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Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

MaryLou Mylant


SBIRT, brief intervention, tobacco, smoking cessation, policy


Abstract. Objective: Although one Midwestern rural university has not yet implemented an anti-tobacco policy, other campuses have noted a significant demand for smoking cessation services with such policies. This project implemented a standardized process (SBIRT) for clinic providers to screen for tobacco use, provide brief intervention, and appropriately refer to treatment. Participants: Participants were university student health clinic and counseling services providers in December 2015. Methods: Provider training utilized an online program. A pre- and post-test design and convenience sample assessed knowledge, confidence, and anticipated clinical practice of SBIRT. Results: The Wilcoxon signed rank test indicated statistically significant improvement in provider knowledge of the SBIRT approach. Results were not statistically significantly in confidence or anticipated clinical practice. The clinical significance of this project is that providers have been educated on the SBIRT approach, thereby improving clinic preparedness to address tobacco users on campus. Conclusions: Findings have implications for student health clinics lacking a standardized approach to smoking cessation or not meeting current campus demands for smoking cessation services.

Library of Congress Subject Headings

College students -- Tobacco use -- Prevention
Smoking cessation
Nicotine addiction -- Treatment
Medical screening


Includes bibliographical references (pages 86-92)



Number of Pages



South Dakota State University


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