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Date Available

5-1-2026

Year of Publication

2026

Document Type

DNP Project

Degree Name

Doctor of Nursing Practice

College

Nursing

Department/School/Program

Nursing

Faculty

Dr. Leslie Scott

Committee Member

Dr. Benjamin Smith

Faculty

Dr. Julie Ewing

Abstract

Purpose: The purpose of this project was to increase knowledge of nicotine products and promote negative perceptions of nicotine use among third-grade students through early prevention education.

Background: Prevention is key and to prevent nicotine use, there must be an educational program with that aim in a much younger population. Third grade encompasses 8-, 9-, and 10-year-olds. This group is in the middle childhood stage and begin more complex thinking and problem-solving skills. There is physical and emotional development among this group.

Methods: This is a quasi-experimental study among third grade students in Breckinridge County Kentucky with pretest and posttest evaluations on the knowledge of nicotine related products and harm caused by nicotine. Outcome variables will include intent to use nicotine products before and after the program, perceptions/attitudes toward nicotine products, and exposure to nicotine products. Too Good for Drugs is an age adaptable program that will be used to deliver the nicotine prevention program to third graders. Data was analyzed using sample paired t-tests. Data collection will be anonymous via self-reported pretests and posttests.

Results: Paired sample t-tests were used to analyze data. N=20. Pretest correct questions had a mean of 4.25 with a SD .96655. Posttest correct questions had a mean of 6.7500 with a SD 1.94327. P < .001.

Conclusions: The data concludes that there is a significant increase in learning utilizing Too Good for Drugs in the third-grade classroom. The program builds foundational capabilities in students.

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