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CTRI Number  CTRI/2015/10/006233 [Registered on: 05/10/2015] Trial Registered Prospectively
Last Modified On: 22/03/2016
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Preventive
Behavioral 
Study Design  Cluster Randomized Trial 
Public Title of Study   How to reduce tobacco use among school children? A cluster randomised controlled trial in Gadchiroli, Maharashtra 
Scientific Title of Study
Modification(s)  
How to reduce tobacco use among school children? A cluster randomised controlled trial in Gadchiroli, Maharashtra  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Abhay T Bang 
Designation  Director, SEARCH 
Affiliation  SEARCH 
Address  Shodhgram, PO and District Gadchiroli

Gadchiroli
MAHARASHTRA
442605
India 
Phone  91-07138-255407  
Fax  91-07138-255411  
Email  search.gad@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Abhay T Bang  
Designation  Director, SEARCH 
Affiliation  SEARCH 
Address  Shodhgram, PO and District Gadchiroli

Gadchiroli
MAHARASHTRA
442605
India 
Phone  91-07138-255407  
Fax  91-07138-255411  
Email  search.gad@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Abhay Bang  
Designation  Director, SEARCH 
Affiliation  SEARCH 
Address  Shodhgram, PO and District Gadchiroli

Gadchiroli
MAHARASHTRA
442605
India 
Phone  91-07138-255407  
Fax  91-07138-255411  
Email  search.gad@gmail.com  
 
Source of Monetary or Material Support  
Navajbai Ratan Tata Trust 
 
Primary Sponsor  
Name  Society for Education Action and Research in Community Health SEARCH 
Address  Shodhgram PO and District Gadchiroli Maharashtra, India 442605  
Type of Sponsor  Other [Non-Governmental Organisation] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Abhay Bang MD MPH  Gadchiroli  SEARCH, Gadchiroli, Maharashtra, India
Gadchiroli
MAHARASHTRA 
91-07138-255407
91-07138-255411
search.gad@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SEARCH Institutional Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Tobacco use,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Control arm  The schools in control arm will receive the activities conducted by the District Tobacco Control Cell (DTCC) under the National Tobacco Control Programme. 
Intervention  School-based tobacco awareness and control intervention  The intervention will include- i) Oral examination by a dentist and counseling to quit tobacco, ii) School-level activities by the anti-tobacco committee of the school to increase awareness about the harmful effects of tobacco among school students through poster and elocution competitions and monitoring the use of tobacco products on the school campus iii) Group-level activities for selected standards with support group formation and peer-led discussion on normative beliefs, healthy lifestyle and methods to quit tobacco, and iv) Increasing awareness about the Cigarette and Other Tobacco Products Act (COTPA) among school authorities and promoting its implementation in the schools.  
 
Inclusion Criteria  
Age From  10.00 Year(s)
Age To  18.00 Year(s)
Gender  Both 
Details  Cluster/School level:
1. The primary and secondary Marathi schools in the Gadchiroli and Dhanora block of Gadchiroli district
2. The schools should provide written consent for the participation in study.
3. The schools should be located within 50 kilometers of the campus of SEARCH

Individual/student level:
1. Children studying in 5th to 10th Standard among selected schools

2. Should providing assent for participation in the group level activities under the intervention
 
 
ExclusionCriteria 
Details  Cluster level:

1. Schools with less than 50 students on roll
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Centralized 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Reduction in the prevalence of self-reported use of tobacco among students from the schools receiving intervention compared to the schools in the control arm at the end of the school-based tobacco awareness and cessation intervention programme  4 months 
 
Secondary Outcome  
Outcome  TimePoints 
Reduction in the self-reported frequency of daily tobacco use among tobacco users  4 months 
Increase in the awareness about tobacco and its harmful effects among students as determined by the listing of 5 appropriate harmful effects by the students  4 months 
Improvement in the tobacco refusal intention among students in intervention arm compared to those in the control arm. This will be assessed by the response to the question- “will you accept tobacco if your friends offer it to you?”   4 months 
 
Target Sample Size   Total Sample Size="1650"
Sample Size from India="1650" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   N/A 
Date of First Enrollment (India)   12/10/2015 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="4"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   This study is a cluster randomized, parallel group, two arm controlled trial to assess the effectiveness of a school-based tobacco awareness and cessation programme on tobacco use  among school children in Gadchiroli, Maharashtra, India. The study will be conducted in the selected 50 schools of Dhanora and Gadchiroli blocks of Gadchiroli district. The tobacco cessation intervention package will target children studying in 5th to 10th standard of primary and secondary Marathi schools of the above two blocks. The intervention will include- i) Oral examination by a dentist and counseling to quit tobacco, ii) School-level activities by the anti-tobacco committee of the school to increase awareness about the harmful effects of tobacco among school students through poster and elocution competitions and monitoring the use of tobacco products on the school campus iii) Group-level activities for selected standards  with support group formation and peer-led discussion on normative beliefs, healthy lifestyle  and methods to quit tobacco, and iv) Increasing awareness about the Cigarette and Other Tobacco Products Act (COTPA) among school authorities and promoting its implementation in the schools. The intervention package will be implemented for 4 months among 25 schools in the intervention arm. The primary outcome will be reduction in the prevalence of self-reported use of tobacco use among students from schools in the intervention arm compared to the schools in the control arm at the end of the intervention. The secondary outcomes will be reduction in the daily frequency of tobacco use, increase in the awareness of harmful effects of tobacco and improvement in tobacco refusal intention in the intervention arm compared to the control arm. If the intervention is found to be effective it will be implemented in schools of the control arm. 
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