Understanding school staff members' enforcement of school tobacco policies to achieve tobacco-free school: a realist review.

ABSTRACT:

Background

School tobacco policies (STPs) that aim to achieve a tobacco-free environment require consistent enforcement by school staff. However, little is known about why staff choose whether or not to enforce STPs. Therefore, we investigated staff members' responses to STPs that determine enforcement. Furthermore, we examined how these responses depend on contextual factors at the individual, interpersonal, school, implementation, and national levels.

Methods

We performed a realist review (RR), which synthesizes existing primary evidence into a programme theory demonstrating key causal pathways through Context-Mechanism-Outcome configurations (CMOs). These CMOs link contextual factors to outcomes (i.e. staff enforcement) by explaining the underlying generative mechanisms (

SUBMITTER: Linnansaari A 

PROVIDER: S-EPMC6642528 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature