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A Face-Aging Smoking Prevention/Cessation Intervention for Nursery School Students in Germany: An Appearance-Focused Interventional Study

Author

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  • Titus J. Brinker

    (Department of Translational Oncology, National Center for Tumor Diseases (NCT), German Cancer Research Center (DKFZ), 69120 Heidelberg, Germany
    Department of Dermatology, University Hospital Heidelberg, 69120 Heidelberg, Germany
    German Cancer Consortium (DKTK), University of Heidelberg, 69120 Heidelberg, Germany)

  • Jonas Alfitian

    (Department of Cardiology, University Hospital of Cologne, 50937 Cologne, Germany)

  • Werner Seeger

    (Universities of Giessen and Marburg Lung Center, 35392 Gießen, Germany)

  • David A. Groneberg

    (Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe University, 60590 Frankfurt, Germany)

  • Christof Von Kalle

    (Department of Translational Oncology, National Center for Tumor Diseases (NCT), German Cancer Research Center (DKFZ), 69120 Heidelberg, Germany)

  • Alexander H. Enk

    (Department of Dermatology, University Hospital Heidelberg, 69120 Heidelberg, Germany)

  • Felix J. F. Herth

    (Center for Interstitial and Rare Lung Diseases, Pneumology and Respiratory Care Medicine, Thoraxklinik, University of Heidelberg, 69120 Heidelberg, Germany)

  • Michael Kreuter

    (Center for Interstitial and Rare Lung Diseases, Pneumology and Respiratory Care Medicine, Thoraxklinik, University of Heidelberg, 69120 Heidelberg, Germany)

  • Claudia M. Bauer

    (Center for Interstitial and Rare Lung Diseases, Pneumology and Respiratory Care Medicine, Thoraxklinik, University of Heidelberg, 69120 Heidelberg, Germany)

  • Martina Gatzka

    (Department of Dermatology and Allergic Diseases, Ulm University Hospital, University of Ulm, 89081 Ulm, Germany)

  • Janina L. Suhre

    (Department of Pulmonary Medicine, University of Bonn, 53127 Bonn, Germany)

Abstract

The Education Against Tobacco (EAT) network delivers smoking prevention advice in secondary schools, typically using the mirroring approach (i.e., a “selfie” altered with a face-aging app and shared with a class). In November 2017, however, the German assembly of EAT opted to expand its remit to include nursing students. To assess the transferability of the existing approach, we implemented it with the self-developed face-aging app “Smokerface” (=mixed − methods approach) in six nursing schools. Anonymous questionnaires were used to assess the perceptions of 197 students (age 18–40 years; 83.8% female; 26.4% smokers; 23.3% daily smokers) collecting qualitative and quantitative data for our cross-sectional study. Most students perceived the intervention to be fun (73.3%), but a minority disagreed that their own animated selfie (25.9%) or the reaction of their peers (29.5%) had motivated them to stop smoking. The impact on motivation not to smoke was considerably lower than experienced with seventh graders (63.2% vs. 42.0%; notably, more smokers also disagreed (45.1%) than agreed (23.5%) with this statement. Agreement rates on the motivation not to smoke item were higher in females than in males and in year 2–3 than in year 1 students. Potential improvements included greater focus on pathology (29%) and discussing external factors (26%). Overall, the intervention seemed to be appealing for nursing students.

Suggested Citation

  • Titus J. Brinker & Jonas Alfitian & Werner Seeger & David A. Groneberg & Christof Von Kalle & Alexander H. Enk & Felix J. F. Herth & Michael Kreuter & Claudia M. Bauer & Martina Gatzka & Janina L. Suh, 2018. "A Face-Aging Smoking Prevention/Cessation Intervention for Nursery School Students in Germany: An Appearance-Focused Interventional Study," IJERPH, MDPI, vol. 15(8), pages 1-15, August.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:8:p:1656-:d:161919
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    References listed on IDEAS

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    1. Carine Weiss & Dirk Hanebuth & Paola Coda & Julia Dratva & Margit Heintz & Elisabeth Zemp Stutz, 2010. "Aging Images as a Motivational Trigger for Smoking Cessation in Young Women," IJERPH, MDPI, vol. 7(9), pages 1-14, September.
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    Cited by:

    1. Miloš Ilić & Maja Grujičić & Budimka Novaković & Aleksandra Vrkatić & Zagorka Lozanov-Crvenković, 2022. "Cigarette Smoking among Medical Students from the Western Balkan," IJERPH, MDPI, vol. 19(5), pages 1-16, March.

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