The Effect of a Web-based Educational Program on Perevention of Hookah Smoking among Adolescent Girls: Application of Theory of Planned Behavior

The prevalence of hookah is increasing worldwide and in all age groups, especially among women. Therefore, this study was conducted to determine the effect of web-based educational program in the prevention of hookah smoking among girls in Kermanshah, Iran, using theory of planned behavior (TPB). This study was a randomized controlled trial performed on 110 adolescent girls in Kermanshah City in 2020. Multistage random sampling was used in this study. The data collection tool included a researcher-made questionnaire. Designed intervention was implemented for the intervention group in 5 educational sessions according to analysis of pre-test results. Data were collected 3 months after the end of the training intervention. Data analysis was carried out using SPSS software. The presented interventions significantly improved the structures of attitude (P < 0.001), subjective norms (P < 0.001), and intention (P < 0.001) in the intervention group compared with the control group. However, the difference between perceived behavioral control score in the two groups was not significant (P = 0.131). There was also a significant difference in reducing the behavior of hookah smoking between the intervention and control groups after the educational intervention. Using web-based interventions is a good educational strategy for prevention of hookah smoking in adolescent girls.