A process evaluation of the implementation of ASSIST in Scotland
Report on the ASSIST pilot programme, which promotes non-smoking in schools.
Appendix
Table A1: Delivery model in each site
| Site |
Funding source |
ASSIST delivery by |
Total number of schools participating in pilot |
Start and end date of pilot |
Number of cycles per school |
Key partners |
Number of trainers and from where |
|---|---|---|---|---|---|---|---|
| NHS Greater Glasgow and Clyde |
NHS Greater Glasgow and Clyde and Scottish Government |
Public Health Directorate Health Improvement Team and Glasgow City CHP sector Health Improvement Teams |
10 from 1 Local Authority (Glasgow City) |
January 2015 - June 2017 |
3 (S2 only) |
Education Department and Glasgow City Community Health Partnership (GCCHP) |
14: 12 from NHS Health Improvement and two from third sector |
| NHS Lothian |
NHS Lothian |
West Lothian Drug & Alcohol service is contracted by NHSL to organise and co-deliver the project in conjunction with a multi-disciplinary team including Smoking Cessation and CLD staff |
25 across 4 Local Authority areas (East, West, Mid Lothian and Edinburgh City) |
August 2014 - June 2016 |
1 (S1 and S2) |
East, West, Mid Lothian and Edinburgh City Local Authorities CLD and NHS Lothian Smoke Free Service |
Ranged between 8 and 14: Trainers included: CLD staff; teacher; Army Link Worker; Youth Workers and Smoking cessation staff |
| NHS Tayside |
NHS Tayside and Scottish Government |
Early Years and Young People Team, Public Health, NHS Tayside |
27 across 3 Local Authority areas (Perth and Kinross, Dundee City, Angus) |
January 2015 - December 2017 |
3 (S1 and S2) |
Angus Council Children and Young People Directorate, Dundee Children and Family Services and Perth & Kinross Education and Children's Services and Community, Learning and Development in Angus, Dundee and Perth & Kinross |
12: 9 from Health Promotion team and 3 from CLD |
*Note the same trainer could have delivered in year 1 and year 2 so totals do not sum up together.
Table A2: Student survey results
| N | % | |
|---|---|---|
| Lessons on smoking in school | ||
| Yes | 1532 | 64.1 |
| No | 412 | 17.2 |
| Don't know | 446 | 18.7 |
| Total | 2390 | 100 |
| School rules on smoking | ||
| Yes | 889 | 37.3 |
| No | 191 | 8.0 |
| Don't know | 1306 | 54.7 |
| Total | 2386 | 100 |
| Action taken if student found smoking | ||
| Nothing done | 155 | 6.5 |
| Parents told | 508 | 21.4 |
| Student punished | 76 | 3.2 |
| Student is spoken to about it | 136 | 5.7 |
| Don't know | 1365 | 57.2 |
| Other | 134 | 5.6 |
| Total | 2374 | 100 |
| Asked to be a peer supporter? | ||
| Yes | 477 | 22.5 |
| No | 1280 | 60.3 |
| Don't know | 367 | 17.3 |
| Total | 2124 | 100 |
| Feelings about not being asked to be a peer supporter | ||
| Very/quite happy | 95 | 7.5 |
| I didn't mind | 833 | 65.5 |
| Quite/very unhappy | 140 | 11.0 |
| I don't know | 203 | 16.0 |
| Total | 1271 | 100 |
| Peer supporter talk to you about smoking? | ||
| Yes | 145 | 8.9 |
| No | 1237 | 76.1 |
| Don't know | 244 | 15.0 |
| Total | 1626 | 100 |
| Students who answered yes when asked - Do you smoke at all nowadays? | ||
| Baseline | 49 | 2.3 |
| Follow-up | 64 | 3.0 |
| Does your best friend smoke? | ||
| Yes | 211 | 9.9 |
| No | 1712 | 80.3 |
| Don't know | 105 | 4.9 |
| Total | 2130 | 100 |
| Which of these sentences best describes your friends? | Baseline | Follow-up |
| All of my friends smoke | 8 (0.4%) | 13 (0.6%) |
| Most of my friends smoke | 38 (1.9%) | 48 (2.3%) |
| Some of my friends smoke | 93 (4.5%) | 103 (4.9%) |
| A few of my friends smoke | 359 (17.4%) | 415 (19.9%) |
| None of my friends smoke | 1349 (65.5%) | 1133 (54.3%) |
| Don't know/not sure | 212 (10.3%) | 375 (18.0%) |
| Totals | 2059 (100%) | 2087 (100%) |
Table A3: Number of cigarettes smoked
| Statements | No. pupils at baseline | No. pupils at follow-up |
|---|---|---|
| I have never smoked | 1889 (89.9%) | 1850 (87.5%) |
| I have only ever tried smoking once | 137 (6.5%) | 162 (7.7%) |
| I used to smoke sometimes but I never smoke a cigarette now | 29 (1.4%) | 46 (2.2%) |
| I sometimes smoke cigarettes now but I don't smoke as many as one a week | 13 (0.6%) | 18 (0.9%) |
| I usually smoke between one and six cigarettes a week | 19 (0.9%) | 14 (0.7%) |
| I usually smoke more than six cigarettes a week | 14 (0.7%) | 24 (1.1%) |
| Totals | 2101 (100%) | 2114 (100%) |
Table A4: How many conversations have you had with friends from school about smoking in the last week?
| Number of conversations | No. pupils at baseline | No. pupils at follow-up |
|---|---|---|
| None | 1604 (82.4%) | 1518 (74.1%) |
| One | 166 (8.5%) | 218 (10.6%) |
| More than one but less than three | 78 (4.0 %) | 129 (6.3%) |
| Three or more but less than five | 51 (2.6%) | 87 (4.3%) |
| Five or more | 48 (2.5%) | 97 (4.7%) |
| Totals | 1947 (100%) | 2047 (100%) |
There was a significant increase between baseline and follow-up for number of conversations reported about smoking within the previous week (Wilcoxon signed rank test, Z= -7.65; p<.0001).
Table A5: Case study observation measures
| School 1 | School 2 | School 3 | School 4 | School 5 | School 6 | |
|---|---|---|---|---|---|---|
| Adherence to delivery timetable | ||||||
| S1 or S2? | S1 | S2 | S1 | S2 | S2 | S1 |
| Date peer nomination | 16/01/15 | 20/08/15 | 12/01/16 | 14/01/16 | 26/03/15 | 27/03/15 |
| Date of last follow-up | 24/04/15 | 16/11/15 | 12/04/16 | 31/03/16 | 17/06/15 | 29/06/15 |
| Total number of weeks for delivery | 14 | 13 | 13 | 12 | 12 | 13 |
| Peer supporter retention | ||||||
| Number at recruitment meeting | 25 | 26 | 43 | 29 | 25 approx (group split) | 40 approx (group to be split at training) |
| Number at training | 25 | 26 | 21 in observation group (group split, 43 overall) | 23 | 41 (groups split into one larger group and one smaller group) | 22 (observation group) |
| Number at FU1 | 22 | 24 | 21 in observation group) | 24 | 19 (observation group) | 39 (groups were not split) |
| Number at FU2 | 24 | 25 | 19 (observation group) | 24 | 19 (observation group) | 20 (observation group) |
| Number at FU3 | 20 | 24 | 20 (observation group) | 20 | 18 (observation group) | 17 (observation group) |
| Number at FU4 | 24 | 23 | 20 (observation group) | 19 | 34 (groups initially split but brought together) | 16 (observation group) |
| School staff presence | ||||||
| Recruitment meeting | 2 - Deputy Head plus staff member from learning support | 1 - PTC Guidance and school lead | 1 - Maths teacher and school lead | 1 - School lead | 1 - Class teacher | 1 - Pupil support Worker |
| Training day 1 | As recruitment meeting | 2 - guidance and pupil support worker | 2 - school lead plus pupil support worker | 1 - Pupil support worker | 2 - Class teachers | 2 - Pupil support workers |
| Training day 2 | As recruitment meeting | 2 - 1 Guidance plus 1 pupil support worker (different from day 1) | 2 - school lead plus pupil support worker | 1 - Class teacher | 2 - Class teachers | 2 - Pupil support workers |
| Number at FU1 | As recruitment meeting | As recruitment meeting | As recruitment meeting | None | None | 2 - Pupil support workers |
| Number at FU2 | staff member from learning support | As recruitment meeting | As recruitment meeting | None | None | 2 - Pupil support workers |
| Number at FU3 | As recruitment meeting | As recruitment meeting | As recruitment meeting | None | None | 2 - Pupil support workers |
| Number at FU4 | As recruitment meeting | As recruitment meeting | As recruitment meeting | None | None | 2 - Pupil support workers |
| Diaries checked at each follow-up session? | ||||||
| FU1 | Yes | Yes | No | No | No | No |
| FU2 | Yes | Yes | No | No | Yes | No |
| FU3 | Yes | Yes | No | No | No | No |
| FU4 | Yes | Yes | No | No | No | No |
Table A6: Student follow-up survey - Do you agree or disagree with each statement?
| Statement | Yes | No | Not sure | Totals |
|---|---|---|---|---|
| It is good that peer supporters can talk with students in my year about smoking | 623 (74.5%) | 37 (4%) | 176 (21%) | 836 (100%) |
| It is none of the peer supporters' business whether students in my year smoke or not | 124 (15%) | 232 (28%) | 470 (57%) | 826 (100%) |
| Peer supporters put too much pressure on students in my year about smoking | 47 (6%) | 457 (55%) | 323 (39%) | 827 (100%) |
| Most of the peer supporters I know didn't seem to talk much to other students about smoking | 269 (33%) | 153 (19%) | 403 (49%) | 825 (100%) |
| Having people your own age talking to you about smoking is better than having teachers do it | 416 (51%) | 133 (16%) | 274 (33%) | 823 (100%) |
| The sorts of people chosen to be peer supporters were not the best ones to talk about smoking | 130 (16%) | 213 (26%) | 478 (58%) | 821 (100%) |
| It made no difference to me | 167 (20%) | 157 (19%) | 500 (61%) | 824 (100%) |
Contact
There is a problem
Thanks for your feedback