Effectiveness of a course in the control of tobacco use for university health students: A quasi-experimental community intervention trial

Abstract

Introduction: The aim of the study was to evaluate the effectiveness of a tobacco control course in the reduction of prevalence and the improvement of knowledge and attitudes among university health students. Method: Quasi-experimental study on a community based intervention. Interventional campus students received a tobacco control course in the first year of the degree. Data were collected by Self-Answered Questionnaire during three academic years in two graduations years among health students in both campuses. Results: 84.4% of students participated in the study. In both campuses tobacco use was reduced, not significantly, above all in those joining courses from origins other than baccalaureate. In the intervention and control campus showed an increase in the nicotine dependency according to Fagerstr?m test and a little change in motivation according toRichmondtest. The regression model best explaining the improving of the knowledge included academic course mainly and campus and academic background too. With regard to opinions and beliefs tobacco use was not influenced, being associated in general to the academic course. Conclusions: A specific tobacco control course did not change prevalence of tobacco, nicotine dependence and motivation to give up. The improvement in knowledge was associated with academic course in both campuses. We recommend to commence smoking cessation strategies in university health students.

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Fernandez, D. , Molina, A. , Martin, V. , Ordas, B. and De Luis, J. (2013) Effectiveness of a course in the control of tobacco use for university health students: A quasi-experimental community intervention trial. Open Journal of Nursing, 3, 351-357. doi: 10.4236/ojn.2013.34047.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Lenz, B.K. (2008) Beliefs, knowledge, and self-efficacy of nursing students regarding tobacco cessation. American Journal of Preventive Medicine, 35, 494-500. doi:10.1016/j.amepre.2008.09.004
[2] International Council of Nurses (1999) Tobacco use and health: Position statement. ICN, Geneve.
[3] Rice, V. and Stead, L. (2001) Nursing interventions for smoking cessation. The Cochrane Database of Systemic Reviews. doi:10.1002/14651858.CD001188
[4] Patkar, A.A., Hill, K., Batra, V., Vergare, M.J. and Leone, F.T. (2003). A comparison of smoking habits among medical and nursing students. Chest, 124, 1415-1420. doi:10.1378/chest.124.4.1415
[5] Canton, J.C., Baker, L.C. and Hughes, R.G. (1993) Preparedness for practice: Young physicians’ view of their professional education. Journal of the American Medical Association, 270, 1035-1040. doi:10.1001/jama.1993.03510090019005
[6] Richmond, R.L., Keohe, L. and Webster, I.W. (1993) Multivariate models for predicting abstention following intervention to stop smoking by general practitioner. Addiction, 88, 1127-1135. doi:10.1111/j.1360-0443.1993.tb02132.x
[7] Wewers, M.E., Kidd, K., Armbruster, D. and Sarna, L. (2004) Tobacco dependence curricula in U.S. baccalaureate and graduate nursing education. Nursing Outlook, 52, 95-101.
[8] Kraatz, E.S., Dudas, S., Frerichs, M., Paice, J. and Swenson, C. (1998) Tobacco-related instruction in undergraduate nursing education in Illionois. Journal of Nursing Education, 37, 415-417. doi:10.1016/j.outlook.2003.09.007
[9] Cordón Granados, F., Jauma Pou, R.M., Vallescar Piñana, R., Ribo Bonet, C. and Martín Mateo, M. (1992) Smoking habits in nursing students: Prevalence, attitudes and knowledge. Gaceta Sanitaria, 6, 58-61. doi:10.1016/S0213-9111(92)71093-0
[10] Heras Tébar, A., García Sanchón, C., Hernández López, M.C., Ballestín, N. and Nebot, M. (1997) Smoking among nursing students in Catalonia: Knowledge, attitudes and practice. Gaceta Sanitaria, 11, 267-273. doi:10.1016/S0213-9111(97)71306-2
[11] Mas, A., Nerín, I., Barrueco, M., Cordero, J., Guillén, D., Jiménez-Ruiz, C. and Sobradillo, V. (2004) Smoking habits among sixth-year medical students in Spain. Archivos de Bronconeumología, 40, 403-408. doi:10.1016/S0300-2896(04)75559-3
[12] Fernández García, D., Martin Sánchez, V., Vázquez Casares, A.M., Liébana Presa, C., Fernández Martínez, M.E. and De Luis González, J.M. (2007) Tobacco use amongst nursing and physiotherapy students: A cross sectional questionnaire survey. International Journal of Nursing Studies, 44, 780-785. doi:10.1016/j.ijnurstu.2006.02.008
[13] Molina, A.J., Fernández, D. and Martin, V. (2009) Sensitivity and specificity of a selfadministered questionnaire of tobacco use including Fagerstrom test. International Journal of Nursing Studies, 47, 181-189. doi:10.1016/j.ijnurstu.2009.05.022
[14] Martín, V., Fernández, D., Ordoñez, C., Molina, A.J., Fernández, M.E. and De Luis, J.M. (2008) Valoración de la prevalencia de consumo de tabaco en estudiantes de primer curso de ciencias de la salud con tres métodos diferentes. Revista Española de Salud Pública, 82, 221-229. doi:10.1590/S1135-57272008000200008
[15] Pericas, J., González, S., Bennasar, M., De Pedro, J., Aguiló, A. and Bauzá, L. (2009) Cognitive dissonance towards the smoking habit among nursing and physiotherapy students at the University of Balearic Islands in Spain. International Nursing Review, 56, 95-101. doi:10.1111/j.1466-7657.2008.00669.x
[16] Rowe. K. and Clark, J.M. (2000) The incidence of smoking amongst nurses: A review of the literature. Journal Advanced of Nursing, 31, 1046-1053. doi:10.1046/j.1365-2648.2000.01391.x
[17] Smith, D.R. (2007) A systematic review of tobacco smoking among nursing students. Nurse Education in Practice, 7, 293-302. doi:10.1016/j.nepr.2006.09.003
[18] Hope, A., Kelleher, C.C. and O’Connor, M. (1998) Lifestyle practices and the health promotion environment of hospital nurses. Journal Advanced of Nursing, 28, 438-447. doi:10.1046/j.1365-2648.1998.00791.x
[19] Sejr, H.S. and Osler, M. (2002) Do smoking and health education influence student nurses’ knowledge, attitudes and professional behavior? Preventive Medicine, 34, 260-265. doi:10.1006/pmed.2001.0981
[20] Rapp, K., Büchele, G., Jahnke, A.G. and Weiland, S.K. (2006) A cluster-randomized trial on smoking cessation in German student nurses. Preventive Medicine, 42, 443-448. doi:10.1016/j.ypmed.2006.03.006
[21] Chalmers, K., Seguire, M. and Brown, J. (2002) Tobacco use and baccalaureate nursing students: A study of their attitudes, beliefs and personal behaviours. Journal of Advanced Nursing, 40, 17-24. doi:10.1046/j.1365-2648.2002.02336.x
[22] Galán, I. and López, M.J. (2009) Tres años con Ley de medidas sanitarias frente al tabaquismo: Aire más limpio, pero no lo suficiente. Gaceta Sanitaria, 23, 87-90. doi:10.1016/j.gaceta.2009.01.003
[23] World Health Organization & Regional Office for Europe (2002) European strategy for tobacco control. WHO, Copenhagen.
[24] Rowe, K. and Clark, J.M. (1999) Evaluating the effecttiveness of a smoking cessation intervention designed for nurses. International Journal of Nursing Studies, 36, 301-311. doi:10.1016/S0020-7489(99)00024-3
[25] Boccoli, E., Federici, A., Melani, A. and DePoala, E. (1996) Results of a questionnaire about nurse students’ smoking habits and knowledge in an Italian teaching school of nursing. European Journal of Epidemiology, 12, 1-3. doi:10.1007/BF00144419
[26] Suzuki, K., Ohida, T., Yokoyama, E., Kaneita, Y. and Takemura, S. (2005) Smoking among Japanese nursing students: Nationwide survey. Journal of Advanced Nursing, 49, 268-275. doi:10.1111/j.1365-2648.2004.03291.x
[27] Kitajima, T., Ohida, T., Harano, S., Kamal, A., Takemura, S., Nozaki, N., et al. (2002) Smoking behavior, initiating and cessation factors among Japanese nurses: A cohort study. Public Health, 116, 347-352.
[28] Fernandez, D., Martin, V., Molina, A.J. and De Luis, J.M. (2010) Smoking habits of students of nursing: A questionnaire survey (2004-2006). Nurse Education Today, 30, 480-484. doi:10.1016/j.nedt.2009.10.012
[29] Clark, E., McCann, T.V., Rowe, K. and Lazenbatt, A. (2004) Cognitive dissonance and undergraduate nursing students’ knowledge of, and attitudes about, smoking. Journal of Advanced Nursing, 46, 586-594. doi:10.1111/j.1365-2648.2004.03049.x
[30] Sekijima, K., Seki, N. and Suzuki, H. (2005) Smoking prevalence and attitudes toward tobacco among student and staff nurses in Niigata, Japan. Tohoku Journal of Experimental Medicine, 206, 187-194. doi:10.1620/tjem.206.187
[31] Baron-Epel, O., Josephsohn, K. and Ehrenfeld, M. (2004) Nursing students’ perceptions of smoking prevention. Nurse Education Today, 24, 145-151. doi:10.1016/j.nedt.2003.11.001
[32] Adams, A., Bell, P.F. and Pelletier, S.D. (1994) Nurses and smoking: A comparative study of students of nursing and teaching. Australian Health Review, 17, 84-101.
[33] Melani, A.S., Verponziani, W., Boccoli, E., Trianni, G.L., Federici, A., Amerini, R., et al. (2000) Tobacco smoking habits, attitudes and beliefs among nurse and medical students in Tuscany. European Journal of Epidemiology, 16, 607-611. doi:10.1023/A:1007697126844
[34] Ohida, T., Kamal, A., Takemura, S., Sone, T., Minowa, M. and Nozaki, S. (2001) Smoking behaviour and related factors among Japanese nursing students: A cohort study. Preventive Medicine, 32, 341-347. doi:10.1006/pmed.2001.0828
[35] McCann, T.V. and Rowe, K. (2005) Undergraduate nursing students’ attitudes toward smoking health promotion. Nursing and Health Sciences, 7, 164-174. doi:10.1111/j.1442-2018.2005.00228.x

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