Background: Smoking is seen as a severe public health concern around the world due to
its link to higher mortality rates, especially among adolescents. Aim: This study aimed to
appraise the effect of educational guidelines based on health belief model on knowledge,
attitude and beliefs regarding cigarette smoking cessation among secondary schools male
students Design: A quasi-experimental research design was used. Setting: The study was
carried out at Benha Mechanical Secondary School & Benha Decoration Secondary
School for males, Qalyoubia, Egypt. Sample: A non-probability purposive and a snowball
sampling method included 212 students. Tools: Three tools were used. Tool I: A
structured interviewing questionnaire to assess demographic characteristics of the studied
students, smoking status and their knowledge regarding smoking and cigarette smoking
cessation. Tool II: To assess attitude of studied students regarding cigarette smoking
cessation. Tool III: Health Belief Model Scale; to assess the studied students’ beliefs
regarding cigarette smoking cessation. Results: Only 14.6% of studied students had good
total knowledge level pre educational guidelines improved to 72.6% post educational
guidelines, 44.8% of them had positive attitude pre educational guidelines improved to
67.9% post educational guidelines, also 13.7% of them had high health beliefs pre
educational guidelines improved to 61.8% post educational guidelines regarding cigarette
smoking cessation. There was a positive statistical correlation between total knowledge
and total attitude and between total knowledge and total health beliefs post educational
guidelines. Also, there were a positive statistical correlation between total attitude and
total health beliefs (p