Development of a Management Model by Local Health Networks to Prevent Smoking Among Secondary School Students in Nakhon Ratchasima Province

Abstract

This is action research. The objectives are to (1) study the management situation of preventing smoking among secondary school students and (2) develop management models by local health networks to prevent smoking among secondary school students. (3) Evaluation of the development of management models by local health networks to prevent smoking among secondary school students in Nakhon Ratchasima Province. The research sample is divided into 5 groups: (1) 420 students studying at the secondary level (M.1-6), (2) teachers (12 people), (3) parents of students (12 people), (4) public health officials (9 people), and (5) a school committee consisting of 12 people. Research instruments include document analysis, questionnaires, focus groups, and in-depth interviews. Quantitative data analysis using descriptive statistics including frequency, percentage, mean, and standard deviation. The qualitative data section analyzed the data by classifying and grouping it.

The results found that (1) all three schools prepared written orders to appoint working groups, received budget support in the form of organizing projects, organized training to provide knowledge about smoking prevention to students, and assigned the responsible teacher to carry out the work by requesting cooperation from local health networks to work together. At the same time, more and more students are turning to e-cigarettes. (2) In developing the model, school directors must be clear about managing student smoking prevention. Both in terms of manpower, budget, methods, and management, and should allow the health network to participate in every step. (3) Evaluation of the model Operating under the K-YOUTH model, overall, students are satisfied at a high level (=3.90, S.D. =.66), and the demand is at the highest level (=4.24, S.D. =.62). Those involved commented that it could actually be used. and is appropriate. Can be used in a context similar to Nakhon Ratchasima Province.The suggestion is that schools should find measures to control the sale of cigarettes to students around the school, and there should be opportunities for local health networks to have more roles in their operations.