Table 1.
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.