title: Experience-oriented tobacco-use prevention lecture using a COPD-simulation mask for junior high school students.
abstract: We recently developed a mask that simulates the experience of having one of the major diseases caused by tobacco smoking: chronic obstructive pulmonary disease (COPD). Here we examined the effects of a tobacco-use prevention lecture accompanied by a pseudo-COPD experience created with this mask on adolescents' attitude toward smoking. Junior high school students (12-13 years old, n=165) in Japan were the subjects. The students attended a 30-min tobacco-use prevention lecture with slides and movie clips and engaged in a light exercise session wearing the COPD-simulation mask for 15min. Before and after the lecture, the students' attitudes toward smoking were evaluated by the Kano test for social nicotine dependence (KTSND). The total KTSND scores decreased significantly from 9.9±4.4 (mean±SD, n=149) to 7.5±5.3 (n=144). Ninety-eight students wore the COPD mask, and their modified Borg scale scores increased significantly from 0.7±1.0 to 3.2±2.1 after exercise (P<0.0001). To the questionnaire item "Do you think you understand the suffering of individuals with COPD?", 24 and 51 students answered "definitely yes" and "yes", whereas 16, 4 and 1 answered "Cannot say," "no" and "definitely no", respectively. The KTSND scores were significantly smaller in the former affirmative group compared to the latter negative group (P<0.05). Of the 98 students who wore the simulation mask, 83 reported being satisfied with this pseudo-COPD experience. The tobacco-use prevention lecture with the pseudo-COPD experience created by the simulation mask was effective and safe.
authors.affiliation: Center for Medical Sciences, Ibaraki Prefectural University of Health Sciences, Ibaraki 305-0394, Japan. Electronic address: iizukam@med.showa-u.ac.jp.
authors.forename: Makito
authors.initials: M
authors.lastname: Iizuka
authors.affiliation: Department of Physical Therapy, Ibaraki Prefectural University of Health Sciences, Ibaraki 305-0394, Japan. Electronic address: tomitak@ipu.ac.jp.
authors.forename: Kazuhide
authors.initials: K
authors.lastname: Tomita
authors.affiliation: Center for Medical Sciences, Ibaraki Prefectural University of Health Sciences, Ibaraki 305-0394, Japan. Electronic address: takesima@ipu.ac.jp.
authors.forename: Reiko
authors.initials: R
authors.lastname: Takeshima
mesh_terms: D000293:Adolescent; D001294:Attitude to Health; D002648:Child; D006266:Health Education / Q000379:methods*; D006801:Humans; D007564:Japan; D008397:Masks; D029424:Pulmonary Disease, Chronic Obstructive / Q000517:prevention & control / Q000523:psychology; D012574:Schools; D012907:Smoking / Q000523:psychology; D000074606:Smoking Prevention; D011795:Surveys and Questionnaires; D014029:Tobacco Use Disorder / Q000517:prevention & control* / Q000523:psychology; D014741:Video Recording
keywords: Adolescents; Chronic obstructive pulmonary disease (COPD); Pseudo experience; Psychological effects