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. 2021 Feb 4;11(2):e042728. doi: 10.1136/bmjopen-2020-042728

Table 1.

Description of intervention activities in the Smoke-Free Vocational Schools intervention

Activity Description Purpose Participants
Phase 1
 First meeting An initial meeting between the schools and practice partners, where the SFSH implementation plan is discussed. To ensure that the schools have a clear implementation plan and know how the intervention activities can support them. Practice partners.
To clarify role distributions between different stakeholders. School principal and other management representatives.
School project coordinator.
Local municipality representative.
 Developing the SFSH policy The schools develop their SFSH policy, including rules and responsibilities for sanctioning and enforcement. The practice partners provide inspirational material, for example, other schools’ policies. To ensure the schools develop a clear SFSH policy, which aligns with the schools’ rules of conduct. Decided locally in schools.
Practice partners recommend that schools establish a working group including both management and staff representatives.
 Developing the SFSH communication strategy The schools develop their internal and external SFSH communication strategy. The practice partners provide inspirational material and financial support to smoke-free signing. To ensure that all organisational members (eg, students and staff) and relevant external stakeholders (eg, neighbours and apprenticeship workplaces) know what SFSH entails. Decided locally in schools.
 Workshop one on SFSH implementation A joint meeting at the schools for all school staff and managers, facilitated by the practice partners. To stimulate a joint vision and understanding of why the school is implementing SFSH. Practice partners.
To ensure that all organisational members feel confident to enforce SFSH. All school staff and managers.
To address school-specific challenges and issues, for example, resistance. Local municipality representative.
 Motivational interviewing course A selected group of school staff and managers attend a 2-day course delivered by the practice partners. To provide new knowledge and skills for the selected staff and managers, who are supposed to become key drivers of the implementation in school. Practice partners.
To help nicotine-addicted students to cope with not smoking during school hours. Selected school staff and managers including the school project coordinator.
Local municipality representative.
 Smoking cessation assistance Offered to students and staff in collaboration with the local municipality. To help motivated staff and students quit smoking. Students and staff.
The type of assistance varies between municipalities, depending on local resources and availabilities. Local municipality representative.
 Student workshop A participatory student workshop on how to improve the social environment, delivered in schools by the practice partners. The schools are given financial support (averaging €15 000 per school) to establish some of the best school-break activities. To create alternatives to smoking communities at school. Practice partners.
To ensure that the new school-break activities are relevant for the students. Selected group of students.
Local municipality representative.
The school management and school project coordinator approve the new school-break activities.
 Removal of smoking facilities The schools remove smoking facilities, for example, ashtrays. To signal that the school is smoke-free. Decided locally in schools.
Phase 2
 The school tobacco policy of SFSH The SFSH policy is established in schools. The schools must enact and enforce the policy. To prevent exposure to secondhand smoke. Decided locally in schools.
To prevent smoking initiation and continuation. Practice partners recommend that all school staff and managers play a role in enforcement.
 Continued smoking cessation assistance Smoking cessation assistance is offered to students and staff in collaboration with the local municipality. To help motivated staff and students quit smoking. Students and staff.
The type of smoking cessation assistance varies between municipalities, depending on local resources and availabilities. Local municipality representative.
 Network activities for intervention schools A network for intervention schools is established by the practice partners. Two larger network activities for all schools are delivered during 2018–2020. To facilitate schools exchanging experiences of implementing SFSH and learning from one another. School principal and school project coordinator are invited.
Participation in network activities will be decided locally in schools.
 Schools’ own initiatives Supportive actions which ease the implementation of SFSH. Decided locally by schools. Decided locally by schools.
 Workshop 2 A joint meeting at the schools for all staff and managers, facilitated by the practice partners. To address school-specific challenges in relation to implementing SFSH. Practice partners.
All school staff and managers.
Local municipality representative.
 Final meeting A final meeting between the schools and practice partners to discuss the SFSH maintenance plan. To ensure the schools have a clear maintenance plan and know how the municipality and practice partners can support them after the intervention period. Practice partners.
School principal.
School project coordinator.
Local municipality representative.

SFSH, smoke-free school hours.