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Date of Award


Degree Type

Restricted Evidence-Based Project Report

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Theresa A. Kessler


Smoking remains the leading cause of preventable morbidity and mortality in the U. S. (CDC, 2009). Twenty-seven percent of college students indicated that they had smoked in the past month (SAMHSA, 2009). The purpose of this EPB project was to answer the PICO question: How does a multifaceted smoking abstinence strategy, implemented at a university campus, influence smoking attitudes, opinions, and behaviors of young adult, college students? The Iowa model (Titler et al., 2001) was used to guide the EBP project. The Transtheoretical Model (TTM) of Behavioral Change (Prochaska & DiClemente, 1983) provided the behavioral change theory. The population of focus consisted of fulltime freshmen students at a private Midwestern university during the fall semester of 2010. The multifaceted strategy, based on current evidence, included: (a) orientation session to the tobacco free campus, (b) anti-tobacco marketing strategy sessions, (c) placement of peer identified anti-tobacco marketing materials on campus, (d) distribution of quit kits, and (e) peer mentoring smoking cessation support. Changes in outcomes were assessed through pre- and post-project web-based surveys (N = 393). The multifaceted strategy had a statistically significant positive effect on participants’ mean smoking Attitude Scale scores (n = 165). The majority of nonsmokers’ opinions about smoking were affected by exposure to the project strategy. However, the majority of smokers’ opinions about smoking and their decision to smoke were not affected by exposure to any of the EBP strategies (n = 36). Since participating in the project four smokers reported quitting smoking, four reported smoking less, and eight reported smoking about the same. There was no statistically significant difference in smokers’ TTM stage of change. It is anticipated that findings from this EBP project will provide information and support to health care providers who want to influence smoking behaviors of young adult, college students.


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