Development and evaluation of virtual simulation for smoking cessation counseling education program for nursing students

Background Smoking is still a one of the critical preventable factors for human health, Nurses are healthcare providers who can help patients quit smoking. The subject for Smoking cessation counseling is not routinely included in nursing curricula. Methods The purpose of this study was to develop a...

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Published inBMC nursing Vol. 24; no. 1; pp. 512 - 12
Main Authors Lee, Eun-Hye, Shin, Sung-Rae
Format Journal Article
LanguageEnglish
Published London BioMed Central 12.05.2025
BioMed Central Ltd
Springer Nature B.V
BMC
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ISSN1472-6955
1472-6955
DOI10.1186/s12912-025-03141-6

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Abstract Background Smoking is still a one of the critical preventable factors for human health, Nurses are healthcare providers who can help patients quit smoking. The subject for Smoking cessation counseling is not routinely included in nursing curricula. Methods The purpose of this study was to develop a virtual simulation for smoking cessation counseling education for nursing students and to increase the motivation and competence of research participants in smoking cessation counseling intervention. A quasi-experimental, nonequivalent control group, nonconcurrent pretest-posttest design was used to evaluate the effectiveness of the virtual simulation-based smoking cessation counseling education program. The VSCCEP(Virtual simulation-based Smoking Cessation Counseling Education Program) was developed based on the ADDIE model, utilizing the content required for tobacco cessation counseling education. The subjects of this study were third-year nursing students from two universities located in S city included 39 participants in the experimental group and 36 in the control group. The research data were collected from September 30, 2024 to November 5, 2024. We were analyzed using descriptive statistics and the t-test, paired t-tests. Results Total research participants was 76 divided 2 groups. Autonomous motivation for smoking cessation counseling increased statistically significantly in the experimental group before and after VSCCEP (t=-3.33, p  = .002), and there was also a statistically significant difference when compared to the control group (t=-2.05, p  = .044). There was a statistically significant increase in control motivation for cessation counseling among experimental group subjects before and after VSCCEP (t=-3.67, p  = .001) and no statistically significant difference when compared to the control group (t=-1.44, p  = .153). Perceived competence in cessation counseling was statistically significantly increased in the experimental group (t=-4.51, p  < 001), with a statistically significant increase in the control group (t=-2.58, p  = .014), but not statistically significant when compared to the control group (t=-0.99, p  = .324). Conclusion The results of this study confirmed the efficacy of the developed VSCCEP in enhancing nursing students’ motivation and perceived competence in tobacco cessation counseling. These findings suggest that integrating virtual simulation programs into nursing education can strengthen practical counseling skills and support the development of autonomous, practice-ready nurses for tobacco cessation interventions.
AbstractList Smoking is still a one of the critical preventable factors for human health, Nurses are healthcare providers who can help patients quit smoking. The subject for Smoking cessation counseling is not routinely included in nursing curricula. The purpose of this study was to develop a virtual simulation for smoking cessation counseling education for nursing students and to increase the motivation and competence of research participants in smoking cessation counseling intervention. A quasi-experimental, nonequivalent control group, nonconcurrent pretest-posttest design was used to evaluate the effectiveness of the virtual simulation-based smoking cessation counseling education program. The VSCCEP(Virtual simulation-based Smoking Cessation Counseling Education Program) was developed based on the ADDIE model, utilizing the content required for tobacco cessation counseling education. The subjects of this study were third-year nursing students from two universities located in S city included 39 participants in the experimental group and 36 in the control group. The research data were collected from September 30, 2024 to November 5, 2024. We were analyzed using descriptive statistics and the t-test, paired t-tests. Total research participants was 76 divided 2 groups. Autonomous motivation for smoking cessation counseling increased statistically significantly in the experimental group before and after VSCCEP (t=-3.33, p = .002), and there was also a statistically significant difference when compared to the control group (t=-2.05, p = .044). There was a statistically significant increase in control motivation for cessation counseling among experimental group subjects before and after VSCCEP (t=-3.67, p = .001) and no statistically significant difference when compared to the control group (t=-1.44, p = .153). Perceived competence in cessation counseling was statistically significantly increased in the experimental group (t=-4.51, p < 001), with a statistically significant increase in the control group (t=-2.58, p = .014), but not statistically significant when compared to the control group (t=-0.99, p = .324). The results of this study confirmed the efficacy of the developed VSCCEP in enhancing nursing students' motivation and perceived competence in tobacco cessation counseling. These findings suggest that integrating virtual simulation programs into nursing education can strengthen practical counseling skills and support the development of autonomous, practice-ready nurses for tobacco cessation interventions.
Background Smoking is still a one of the critical preventable factors for human health, Nurses are healthcare providers who can help patients quit smoking. The subject for Smoking cessation counseling is not routinely included in nursing curricula. Methods The purpose of this study was to develop a virtual simulation for smoking cessation counseling education for nursing students and to increase the motivation and competence of research participants in smoking cessation counseling intervention. A quasi-experimental, nonequivalent control group, nonconcurrent pretest-posttest design was used to evaluate the effectiveness of the virtual simulation-based smoking cessation counseling education program. The VSCCEP(Virtual simulation-based Smoking Cessation Counseling Education Program) was developed based on the ADDIE model, utilizing the content required for tobacco cessation counseling education. The subjects of this study were third-year nursing students from two universities located in S city included 39 participants in the experimental group and 36 in the control group. The research data were collected from September 30, 2024 to November 5, 2024. We were analyzed using descriptive statistics and the t-test, paired t-tests. Results Total research participants was 76 divided 2 groups. Autonomous motivation for smoking cessation counseling increased statistically significantly in the experimental group before and after VSCCEP (t=-3.33, p  = .002), and there was also a statistically significant difference when compared to the control group (t=-2.05, p  = .044). There was a statistically significant increase in control motivation for cessation counseling among experimental group subjects before and after VSCCEP (t=-3.67, p  = .001) and no statistically significant difference when compared to the control group (t=-1.44, p  = .153). Perceived competence in cessation counseling was statistically significantly increased in the experimental group (t=-4.51, p  < 001), with a statistically significant increase in the control group (t=-2.58, p  = .014), but not statistically significant when compared to the control group (t=-0.99, p  = .324). Conclusion The results of this study confirmed the efficacy of the developed VSCCEP in enhancing nursing students’ motivation and perceived competence in tobacco cessation counseling. These findings suggest that integrating virtual simulation programs into nursing education can strengthen practical counseling skills and support the development of autonomous, practice-ready nurses for tobacco cessation interventions.
Abstract Background Smoking is still a one of the critical preventable factors for human health, Nurses are healthcare providers who can help patients quit smoking. The subject for Smoking cessation counseling is not routinely included in nursing curricula. Methods The purpose of this study was to develop a virtual simulation for smoking cessation counseling education for nursing students and to increase the motivation and competence of research participants in smoking cessation counseling intervention. A quasi-experimental, nonequivalent control group, nonconcurrent pretest-posttest design was used to evaluate the effectiveness of the virtual simulation-based smoking cessation counseling education program. The VSCCEP(Virtual simulation-based Smoking Cessation Counseling Education Program) was developed based on the ADDIE model, utilizing the content required for tobacco cessation counseling education. The subjects of this study were third-year nursing students from two universities located in S city included 39 participants in the experimental group and 36 in the control group. The research data were collected from September 30, 2024 to November 5, 2024. We were analyzed using descriptive statistics and the t-test, paired t-tests. Results Total research participants was 76 divided 2 groups. Autonomous motivation for smoking cessation counseling increased statistically significantly in the experimental group before and after VSCCEP (t=-3.33, p = .002), and there was also a statistically significant difference when compared to the control group (t=-2.05, p = .044). There was a statistically significant increase in control motivation for cessation counseling among experimental group subjects before and after VSCCEP (t=-3.67, p = .001) and no statistically significant difference when compared to the control group (t=-1.44, p = .153). Perceived competence in cessation counseling was statistically significantly increased in the experimental group (t=-4.51, p < 001), with a statistically significant increase in the control group (t=-2.58, p = .014), but not statistically significant when compared to the control group (t=-0.99, p = .324). Conclusion The results of this study confirmed the efficacy of the developed VSCCEP in enhancing nursing students’ motivation and perceived competence in tobacco cessation counseling. These findings suggest that integrating virtual simulation programs into nursing education can strengthen practical counseling skills and support the development of autonomous, practice-ready nurses for tobacco cessation interventions.
Background Smoking is still a one of the critical preventable factors for human health, Nurses are healthcare providers who can help patients quit smoking. The subject for Smoking cessation counseling is not routinely included in nursing curricula. Methods The purpose of this study was to develop a virtual simulation for smoking cessation counseling education for nursing students and to increase the motivation and competence of research participants in smoking cessation counseling intervention. A quasi-experimental, nonequivalent control group, nonconcurrent pretest-posttest design was used to evaluate the effectiveness of the virtual simulation-based smoking cessation counseling education program. The VSCCEP(Virtual simulation-based Smoking Cessation Counseling Education Program) was developed based on the ADDIE model, utilizing the content required for tobacco cessation counseling education. The subjects of this study were third-year nursing students from two universities located in S city included 39 participants in the experimental group and 36 in the control group. The research data were collected from September 30, 2024 to November 5, 2024. We were analyzed using descriptive statistics and the t-test, paired t-tests. Results Total research participants was 76 divided 2 groups. Autonomous motivation for smoking cessation counseling increased statistically significantly in the experimental group before and after VSCCEP (t=-3.33, p = .002), and there was also a statistically significant difference when compared to the control group (t=-2.05, p = .044). There was a statistically significant increase in control motivation for cessation counseling among experimental group subjects before and after VSCCEP (t=-3.67, p = .001) and no statistically significant difference when compared to the control group (t=-1.44, p = .153). Perceived competence in cessation counseling was statistically significantly increased in the experimental group (t=-4.51, p < 001), with a statistically significant increase in the control group (t=-2.58, p = .014), but not statistically significant when compared to the control group (t=-0.99, p = .324). Conclusion The results of this study confirmed the efficacy of the developed VSCCEP in enhancing nursing students' motivation and perceived competence in tobacco cessation counseling. These findings suggest that integrating virtual simulation programs into nursing education can strengthen practical counseling skills and support the development of autonomous, practice-ready nurses for tobacco cessation interventions. Keywords: Virtual reality, Simulation training, Students, Nursing, Smoking cessation, Counseling
BackgroundSmoking is still a one of the critical preventable factors for human health, Nurses are healthcare providers who can help patients quit smoking. The subject for Smoking cessation counseling is not routinely included in nursing curricula.MethodsThe purpose of this study was to develop a virtual simulation for smoking cessation counseling education for nursing students and to increase the motivation and competence of research participants in smoking cessation counseling intervention. A quasi-experimental, nonequivalent control group, nonconcurrent pretest-posttest design was used to evaluate the effectiveness of the virtual simulation-based smoking cessation counseling education program. The VSCCEP(Virtual simulation-based Smoking Cessation Counseling Education Program) was developed based on the ADDIE model, utilizing the content required for tobacco cessation counseling education. The subjects of this study were third-year nursing students from two universities located in S city included 39 participants in the experimental group and 36 in the control group. The research data were collected from September 30, 2024 to November 5, 2024. We were analyzed using descriptive statistics and the t-test, paired t-tests.ResultsTotal research participants was 76 divided 2 groups. Autonomous motivation for smoking cessation counseling increased statistically significantly in the experimental group before and after VSCCEP (t=-3.33, p = .002), and there was also a statistically significant difference when compared to the control group (t=-2.05, p = .044). There was a statistically significant increase in control motivation for cessation counseling among experimental group subjects before and after VSCCEP (t=-3.67, p = .001) and no statistically significant difference when compared to the control group (t=-1.44, p = .153). Perceived competence in cessation counseling was statistically significantly increased in the experimental group (t=-4.51, p < 001), with a statistically significant increase in the control group (t=-2.58, p = .014), but not statistically significant when compared to the control group (t=-0.99, p = .324).ConclusionThe results of this study confirmed the efficacy of the developed VSCCEP in enhancing nursing students’ motivation and perceived competence in tobacco cessation counseling. These findings suggest that integrating virtual simulation programs into nursing education can strengthen practical counseling skills and support the development of autonomous, practice-ready nurses for tobacco cessation interventions.
Smoking is still a one of the critical preventable factors for human health, Nurses are healthcare providers who can help patients quit smoking. The subject for Smoking cessation counseling is not routinely included in nursing curricula.BACKGROUNDSmoking is still a one of the critical preventable factors for human health, Nurses are healthcare providers who can help patients quit smoking. The subject for Smoking cessation counseling is not routinely included in nursing curricula.The purpose of this study was to develop a virtual simulation for smoking cessation counseling education for nursing students and to increase the motivation and competence of research participants in smoking cessation counseling intervention. A quasi-experimental, nonequivalent control group, nonconcurrent pretest-posttest design was used to evaluate the effectiveness of the virtual simulation-based smoking cessation counseling education program. The VSCCEP(Virtual simulation-based Smoking Cessation Counseling Education Program) was developed based on the ADDIE model, utilizing the content required for tobacco cessation counseling education. The subjects of this study were third-year nursing students from two universities located in S city included 39 participants in the experimental group and 36 in the control group. The research data were collected from September 30, 2024 to November 5, 2024. We were analyzed using descriptive statistics and the t-test, paired t-tests.METHODSThe purpose of this study was to develop a virtual simulation for smoking cessation counseling education for nursing students and to increase the motivation and competence of research participants in smoking cessation counseling intervention. A quasi-experimental, nonequivalent control group, nonconcurrent pretest-posttest design was used to evaluate the effectiveness of the virtual simulation-based smoking cessation counseling education program. The VSCCEP(Virtual simulation-based Smoking Cessation Counseling Education Program) was developed based on the ADDIE model, utilizing the content required for tobacco cessation counseling education. The subjects of this study were third-year nursing students from two universities located in S city included 39 participants in the experimental group and 36 in the control group. The research data were collected from September 30, 2024 to November 5, 2024. We were analyzed using descriptive statistics and the t-test, paired t-tests.Total research participants was 76 divided 2 groups. Autonomous motivation for smoking cessation counseling increased statistically significantly in the experimental group before and after VSCCEP (t=-3.33, p = .002), and there was also a statistically significant difference when compared to the control group (t=-2.05, p = .044). There was a statistically significant increase in control motivation for cessation counseling among experimental group subjects before and after VSCCEP (t=-3.67, p = .001) and no statistically significant difference when compared to the control group (t=-1.44, p = .153). Perceived competence in cessation counseling was statistically significantly increased in the experimental group (t=-4.51, p < 001), with a statistically significant increase in the control group (t=-2.58, p = .014), but not statistically significant when compared to the control group (t=-0.99, p = .324).RESULTSTotal research participants was 76 divided 2 groups. Autonomous motivation for smoking cessation counseling increased statistically significantly in the experimental group before and after VSCCEP (t=-3.33, p = .002), and there was also a statistically significant difference when compared to the control group (t=-2.05, p = .044). There was a statistically significant increase in control motivation for cessation counseling among experimental group subjects before and after VSCCEP (t=-3.67, p = .001) and no statistically significant difference when compared to the control group (t=-1.44, p = .153). Perceived competence in cessation counseling was statistically significantly increased in the experimental group (t=-4.51, p < 001), with a statistically significant increase in the control group (t=-2.58, p = .014), but not statistically significant when compared to the control group (t=-0.99, p = .324).The results of this study confirmed the efficacy of the developed VSCCEP in enhancing nursing students' motivation and perceived competence in tobacco cessation counseling. These findings suggest that integrating virtual simulation programs into nursing education can strengthen practical counseling skills and support the development of autonomous, practice-ready nurses for tobacco cessation interventions.CONCLUSIONThe results of this study confirmed the efficacy of the developed VSCCEP in enhancing nursing students' motivation and perceived competence in tobacco cessation counseling. These findings suggest that integrating virtual simulation programs into nursing education can strengthen practical counseling skills and support the development of autonomous, practice-ready nurses for tobacco cessation interventions.
Smoking is still a one of the critical preventable factors for human health, Nurses are healthcare providers who can help patients quit smoking. The subject for Smoking cessation counseling is not routinely included in nursing curricula. The purpose of this study was to develop a virtual simulation for smoking cessation counseling education for nursing students and to increase the motivation and competence of research participants in smoking cessation counseling intervention. A quasi-experimental, nonequivalent control group, nonconcurrent pretest-posttest design was used to evaluate the effectiveness of the virtual simulation-based smoking cessation counseling education program. The VSCCEP(Virtual simulation-based Smoking Cessation Counseling Education Program) was developed based on the ADDIE model, utilizing the content required for tobacco cessation counseling education. The subjects of this study were third-year nursing students from two universities located in S city included 39 participants in the experimental group and 36 in the control group. The research data were collected from September 30, 2024 to November 5, 2024. We were analyzed using descriptive statistics and the t-test, paired t-tests. Total research participants was 76 divided 2 groups. Autonomous motivation for smoking cessation counseling increased statistically significantly in the experimental group before and after VSCCEP (t=-3.33, p = .002), and there was also a statistically significant difference when compared to the control group (t=-2.05, p = .044). There was a statistically significant increase in control motivation for cessation counseling among experimental group subjects before and after VSCCEP (t=-3.67, p = .001) and no statistically significant difference when compared to the control group (t=-1.44, p = .153). Perceived competence in cessation counseling was statistically significantly increased in the experimental group (t=-4.51, p < 001), with a statistically significant increase in the control group (t=-2.58, p = .014), but not statistically significant when compared to the control group (t=-0.99, p = .324). The results of this study confirmed the efficacy of the developed VSCCEP in enhancing nursing students' motivation and perceived competence in tobacco cessation counseling. These findings suggest that integrating virtual simulation programs into nursing education can strengthen practical counseling skills and support the development of autonomous, practice-ready nurses for tobacco cessation interventions.
ArticleNumber 512
Audience Academic
Author Shin, Sung-Rae
Lee, Eun-Hye
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  surname: Shin
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  organization: College of Nursing, Sahmyook University
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Issue 1
Keywords Smoking cessation
Nursing
Students
Simulation training
Virtual reality
Counseling
Language English
License 2025. The Author(s).
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Snippet Background Smoking is still a one of the critical preventable factors for human health, Nurses are healthcare providers who can help patients quit smoking. The...
Smoking is still a one of the critical preventable factors for human health, Nurses are healthcare providers who can help patients quit smoking. The subject...
Background Smoking is still a one of the critical preventable factors for human health, Nurses are healthcare providers who can help patients quit smoking. The...
BackgroundSmoking is still a one of the critical preventable factors for human health, Nurses are healthcare providers who can help patients quit smoking. The...
Abstract Background Smoking is still a one of the critical preventable factors for human health, Nurses are healthcare providers who can help patients quit...
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StartPage 512
SubjectTerms Counseling
Curricula
Disease
Educational aspects
Educational programs
Evaluation
Intervention
Learning
Likert scale
Medical students
Medicine
Medicine & Public Health
Methods
Nurses
Nursing
Nursing education
Nursing Management
Nursing Research
Nursing students
Pandemics
Simulation
Simulation methods
Simulation training
Smoking cessation
Smoking cessation programs
Students
Surveys
Tobacco
Training
Virtual reality
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Title Development and evaluation of virtual simulation for smoking cessation counseling education program for nursing students
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