Effects of Multimedia Computer-Assisted Instruction on Perception, Attitude, and Behavioral Intention toward E-Cigarette Use among Adolescents in a Private School
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Abstract
Background: The use of electronic cigarettes among adolescents has significantly increased, adversely affecting both the users and those exposed to the vapor. Utilizing multimedia computer-assisted instruction (CAI) is one method to reduce the rate of e-cigarette use.
Objectives: To examine the effects of multimedia computer-assisted instruction (MMCAI) on adolescents’ perception, attitude, and behavioral intention regarding e-cigarette use in a private school.
Methods: A quasi-experimental design with a two-group pretest-posttest format was used. The sample consisted of lower secondary school students divided into an experimental group and a control group of 33 students each. The experimental group received multimedia computer-assisted instruction on e-cigarettes, while the control group received traditional instruction. The research instruments included a multimedia CAI lesson on e-cigarettes and a questionnaire assessing perception, attitude, and behavioral intention toward e-cigarette use. The data were analyzed using descriptive statistics and t-tests.
Results: The experimental group showed a statistically significant increase in mean scores for e-cigarette-related perception and behavioral intention after the intervention (p<.001) and a significant decrease in mean scores for attitude toward e-cigarette use (p<.001). Additionally, the post-intervention mean scores for attitude of the experimental group were significantly lower than those of the control group (p<.001). However, the two groups had no significant differences in perception and behavioral intention (p>.05).
Conclusions: The multimedia computer-assisted instruction on e-cigarettes effectively influenced adolescents by fostering a more negative attitude toward e-cigarette use compared with traditional instructional methods.
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บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี และคณาจารย์ท่านอื่น ในวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
References
Bandi, P., Cahn, Z., Sauer, A. G., Douglas, C. E., Drope, J., Jemal, A., & Fedewa, S. A. (2021). Trends in e-cigarette use by age group and combustible cigarette smoking histories, US adults, 2014–2018. Am J Prev Med, 60(2), 151-8. https://doi.org/10.1016/j.amepre.2020.07.026
Chankaew, T., Baiya, P., Chinwong, D., Yoodee, V., & Chinwong, S. (2022). Electronic cigarettes in Thailand: behaviour, rationale, satisfaction, and sex differences. Int J Environ Res Public Health, 19(14), 8229. https://doi.org/10.3390/ijerph19148229
Gagné, R. M. (1985). The conditions of learning and theory of instruction. Holt, Rinehart & Winston.
Haenjohn, J., Sirithadakunlaphat, S., & Supwirapakorn, W. (2018). Development of training program on promoting executive functions of the brain in adolescents. Journal of The Royal Thai Army Nurses, 19(2), 220–230. (in Thai)
Halarp, T., Purachat, P., & Lijuan, W. (2018). A comparison of learning achievement and attitude towards science of Mathayomsuksa 5 students on the topic of nerve system and sensory organs by using computer assisted instruction learning method and traditional learning method. Journal of Lawasri, 2(2), 81-98. (in Thai)
Kaewkanta, S., & Thongphaeng, S. (2023). The development of computer-assisted instruction on parts of speech for grade-7 students at Boonkhumratbamrung school. Journal of MCU Nakhondhat, 10(5), 366-74. (in Thai)
Leventhal, A. M., Stone, M. D., Andrabi, N., Barrington-Trimis, J., Strong, D. R., Sussman, S., & Audrain-McGovern, J. (2016). Association of e-cigarette vaping and progression to heavier patterns of cigarette smoking. JAMA, 316(18), 1918-20. https://doi.org/10.1001/jama.2016.14649
Maneekun, C., Homsin, P., & Srisuriyawet, R. (2023). Factors related to the early electric smoking stage among secondary school students in Chachoengsao province. Nursing Journal CMU, 50(4), 158-69. (in Thai)
Martinelli, T., Candel, M. J., de Vries, H., Talhout, R., Knapen, V., van Schayck, C. P., & Nagelhout, G. E. (2023). Exploring the gateway hypothesis of e-cigarettes and tobacco: A prospective replication study among adolescents in the Netherlands and Flanders. Tob Control, 32(2), 170-8. https://doi.org/10.1136/tobaccocontrol-2021-056528
Mungmai, A., Rodpipat, S., & Sarayuthpitak, J. (2023). Relationship among information exposure, perceptions, attitudes, and trends in electronic cigarette smoking behaviors in secondary school students. Academic Journal of Thailand National Sports University, 15(3), 311-23. (in Thai)
Obisesan, O. H., Osei, A. D., Uddin, S. I., Dzaye, O., Mirbolouk, M., Stokes, A., & Blaha, M. J. (2020). Trends in e-cigarette use in adults in the United States, 2016-2018. JAMA Intern Med, 180(10), 1394-8. https://doi.org/10.1001/jamainternmed.2020.2817
Office of Tobacco Products Control Committee, Department of Disease Control, Ministry of Public Health. (2023). Annual report 2023. https://ddc.moph.go.th/uploads/ckeditor2//files/รายงานประจำปี%202566%20กรมควบคุมโรค.pdf (in Thai)
Onmoy, P., Buarueang, A., Paponngam, C., Janrangrueang, T., Lao-noi, N., & Boonrawd, A. (2022). Factors associated with electronic cigarette smoking behaviors of adolescents in Uttaradit province, Thailand. Journal of Health Science, 31(Suppl. 2), 197-205. (in Thai)
Pongboriboon, U., Addjanagitti, P., & Rattanatavorn, R. (2023). Development and evaluation of program to prevent the use of electronic cigarette products in online society among students of private universities in Pathum Thani Province. Journal of The Royal Thai Army Nurses, 24(2), 269-78. (in Thai)
Poonruksa, S. (2022). The effects of e-cigarette smoking cessation online program on knowledge, attitude, and intention to quit among student smokers of a private university. Journal of Nursing Science Christian University of Thailand, 9(1), 20-38. (in Thai)
Rojanapithayakorn, W. (2022). The war on e-cigarette. Journal of Health Science, 31(1), 1-2. (in Thai)
Rosungnoen, R., Satianpoonsook, T., Seesensui, S., Wanghungklang, W., & Solod, W. (2021). Guidelines for changing dissolution smoking behavior. Journal of Nakhonratchasima College (Humanities and Social Sciences), 15(2), 362-76. (in Thai)
Ruanphet, K., Bonkhunthod, P., Saengngam, T., Rungthanakiat, P., & Suwannawong, S. (2021). Nurse's role in prevention and cessation of electronic cigarette smoking in adolescents. Regional Health Promotion Center 9 Journal, 15(38), 619-31. (in Thai)
Takaree, S., Janthanakul, P., Panjinda, W., Samsee, S. (2024). The effects of self-efficacy development program on knowledge and attitude about electronic cigarette of nursing student leaders. The Journal of Nursing, 73(1), 46-53. (in Thai)
Thanawat, T (2024). Impacts in all dimensions from e-cigarettes using, review of programming guidelines for raising awareness of the health hazards and prevention of vaping among teenagers. Thai Journal of Public Health and Health Sciences, 7(2), 93-106. (in Thai)
Thuy, T. T. (2023). Key risk factors associated with electronic nicotine delivery system among adolescents. JAMA Network Open, 6(10), e2337101. https://doi.org/10.1001/jamanetworkopen.2023.37101
World Health Organization Thailand. (2021). Statement on electronic-cigarettes. World Health Organization Thailand. https://cdn.who.int/media/docs/default-source/thailand/ncds/who-thailand-statement-on-electronic-cigarettes-as-of-20-october-2021.pdf?sfvrsn=97f44cf_5
