolescent Behavior

Keywords

School; Prevention; Advocacy coalition; Social norms

Outcome Measures

Primary Outcomes (1)

• Smoking prevalence

  Impact of the advocacy coalition on smoking prevalence and smoking initiation

  2 years

Secondary Outcomes (1)

• Smoking norm

  2 years

Study Arms (2)

Advocacy coalition

EXPERIMENTAL

Feedback + advocacy coalition

Behavioral: Advocacy coalition; Behavioral: Feedback

Control

ACTIVE COMPARATOR

Only feedback

Behavioral: Feedback

Interventions

Advocacy coalition BEHAVIORAL

* set up a task force composed of school stakeholders (students, teachers, educators, principle,...). These stakeholders will meet 4 times a year to improve the implementation and enforcement of TFSP through rules that are accepted, adopted and to which all school actors adhere. * share of good practices in implementation with the other schools of the intervention arm through a sharing platform and two annual meetings. * support to reffer nicotine-dependant students and staff members to smoking cessation programs. * support in the implementation of TFSP and in getting all school actors on board, by the research team, but also by local health promotion partners.

Advocacy coalition

Feedback BEHAVIORAL

Feedback on the basis of the audit and the surveys

Advocacy coalition; Control

Eligibility Criteria

• Age: 13 Years - 19 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• student at a secondary school participating in the study
• student of the 3rd and 4th grade

You may not qualify if:

• student at a secondary school not participating in the study
• student of another grade than 3rd and 4th grade

Sponsors & Collaborators

• Université Catholique de Louvain: lead
• FARES (Fonds des affections respiratoires asbl): collaborator
• Observatoire de la santé du Hainaut: collaborator
• SEPT (Service d'Etude et de Prévention du Tabagisme): collaborator

Study Sites (1)

UCLouvain

Brussels, 1200, Belgium

Location

Related Publications (1)

• Laloux P, Melard N, Lorant V. Implementation of school tobacco policies: The advocacy coalition approach. Protocol of the ADHAirE study, a cluster randomized controlled trial. Tob Prev Cessat. 2025 Mar 24;11. doi: 10.18332/tpc/202392. eCollection 2025.

  PMID: 40130233 DERIVED

Related Links

• Link to the funders' website

MeSH Terms

Conditions

Smoking; Adolescent Behavior

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Vincent Lorant, Professor

  Université Catholique de Louvain

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Schools will be the target of an intervention. The 20 participating schools will be randomly assigned either to the intervention arm or to the control arm.

Study Record Dates

• First Submitted: October 22, 2024
• First Posted: October 23, 2024
• Study Start: April 25, 2024
• Primary Completion (Estimated): June 1, 2026
• Study Completion (Estimated): June 1, 2026
• Last Updated: October 23, 2024

Record last verified: 2024-10

Data Sharing

• IPD Sharing: Will not share

Locations

BE (1)