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Evaluation of the Impact of an Educational Intervention Focused on Adolescent Vaping Among Rural Middle School Students Holly Fain Fitzwater According to the Centers for Disease Control (CDC), sixty deaths due to the use of electronic cigarettes or other vaping products have been reported to date. Vaping has become viewed as a safe alternative to traditional cigarette smoking, particularly in the adolescent population. The U.S. Preventive Services Task Force (USPSTF) recommends education by primary care clinicians to prevent initiation of tobacco products among adolescents. In order to combat this health disparity in America’s youth, intervention by the nursing profession is necessary. An educational session and interactive game were implemented by a school-based family nurse practitioner in order to change the knowledge and attitudes of students regarding vaping in a rural West Virginia middle school. Data analysis revealed a statistically significant 15.8% decrease in adolescents who believe vaping is safer than smoking following intervention by the nurse practitioner. Results also determined a statistically significant 27.9% increase in students’ knowledge following the educational session and interactive game. Ongoing education by healthcare professionals is necessary to decrease the morbidity and mortality related to adolescent vaping. EVALUATION OF THE IMPACT OF AN EDUCATIONAL iii This project is dedicated to my late grandfather, Harold Fain. EVALUATION OF THE IMPACT OF AN EDUCATIONAL iv Acknowledgments First and foremost, I praise my Savior, Jesus Christ. I humbly thank Him for blessing me with perseverance and strength to achieve this milestone in my education. I also thank Him for blessing me with wonderful family, friends, faculty members, and colleagues. My husband, Chris – Thank you for the sacrifices that you made for me to continue my education and reach my goal. On the days that I wanted to give up, you pushed me. You always had faith in me, even in the moments when I didn’t have faith in myself. I could not have accomplished this without you. We finally did it! I love you. My parents, sister, and Aunt Martha – Words cannot express how grateful I am to have had you in my cheering section. Thank you for listening to years of complaints, anxieties, and fears. Each one of you have contributed to my success in some way. I love you all and I am so thankful for each one of you. Dr. Teresa Ritchie – Thank you for the countless hours that you dedicated to my project. I am grateful to have had you as my Faculty of Record. I truly appreciate the time and support that you have dedicated to my education and nursing career. Capstone Committee Members – Thank you for the time and efforts that you contributed to my project. I feel very fortunate to have worked with each one of you and look forward to future collaborations. I can do all things through Christ who strengthens me. Philippians 4:13 EVALUATION OF THE IMPACT OF AN EDUCATIONAL v