Effectiveness of Educational Intervention on COTPA: A Mixed-Method Approach Among College Students in Puducherry

Abstract

Background: The Cigarettes and Other Tobacco Products Act (COTPA) aims to mitigate tobacco use through regulatory measures, but awareness about these regulations is vital for their effectiveness. To assess the effectiveness of targeted educational intervention on COTPA and explore the factors influencing implementation of COTPA among college students in Puducherry. Study design: A sequential explanatory mixed-method study design was employed, combining pre- & post- intervention surveys in quantitative component while focus group discussions in qualitative component. Methods: A total of 360 college students aged ≥ 18 years were included in the study through multi-stage sampling technique. The study was carried out from February – July 2023 (6 months). The knowledge levels on COTPA was measured before and after the educational intervention using a semi-structured questionnaire. The educational intervention on COTPA was conducted using flipbooks & PowerPoint presentations. Additionally, focus group discussions were conducted to explore perceived barriers and facilitators in implementation of COTPA. Written informed consents were sought. Institutional Ethical Committee approval was obtained. Results: In pre-test, the urban students was found to have better knowledge about COTPA provisions compared to rural students. Post-intervention, significant improvements were observed in both groups across all knowledge parameters. However, awareness regarding the prohibition of tobacco sales to minors showed no significant improvement. Focus groups identified key factors influencing COTPA implementation. Conclusion: Educational interventions effectively improved knowledge regarding COTPA among college students. Addressing these knowledge gaps is crucial for enhancing compliance with tobacco control laws, contributing to better public health outcomes.