The Effect of Mobile-Based Anti-Smoking Nursing Interventions on Smoking Intention, Attitude, and Decision-Making Balance of Nursing Students
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 43
- 试验地点
- 1
- 主要终点
- Smoking Intention
研究概览
简要总结
This clinical trial aims to understand whether a mobile-based anti-smoking nursing intervention can help nursing students change their smoking-related intentions, attitudes, and decision-making. The study focuses on nursing students who currently smoke.
The main questions this study aims to answer are:
Does the mobile-based nursing intervention reduce nursing students' intention to smoke?
Does the intervention change students' attitudes toward smoking?
Does the intervention affect how students weigh the benefits and harms of smoking when making decisions?
Researchers will compare nursing students who receive the mobile-based anti-smoking nursing intervention with students who do not receive this intervention.
Participants will use a mobile application developed by nurses. Through the application, participants will receive structured nursing support related to smoking prevention. Participants will complete questionnaires about their smoking intentions, attitudes, and decision-making at different time points during the study.
详细描述
This study is a randomized controlled clinical trial designed to evaluate the effect of a mobile-based anti-smoking nursing intervention on smoking intention, attitudes toward smoking, and smoking-related decision-making balance among nursing students.
Eligible participants consist of nursing students who currently smoke. Following baseline assessments, participants are randomly assigned to either the intervention group or the control group to ensure comparability between groups at the start of the study.
Participants in the intervention group receive a mobile-based anti-smoking nursing intervention developed within the framework of the nursing process. The intervention is delivered through a structured mobile application and provides planned nursing support aimed at increasing awareness, supporting behavior change, and strengthening smoking-related decision-making. The intervention content is delivered over a defined period and is designed to promote active engagement.
Participants in the control group do not receive the mobile-based nursing intervention and continue under usual conditions throughout the study period.
Data are collected at baseline and at predefined follow-up time points using validated scales and a structured questionnaire. Smoking intention is assessed using the Smoking Intention Questionnaire, attitudes toward smoking are measured with the Smoking Attitudes Scale, and smoking-related decision-making balance is evaluated using the Smoking Decision Balance Scale. Changes over time are analyzed by comparing outcomes between the intervention and control groups.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
盲法说明
Blinding was applied at the level of statistical analysis. Data were analyzed by an independent statistician who was not involved in the intervention or data collection processes. Participants and investigators were not blinded due to the nature of the behavioral intervention.
入排标准
- 年龄范围
- 17 Years 至 65 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Being an undergraduate student currently enrolled at Ege University Faculty of Nursing
- •Volunteering to participate in the study and providing written informed consent
- •Smoking one or more cigarettes per day
- •Owning a smartphone with either iOS or Android operating system and having regular internet access
- •Having no prior participation in any smoking cessation intervention study
排除标准
- •Having previously participated in a smoking cessation intervention program or study
- •Being a non-smoker
研究组 & 干预措施
Intervention Group-Mobile-based nursing intervention delivered through the HDDN
Participants receive a mobile-based nursing intervention delivered through the HDDN (Hemşire Destekli Dumansız Nefes) mobile application
干预措施: HDDN Mobile Application (Device)
Control Group
Participants assigned to the control group did not receive any intervention. They continued their usual activities without access to the mobile application or any additional nursing support. Smoking-related attitudes, intentions, and decision-making balance were assessed at baseline, 22 days after baseline, and one month after the first follow-up using self-report questionnaires administered online
结局指标
主要结局
Smoking Intention
时间窗: Baseline (Pre-test), 22 days after baseline (1st Follow-up), and 1 month after the first follow-up (2nd Follow-up)
Measured using the Smoking Intention Questionnaire (SIQ). The questionnaire consists of 4 items assessing trying, craving, planning, and thinking. Each item is rated on a 5-point Likert scale (1-5). Total scores range from 4 to 20. Higher scores indicate stronger intention to smoke (worse outcome), whereas lower scores indicate weaker intention to smoke (better outcome).
Attitudes toward smoking
时间窗: Baseline (Pre-test), 22 days after baseline (1st Follow-up), and 1 month after the first follow-up (2nd Follow-up).
Measured using the Attitudes Toward Smoking Scale. The scale consists of 45 items rated on a 6-point Likert scale (1-6). Total scores range from 45 to 270. Higher scores indicate more positive attitudes toward smoking (worse outcome), whereas lower scores indicate more negative attitudes toward smoking (better outcome).
Smoking decision-making balance
时间窗: Baseline (Pre-test), 22 days after baseline (1st Follow-up), and 1 month after the first follow-up (2nd Follow-up).
Measured using the Smoking Decisional Balance Scale. The scale consists of 24 items rated on a 5-point Likert scale (1-5), including 11 items assessing perceived benefits of smoking (score range 11-55) and 13 items assessing perceived harms of smoking (score range 13-65). The decisional balance score is calculated by subtracting the perceived harms score from the perceived benefits score. Total scores range from -54 to +42. Positive scores indicate that perceived benefits outweigh harms (worse outcome), whereas negative scores indicate that perceived harms outweigh benefits (better outcome).
次要结局
- Smoking Cessation Behavior.(During the 14-day intervention period.)
研究者
LÜTFİYE GÖKÇE
Principal Investigator
Ege University