Trial reportAsian Pacific journal of cancer prevention : APJCP2025
Effectiveness of a Dentist-based Anti-Smoking Intervention Among Malaysian Adolescents: A Randomized Controlled Field Trial.
Trial report in Asian Pacific journal of cancer prevention : APJCP, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
2 authors.
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Abstract
backgroundThe KOTAK program is a national public health initiative in Malaysian primary and secondary schools aimed at reducing youth smoking through school dental services. This study evaluated its effectiveness in Seremban, Negeri Sembilan, Malaysia.
objectives1) To determine the percentage of schoolchildren who quit smoking through the KOTAK program; 2) To identify factors associated with quitting smoking in the program.
methodsA clustered, randomized controlled trial was conducted in schools. Self-reported smokers meeting inclusion criteria were enrolled. Data on demographics, self-reported smoking abstinence, and nicotine addiction levels were collected at baseline, three months, and six months post-intervention. Exhaled carbon monoxide was measured at all time points, and salivary cotinine was collected at three- and six-month follow-ups.
resultsSix months post-intervention, 29.8% of students in intervention schools and 14.6% in control schools reported quitting smoking. The odds of quitting were higher with the KOTAK program (aOR = 2.25, 95% CI = 1.11-4.57). Factors such as age, maternal education, and baseline nicotine addiction level were protective for smoking abstinence.
conclusionThe intervention group showed a higher self-reported smoking cessation rate, indicating the potential efficacy of the KOTAK program.
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