Respiratory School (Smoke and COPD)

Year 2025, Volume: 32

Mustafa Saygın , Önder Öztürk , Ömer Çelikkol , Özlem Özmen , İlker Günyeli , Süleyman Dost , Funda Yıldırım Baş , Faruk Kılıç , İshak Suat Övey , Adnan Karaibrahimoğlu , Rahime Aslankoç , Dilara Pala Öztürk , Taner Gonca , Arzu Yalçın , Ülker Tunca

Abstract

Objective: The TUBITAK Nature and Science School Project aimed to train teachers in schools connected with National Education in the Isparta province to raise awareness of smoking and its harm.
Material and Method: Two hundred and thirty-one teachers (112 (48.48%) men and 119 (51.52%) women) participated in the training. A pre-test and post-test control group-free experimental study design was applied to measure training effectiveness during the Respiratory School project. At the end of the training, participants were asked to write their positive and negative feedback about the project using the so-called critical events technique. The questionnaire included information on satisfaction with education and trainers, demographic characteristics and thoughts about smoking, and the effect of education. A total of 196 participants completed the questionnaire.
Results: Most participants were women (52.9%) aged 36 to 45 (46.2%). Most of the participants had teaching experience between 16 and 25 years. There was a significant improvement in correct answers between the pre-test and the post-test on all training days (p < 0.001). The Cronbach's alpha was 0.904, and the average response to training questions was 4.68. The reliability of our findings is underscored by a Cronbach alpha value of 0.969, with a mean expression score of 4.77, highlighting the reliability of the participants' responses. Approximately 26% of the participants (n=44) reported smoking. However, the incidence of smoking among family members of the participants was markedly higher, 47.9% (n=79). Similarly, the proportion of participants who had a spouse smoking was noteworthy (31.4%; n=48). had attempted to quit smoking at some point, but only three participants (5.8%) sought help in their quitting efforts. Of the participants, 75% (n=33) acknowledged that they had quit smoking but later resumed.
Conclusion: The teachers who participated in the training found it helpful and increased targeted awareness.

Keywords

Respiratory school, Smoke, COPD, CET.

Ethical Statement

Makalemiz 2018 yılında fakültemizde gerçekleştirilen Solunum Okulu Tübitak 4004 (118B470) projesi ile desteklendi. Proje uygulaması makale haline getirildi. Bu nedenle etik kurul iznine ihtiyaç duyulmamıştır.

Supporting Institution

Tübitak 4004 (118B470) projesi ile desteklendi.

Project Number

Tübitak 4004 (118B470) projesi

References

• 1. Koylu H. Tıbbi Fizyoloji. 4th ed. Ankara: Ankara Nobel Medical Bookstores; 2020.
• 2. Orsel O. Tobacco Content, Pharmacokinetics and Tobacco Products. In: Aytemur ZA, Akcay S, Elbek O. Tobacco and Tobacco Control Toraks Books, İstanbul: Aves Publishing; 2010; 131-140.
• 3. Avram H. Mack, Kathleen T. Brady Sheldon I. Miller Richard J. Frances. Clinical textbook of addictive disorders. Guilford Press, 2016; 91-110.
• 4. Han, Beth, Emily B. Einstein, and Wilson M. Compton. "Patterns and characteristics of nicotine dependence among adults with cigarette use in the US, 2006-2019." JAMA Network Open 6.6 2023;e2319602-e2319602.
• 5. Demir, AÇ, Dönmez YE, Kartalcı G, Bingöl ME, Temelli G, Özcan Ö. The relationship between smoking, alcohol, and substance abuse and psychiatric diseases among adolescents treated in a child and adolescent psychiatry inpatient unit. The Turkish Journal of Pediatrics 2022;64(5),816-824.
• 6. McEwan M, Azzopardi D, Gale N, Camacho OM, Hardie G, Fearon IM, Murphy J. A Randomised study to investigate the nicotine pharmacokinetics of oral nicotine pouches and a combustible cigarette. Eur J Drug Metab Pharmacokinet 2022;47(2):211-221. 2.
• 7. Li Y, Hecht SS. Carcinogenic components of tobacco and tobacco smoke: A 2022 update. Food Chem Toxicol 2022;165: 113179.
• 8. Doğan A, Bayar Muluk N, Inanç Y. Peripheral and central smell regions in migraine patients using Maraş powder (smokeless tobacco): A magnetic resonance imaging evaluation. J Neurol Surg B Skull Base 2021;83(5):461-469.
• 9. Darawshy F, Abu Rmeileh A, Kuint R, Berkman N. Waterpipe smoking: A review of pulmonary and health effects. Eur Respir Rev 2021;30(160):200374.
• 10. Htay ZW, Bhandari AKC, Parvin R, Abe SK. Effects of smokeless tobacco on cancer incidence and mortality: A global systematic review and meta-analysis. Cancer Causes Control 2024. doi: 10.1007/s10552-024-01933-w.
• 11. Global Strategy for the Diagnosis, Management, and Prevention of COPD, Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2025. [cited February 2025], Available from: http://goldcopd.org.
• 12. Cornelius T. Clinical guideline highlights for the hospitalist: GOLD COPD update 2024. J Hosp Med 2024;19(9):818-820. doi: 10.1002/jhm.13416. Epub 2024 May 26. PMID: 38797887.
• 13. Tertemiz KC, Komus N, Ellidokuz H, Sevinc C, Cimrin AH. Mortality and factors affecting mortality in chronic obstructive pulmonary disease. Tuberk Toraks 2012;60(2):114-22.
• 14. Principe R, Zagà V, Martucci P, Di Michele L, Barbetta C, Serafini A, Cattaruzza MS, Giacomozzi C. Smoking cessation in the management of Chronic Obstructive Pulmonary Disease (COPD): Narrative review and recommendations. Ann Ist Super Sanita 2024;60(1):14-28
• 15. Perincek, G. Öğretmenlerin sigara içme konusunda tutum ve düşüncelerinin değerlendirilmesi: Kesitsel bir çalışma. Acibadem Saglik Bilimleri Dergisi 2021;12(1).
• 16. Kutlu R., Demirbaş N, Yeşildağ K, Çavdarcı F. İlköğretim okulu öğretmenlerinde tütün ve tütün ürünleri kullanım sıklığı: Konya örneği. Konuralp Medical Journal 2020;12(1):80-86.
• 17. Gencer M, Ceylan E, Yengil E, Ethemoğlu G. Results of the cigarette survey applied to primary school teachers in Şanlıurfa. Turkey Clinics Archives of Lung 2007;8(1):5-9.
• 18. Çoban SA, Sungur G. Teacher's behaviors and opinions about smoking. Turkish Thoracic Journal 2013;14(2):98-102.
• 19. Turhan E. The effects of law no. 5727 and education on smoking cessation among teachers in Denizli central district high schools. Pamukkale University, Faculty of Medicine, Public Health Medicine Specialization Thesis. Denizli: Pamukkale University. 2016.
• 20. Coşkun F, Karadağ M, Ursavaş A, Ege E. Teacher's smoking habits and their views on the new law. Respiratory 2010;12(3):119–124.
• 21. Yıldız, F, Bariş S.A, Başyiğit İ, Boyaci, H. Evaluation of smoking habits of teacher’s working in schools in Kocaeli city center. Turkiye Clinics Archives of Lung 2011;12(1):9-12.
• 22. Ögel K, Taner S, Eke CY, Erol B. Evaluation of the effectiveness of teacher and parent training in preventing substance addiction. Anatolian Journal of Psychiatry 2004;5(4):213.