Effectiveness of E-Learning Program in Preventing WP Smoking in Adolescent Females in West of Iran by Applying Prototype-Willingness Model: A Randomized Controlled Trial

Background: given the increasing trend of water pipe (wp) smoking in adolescent females, it isnecessary to use effective educational strategies in preventing wp smoking in developingcountries. we aimed to determine effectiveness of e-learning program in preventing wp smokingin adolescent females west of iran using prototype-willingness model.study design: a randomized controlled trial.methods: this study was performed on 221 adolescent females in kermanshah city, iran during2019-2020. multistage random sampling was used. data collection tool included a researchermadequestionnaire based on prototype-willingness model. e-learning-based intervention programincluded 5 training sessions. participants were followed up for 3 months after the intervention. thedata were analyzed using spss software.results: the mean scores of attitude, subjective norms, prototype, intention, and behavioralwillingness structures were similar in both experimental and control groups before the educationalintervention. however, after educational interventions, mean scores of structures of positive attitude towards wp, subjective norms about wp smoking, positive prototype about wp smokers, intention, and behavioral willingness towards wp smoking were decreased in the experimental group. moreover, frequency of wp smoking was decreased in the experimental group compared to the control group after the educational intervention (p=0.003).conclusion: the use of e-learning-based interventions is an educational strategy for reducing wpsmoking in adolescent females.