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Sigara İçen Ergenlerde Masa Oyunu ve Tütün Bırakma Eğitiminin Nikotin Bağımlılığı Üzerine Etkisinin Karşılaştırılması

Year 2022, Volume: 24 Issue: 2, 193 - 200, 30.08.2022
https://doi.org/10.18678/dtfd.1121695

Abstract

Amaç: Bu çalışmanın amacı, sigara içen ergenlerde masa oyunu ve tütün bırakma eğitiminin nikotin bağımlılığı üzerindeki etkisinin karşılaştırılmasıdır.
Gereç ve Yöntemler: Bu randomize kontrollü çalışmaya her gün en az bir adet sigara içtiğini beyan eden 103 adölesan dahil edildi. Veri toplamak için sosyodemografik veri formu, nikotin bağımlılığı için Fagerstom testi ve değişim aşamaları ölçeği kullanıldı. Çalışma grupları masa oyunu, tütün bırakma eğitimi ve bu iki müdahalenin birlikte kullanımını içeren girişimlerden oluşan üç adet müdahale grubu ve bir de kontrol grubundan oluşmaktaydı. Tüm müdahale grupları kontrol grubu ile karşılaştırıldı. Takipler başlangıçta, 8. haftada ve 12. haftada yapıldı.
Bulgular: Tüm katılımcıların %38,8'i (n=40) çok düşük bir düzeyde nikotin bağımlısı iken %6,8'i (n=7) ise yüksek düzeyde nikotin bağımlısı idi. Katılımcıların %37,9'u (n=39) günün ilk sigarasını ilk 5 dakika içinde içtiğini beyan etti. Grupların, ergenlerin nikotin bağımlılık düzeyine anlamlı bir etkisi varken (p=0,031), periyot ve periyot*grup etkileşimi için ise anlamlı bir farklılık yoktu (sırasıyla p=0,472 ve p=0,339). Bu farklılık masa oyunu grubundan kaynaklanmakta idi. Son değerlendirmede, masa oyunu oynayan ergenlerden üçü ve tütün bırakma eğitimi alan ergenlerden ikisi hareket aşamasında idi.
Sonuç: Sonuçlar masa oyunu grubu katılımcılarının nikotin bağımlılığı düzeyinde bir azalma olduğunu göstermiştir. Önerimiz tütün bırakma eğitiminde ergenlerin ilgisini çekecek olan alternatif bir yöntem olarak oyunların kullanılması ve yaygınlaştırılmasıdır.

References

  • Badrooh A, Mozaffari N, Barikani A, Dadkhah B. The effect of individual and group education done by nurses on smoking dependency and smoking cessation motivation in patients with coronary artery disease. Addict Health. 2020;12(4):269-77.
  • Drope J, Schluger N, Cahn Z, Drope J, Hamill S, Islami F, et al. The Tobacco Atlas. 6th ed. Atlanta, GA, USA: American Cancer Society and Vital Strategies; 2018.
  • Ma C, Xi B, Li Z, Wu H, Zhao M, Liang Y, et al. Prevalence and trends in tobacco use among adolescents aged 13-15 years in 143 countries, 1999-2018: findings from the Global Youth Tobacco Surveys. Lancet Child Adolesc Health. 2021;5(4):245-55.
  • Oztekin C, Batra M, Abdelsalam S, Sengezer T, Ozkara A, Erbas B. Impact of individual, familial and parental factors on adolescent smoking in Turkey. Int J Environ Res Public Health. 2021;18(7):3740.
  • Fırat M, Demir Gökmen B, Özcan M. The effect of social appearance anxiety on smoking in high school students: Agri example. Turkish J Sci Health. 2021;2(1):104-12.
  • Mahajan SD, Homish GG, Quisenberry A. Multifactorial etiology of adolescent nicotine addiction: a review of the neurobiology of nicotine addiction and its implications for smoking cessation pharmacotherapy. Front Public Health. 2021;9:664748.
  • Singh T, Arrazola RA, Corey CG, Husten CG, Neff LJ, Homa DM, et al. Tobacco use among middle and high school students--United States, 2011-2015. MMWR Morb Mortal Wkly Rep. 2016;65(14):361-7.
  • Prochaska JO. Decision making in the transtheoretical model of behavior change. Med Decis Making. 2008;28(6):845-9.
  • Martinez U, Simmons VN, Sutton SK, Drobes DJ, Meltzer LR, Brandon KO, et al. Targeted smoking cessation for dual users of combustible and electronic cigarettes: a randomised controlled trial. Lancet Public Health. 2021;6(7):e500-9.
  • Sezgin S, Bozkurt A, Yılmaz EA, van der Linden N. Gamification, education and theoretical approaches: motivation, dedication and sustainability in learning processes. Mehmet Akif Ersoy University Journal of Education Faculty. 2018;2018(45):169-89. Turkish.
  • Şenocak D, Bozkurt A. Gamification, player types and gamification design frameworks. Açıköğretim Uygulamaları ve Araştırmaları Dergisi. 2020;6(1):78-96. Turkish.
  • Arabacı İB, Polat M. Digital natives, digital immigrants and classroom management. Electronic Journal of Social Sciences. 2013;12(47):11-20. Turkish.
  • Pimentel J, Cockcroft A, Andersson N. Impact of co-designed game learning on cultural safety in colombian medical education: protocol for a randomized controlled trial. JMIR Res Protoc. 2020;9(8):e17297.
  • Khazaal Y, Chatton A, Prezzemolo R, Zebouni F, Edel Y, Jacquet J, et al. Impact of a board-game approach on current smokers: a randomized controlled trial. Subst Abuse Treat Prev Policy. 2013;8:3.
  • Serdar CC, Cihan M, Yücel D, Serdar MA. Sample size, power and effect size revisited: simplified and practical approaches in pre-clinical, clinical and laboratory studies. Biochem Med (Zagreb). 2021;31(1):010502.
  • Khazaal Y, Chatton A, Prezzemolo R, Hoch A, Cornuz J, Zullino D. A game for smokers: a preliminary naturalistic trial in a psychiatric hospital. Patient Educ Couns. 2008;70(2):205-8.
  • Prochaska JO, DiClemente CC. Transtheoretical therapy: toward a more integrative model of change. Psychotherapy: Theory, Research & Practice. 1982;19(3);276-88.
  • Gungormus Z, Erci B. Transtheorethical model-based education given for smoking cessation in higher school students. Southeast Asian J Trop Med Public Health. 2012;43(6):1548-59.
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  • West R, Hajek P, Stead L, Stapleton J. Outcome criteria in smoking cessation trials: proposal for a common standard. Addiction. 2005;100(3):299-303.
  • Erol S, Balci AS, Sisman FN. Effect of transtheoretical model based smoking cessation program on high school students. J Nutr Health Sci. 2018;5(3):301.
  • Petrelli F, Scuri S, Tanzi E, Nguyễn TTC, Grappasonni I. Lifestyles and discomfort in a sample of young Romanian students. J Prev Med Hyg. 2018;59(3):E230-5.
  • Johnson JM, Muilenburg JL, Rathbun SL, Yu X, Naeher LP, Wang JS. Elevated nicotine dependence scores among electronic cigarette users at an electronic cigarette convention. J Community Health. 2018;43(1):164-74.
  • Islam K, Datta AK, Seth S, Roy A, Das R. A study on the prevalence and correlates of nicotine dependence among adolescents of Burdwan Town, West Bengal. Indian J Psychiatry. 2019;61(1):89-93.
  • Bozkurt N, Bozkurt Aİ. Assessment of the Fagerström test for nicotine dependence (FTND) used in the determination of nicotine dependence and developing a new test for the nicotine dependence. Pam Med J. 2016;9(1):45-51. Turkish.
  • Gumus Dogan D, Ulukol B. Factors contributing to smoking and efficiency of two different education models among adolescents. Ann Med Res. 2010;17(3):179-85. Turkish.
  • Bilgiç N, Günay TA. A method for supporting smoking cessation in adolescents: peer education. Turk Thorac J. 2014;15(3):102-5. Turkish.
  • Badham J, McAneney H, Dunne L, Kee F, Thurston A, Hunter RF. The importance of social environment in preventing smoking: an analysis of the Dead Cool intervention. BMC Public Health. 2019;19(1):1182.
  • Kim DJ, Kim SJ. Impact of nearby smoking on adolescent smoking behavior in Korea. Medicine (Baltimore). 2018;97(45):e13125.
  • Bernat D, Gasquet N, Wilson KO, Porter L, Choi K. Electronic cigarette harm and benefit perceptions and use among youth. Am J Prev Med. 2018;55(3):361-7.
  • Derksen ME, van Strijp S, Kunst AE, Daams JG, Jaspers MWM, Fransen MP. Serious games for smoking prevention and cessation: A systematic review of game elements and game effects. J Am Med Inform Assoc. 2020;27(5): 818-33.

Comparison of the Effect of Board Game and Tobacco Cessation Education on Nicotine Addiction in Adolescent Smokers

Year 2022, Volume: 24 Issue: 2, 193 - 200, 30.08.2022
https://doi.org/10.18678/dtfd.1121695

Abstract

Aim: The aim of this study was to compare the effect of a board game and tobacco cessation education on nicotine addiction in adolescent smokers.
Material and Methods: This randomized controlled study included 103 adolescents who declared to smoke at least one cigarette per day. For data collection, sociodemographic data form, Fagerstrom test for nicotine dependence, and stages of change scale were used. The study groups consisted of three intervention groups; board game, tobacco cessation education, and the combined use of these two interventions, and a control group. All interventions were compared with the control group. Follow-ups were conducted at baseline, 8th, and 12th week.
Results: While 38.8% (n=40) of all participants were addicted to nicotine at a very low level, 6.8% (n=7) were very high. 37.9% (n=39) of the participants reported smoking the first cigarette of the day within the first 5 minutes. Groups had an effect on the nicotine addiction level of adolescents (p=0.031), while there was no significant difference for the period, and period*group interaction (p=0.472 and p=0.339, respectively). The difference was due to the board game group. In the post evaluation, three of the adolescents who played board games and two of the adolescents who received tobacco cessation training were in the action phase.
Conclusion: The results showed that the board game group participants had a decrease in the level of nicotine addiction. Our suggestion is to use and disseminate games as an alternative method that will attract the attention of adolescents in tobacco cessation education.

References

  • Badrooh A, Mozaffari N, Barikani A, Dadkhah B. The effect of individual and group education done by nurses on smoking dependency and smoking cessation motivation in patients with coronary artery disease. Addict Health. 2020;12(4):269-77.
  • Drope J, Schluger N, Cahn Z, Drope J, Hamill S, Islami F, et al. The Tobacco Atlas. 6th ed. Atlanta, GA, USA: American Cancer Society and Vital Strategies; 2018.
  • Ma C, Xi B, Li Z, Wu H, Zhao M, Liang Y, et al. Prevalence and trends in tobacco use among adolescents aged 13-15 years in 143 countries, 1999-2018: findings from the Global Youth Tobacco Surveys. Lancet Child Adolesc Health. 2021;5(4):245-55.
  • Oztekin C, Batra M, Abdelsalam S, Sengezer T, Ozkara A, Erbas B. Impact of individual, familial and parental factors on adolescent smoking in Turkey. Int J Environ Res Public Health. 2021;18(7):3740.
  • Fırat M, Demir Gökmen B, Özcan M. The effect of social appearance anxiety on smoking in high school students: Agri example. Turkish J Sci Health. 2021;2(1):104-12.
  • Mahajan SD, Homish GG, Quisenberry A. Multifactorial etiology of adolescent nicotine addiction: a review of the neurobiology of nicotine addiction and its implications for smoking cessation pharmacotherapy. Front Public Health. 2021;9:664748.
  • Singh T, Arrazola RA, Corey CG, Husten CG, Neff LJ, Homa DM, et al. Tobacco use among middle and high school students--United States, 2011-2015. MMWR Morb Mortal Wkly Rep. 2016;65(14):361-7.
  • Prochaska JO. Decision making in the transtheoretical model of behavior change. Med Decis Making. 2008;28(6):845-9.
  • Martinez U, Simmons VN, Sutton SK, Drobes DJ, Meltzer LR, Brandon KO, et al. Targeted smoking cessation for dual users of combustible and electronic cigarettes: a randomised controlled trial. Lancet Public Health. 2021;6(7):e500-9.
  • Sezgin S, Bozkurt A, Yılmaz EA, van der Linden N. Gamification, education and theoretical approaches: motivation, dedication and sustainability in learning processes. Mehmet Akif Ersoy University Journal of Education Faculty. 2018;2018(45):169-89. Turkish.
  • Şenocak D, Bozkurt A. Gamification, player types and gamification design frameworks. Açıköğretim Uygulamaları ve Araştırmaları Dergisi. 2020;6(1):78-96. Turkish.
  • Arabacı İB, Polat M. Digital natives, digital immigrants and classroom management. Electronic Journal of Social Sciences. 2013;12(47):11-20. Turkish.
  • Pimentel J, Cockcroft A, Andersson N. Impact of co-designed game learning on cultural safety in colombian medical education: protocol for a randomized controlled trial. JMIR Res Protoc. 2020;9(8):e17297.
  • Khazaal Y, Chatton A, Prezzemolo R, Zebouni F, Edel Y, Jacquet J, et al. Impact of a board-game approach on current smokers: a randomized controlled trial. Subst Abuse Treat Prev Policy. 2013;8:3.
  • Serdar CC, Cihan M, Yücel D, Serdar MA. Sample size, power and effect size revisited: simplified and practical approaches in pre-clinical, clinical and laboratory studies. Biochem Med (Zagreb). 2021;31(1):010502.
  • Khazaal Y, Chatton A, Prezzemolo R, Hoch A, Cornuz J, Zullino D. A game for smokers: a preliminary naturalistic trial in a psychiatric hospital. Patient Educ Couns. 2008;70(2):205-8.
  • Prochaska JO, DiClemente CC. Transtheoretical therapy: toward a more integrative model of change. Psychotherapy: Theory, Research & Practice. 1982;19(3);276-88.
  • Gungormus Z, Erci B. Transtheorethical model-based education given for smoking cessation in higher school students. Southeast Asian J Trop Med Public Health. 2012;43(6):1548-59.
  • Heatherton TF, Kozlowski LT, Frecker RC, Fagerström KO. The Fagerström test for nicotine dependence: A revision of the Fagerström Tolerance Questionnaire. Br J Addict. 1991;86(9):1119-27.
  • Uysal MA, Kadakal F, Karşidağ C, Bayram NG, Uysal O, Yilmaz V. Fagerstrom test for nicotine dependence: reliability in a Turkish sample and factor analysis. Tuberk Toraks. 2004;52(2):115-21.
  • West R, Hajek P, Stead L, Stapleton J. Outcome criteria in smoking cessation trials: proposal for a common standard. Addiction. 2005;100(3):299-303.
  • Erol S, Balci AS, Sisman FN. Effect of transtheoretical model based smoking cessation program on high school students. J Nutr Health Sci. 2018;5(3):301.
  • Petrelli F, Scuri S, Tanzi E, Nguyễn TTC, Grappasonni I. Lifestyles and discomfort in a sample of young Romanian students. J Prev Med Hyg. 2018;59(3):E230-5.
  • Johnson JM, Muilenburg JL, Rathbun SL, Yu X, Naeher LP, Wang JS. Elevated nicotine dependence scores among electronic cigarette users at an electronic cigarette convention. J Community Health. 2018;43(1):164-74.
  • Islam K, Datta AK, Seth S, Roy A, Das R. A study on the prevalence and correlates of nicotine dependence among adolescents of Burdwan Town, West Bengal. Indian J Psychiatry. 2019;61(1):89-93.
  • Bozkurt N, Bozkurt Aİ. Assessment of the Fagerström test for nicotine dependence (FTND) used in the determination of nicotine dependence and developing a new test for the nicotine dependence. Pam Med J. 2016;9(1):45-51. Turkish.
  • Gumus Dogan D, Ulukol B. Factors contributing to smoking and efficiency of two different education models among adolescents. Ann Med Res. 2010;17(3):179-85. Turkish.
  • Bilgiç N, Günay TA. A method for supporting smoking cessation in adolescents: peer education. Turk Thorac J. 2014;15(3):102-5. Turkish.
  • Badham J, McAneney H, Dunne L, Kee F, Thurston A, Hunter RF. The importance of social environment in preventing smoking: an analysis of the Dead Cool intervention. BMC Public Health. 2019;19(1):1182.
  • Kim DJ, Kim SJ. Impact of nearby smoking on adolescent smoking behavior in Korea. Medicine (Baltimore). 2018;97(45):e13125.
  • Bernat D, Gasquet N, Wilson KO, Porter L, Choi K. Electronic cigarette harm and benefit perceptions and use among youth. Am J Prev Med. 2018;55(3):361-7.
  • Derksen ME, van Strijp S, Kunst AE, Daams JG, Jaspers MWM, Fransen MP. Serious games for smoking prevention and cessation: A systematic review of game elements and game effects. J Am Med Inform Assoc. 2020;27(5): 818-33.
There are 32 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Research Article
Authors

Remziye Can 0000-0001-5913-6007

Özlem Örsal 0000-0002-4494-8587

Publication Date August 30, 2022
Submission Date May 26, 2022
Published in Issue Year 2022 Volume: 24 Issue: 2

Cite

APA Can, R., & Örsal, Ö. (2022). Comparison of the Effect of Board Game and Tobacco Cessation Education on Nicotine Addiction in Adolescent Smokers. Duzce Medical Journal, 24(2), 193-200. https://doi.org/10.18678/dtfd.1121695
AMA Can R, Örsal Ö. Comparison of the Effect of Board Game and Tobacco Cessation Education on Nicotine Addiction in Adolescent Smokers. Duzce Med J. August 2022;24(2):193-200. doi:10.18678/dtfd.1121695
Chicago Can, Remziye, and Özlem Örsal. “Comparison of the Effect of Board Game and Tobacco Cessation Education on Nicotine Addiction in Adolescent Smokers”. Duzce Medical Journal 24, no. 2 (August 2022): 193-200. https://doi.org/10.18678/dtfd.1121695.
EndNote Can R, Örsal Ö (August 1, 2022) Comparison of the Effect of Board Game and Tobacco Cessation Education on Nicotine Addiction in Adolescent Smokers. Duzce Medical Journal 24 2 193–200.
IEEE R. Can and Ö. Örsal, “Comparison of the Effect of Board Game and Tobacco Cessation Education on Nicotine Addiction in Adolescent Smokers”, Duzce Med J, vol. 24, no. 2, pp. 193–200, 2022, doi: 10.18678/dtfd.1121695.
ISNAD Can, Remziye - Örsal, Özlem. “Comparison of the Effect of Board Game and Tobacco Cessation Education on Nicotine Addiction in Adolescent Smokers”. Duzce Medical Journal 24/2 (August 2022), 193-200. https://doi.org/10.18678/dtfd.1121695.
JAMA Can R, Örsal Ö. Comparison of the Effect of Board Game and Tobacco Cessation Education on Nicotine Addiction in Adolescent Smokers. Duzce Med J. 2022;24:193–200.
MLA Can, Remziye and Özlem Örsal. “Comparison of the Effect of Board Game and Tobacco Cessation Education on Nicotine Addiction in Adolescent Smokers”. Duzce Medical Journal, vol. 24, no. 2, 2022, pp. 193-00, doi:10.18678/dtfd.1121695.
Vancouver Can R, Örsal Ö. Comparison of the Effect of Board Game and Tobacco Cessation Education on Nicotine Addiction in Adolescent Smokers. Duzce Med J. 2022;24(2):193-200.