Background: Our hospital has been running smoking prevention classes aimed at elementary school students since 2012. The aim of this study was to demonstrate that smoking prevention classes are raising and maintaining awareness of smoking prevention.
Methods: To measure awareness of smoking prevention, the Kano Test for Social Nicotine Dependence-youth (KTSND-youth) was used. The intervention consisted of a 45-minute smoking prevention class aimed at fifth- and sixth-grade students in elementary school. The short-term effects (3 months) and long-term effects (one to two years after when participants are in seventh and eighth-grade) were assessed. Students who participated in the class were allocated to the intervention group and those who did not to the control group.
Results: Among 514 elementary school students in the intervention group, mean KTSND-youth score before participating in the class was 6.11 ± 4.24, whereas a significant reduction to 5.59 ± 4.54 was observed 3 months after (p<0.001). The score of the control group (119 students) at baseline was 5.96 ± 4.27 and no significant change was observed 3 months later (5.92 ± 4.34, p=0.93). There was no significant difference in change of scores between two groups (p=0.26). The score of the seventh-grade intervention group (4.42 ± 4.53) was significantly lower compared with the control group (5.39 ± 4.61 points, p=0.019). No significant difference was observed (p=0.89) between the scores of the eighth-grade intervention group (7.25 ± 5.94) and the control group (6.96 ± 4.97).
Conclusion: The results of this study suggest that smoking prevention classes in elementary schools improved awareness of smoking prevention after 3 months and one year.

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Objectives: The purpose of this study is to investigate and assess dental hygiene students’ cognition of smoking including the heated tobacco products (HTPs).
Methods: An internet questionnaire, including smoking status regarding cigarettes and HTPs, Kano test for social nicotine dependence (KTSND) and cognition of HTPs was conducted for 311 dental hygiene students at Aichi Gakuin University Junior College in April 2019.
Results: This survey collected data from 301 students (97%) whose average age was 19.3 year, ranging from 18 to 30 (standard deviation = 1.4). This sample included 3 cigarettes smokers (1%) and 4 HTPs smokers (1%), one of which was a dual user. The percentage of students who correctly knew the name of HTPs was as many as 91%. However, the percentage of those who correctly recognized all 8 of the harmful effects of HTPs were only 36 students (12%). The median KTSND scores among those who had never smoked were fewer than them among those who had experienced smoking. Furthermore, those students without secondhand smoke exposure were significantly lower than those with exposure to secondhand smoke.
Discussion: The KTSND scores by smoking status in this study were similar to the scores of previous reports.
Conclusions: This study indicated that smoke-free education including HTPs is important for dental hygiene students to support smoking cessation efforts in the future.

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Objectives: The aim of the study is to evaluate the results of the smoking cessation workshop for nursing stuff, particularly nurses’ self-efficacy in smoking cessation support.
Methods: This program was held from May 2018 to January 2019 at five locations nationwide. The total number of participants was 338, and the number of valid responses was 303. The evaluation of the workshop was conducted via anonymous questionnaire survey, using a before-and-after comparison design. The main survey items were self-efficacy, attitude, and motivation regarding smoking cessation support.
Results: Self-efficacy in smoking cessation support after training was significantly higher relative to that before training. Participants who did not routinely provide smoking cessation support before training showed significant positive changes in both attitudes and self-efficacy.
Discussion: The results showed that self-efficacy and attitudes of nursing staff toward smoking cessation support generally improved after training. In this study, it is unclear whether the participants reached the behavior of smoking cessation support after participating in the workshop.
Conclusion: These workshops on smoking cessation support for nurses were generally useful for improving self-efficacy for smoking cessation support.

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