DOI QR코드

DOI QR Code

Effect of Smoking Cessation Program for Workers in Large Size Company -Using Motivational Enhancement Counseling-

대규모 사업장 근로자를 위한 금연 프로그램의 효과 - 동기강화 상담(Motivational Enhancement Counseling)의 적용 -

  • Kim, Soon-Lae (College of Nursing, The Catholic University of Korea) ;
  • Lee, Jong-Eun (College of Nursing, The Catholic University of Korea) ;
  • Cho, Dong-Ran (Department of Nursing, SoonChunHyang University) ;
  • Kim, Jung-Im (Department of Nursing, Gangneung Yeongdong College) ;
  • Kim, Young-Long (Smoking Cessation Clinic, Seoul St. Mary's Hospital)
  • Received : 2011.06.16
  • Accepted : 2011.08.10
  • Published : 2011.08.31

Abstract

Purpose: The purpose of this study was to examine effects of smoking cessation program in large size company using motivational enhancement counseling. Methods: A quasi-experimental design was conducted. 72 workers in intervention group and 65 workers in control group participated in 7 large size companies. Smoking cessation program consisted of a campaign, smoking cessation education, and 6 weeks motivational enhancement counseling. The motivational enhancement counseling was tailored to the individual's stage of change. Stages of smoking behavior, smoking cessation rate, nicotine dependence, and confidence of smoking cessation were assessed after intervention. Results: The results showed that intervention had a significant impact on improving stages of smoking behavior and smoking cessation rate, and impact on decreasing nicotine dependence, compared to those of a control group. Conclusion: The effects and feasibility of smoking cessation program including motivational enhancement counseling were revealed in the large size company. These results might provide information that can be used in improving cultures of smoking cessation for workers.

Acknowledgement

Grant : 사업장 금연사업 기술지원

Supported by : 보건복지부

References

  1. Choi, J. M., & Kim, E. K. (2006). Effects of the program for smoking cessation of workers in small workplace. Korean Journal of Occupational Health Nursing, 15 (2), 126-132.
  2. Erol, S., & Erdogan, S. (2008). Application of a stage based motivational interviewing approach to adolescent smoking cessation: The Transtheoretical Model-based study. Patient Education and Counseling, 72 (1), 42-48. https://doi.org/10.1016/j.pec.2008.01.011
  3. Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G${\ast}$Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41 , 1149-1160. https://doi.org/10.3758/BRM.41.4.1149
  4. Grimshaw, G. M., & Stanton, A. (2006). Tobacco cessation interventions for young people. The Cochrane Database of Systematic Reviews, 18 (4).
  5. Haug, N. A., Svikis, D. S., & Diclemente, C. (2004). Motivational enhancement therapy for nicotine dependence in methadone-maintained pregnant women. Psychology of Addictive Behaviors, 18 (3), 289-292. https://doi.org/10.1037/0893-164X.18.3.289
  6. Heatherton, T. F., Kozlowski, L. T., Frecker, R. C., & Fagerstrom, K. O. (1991). The fagerstrom test for nicotine dependence: A revision of the fagerstrom tolerance questionnaire. British Journal of Addiction, 86 (9), 1119-1127. https://doi.org/10.1111/j.1360-0443.1991.tb01879.x
  7. Heckman, C. J., Egleston, B. L., & Hofmann, M. T. (2010). Efficacy of motivational interviewing for smoking cessation: A systematic review and meta-analysis. Tobacco Control, 19 , 410-416. https://doi.org/10.1136/tc.2009.033175
  8. Helstrom, A., Hutchison, K., & Bryan, A. (2007). Motivational enhancement therapy for high-risk adolescent smokers. Addictive Behaviors, 32 (10), 2404-2410. https://doi.org/10.1016/j.addbeh.2007.02.009
  9. Karatay, G., Kublay, G., & Emiroglu, O. N. (2010). Effect of motivational interviewing on smoking cessation in pregnant women. Journal of Advanced Nursing, 66 (6), 1328-1337. https://doi.org/10.1111/j.1365-2648.2010.05267.x
  10. Kim, D. J., Yoon, S. J., & Lee, J. S. (2005). Smoking cessation counseling in primary care. Journal of the Korean Academy of Family Medicine, 26 (4), 282-287.
  11. Korean Association of Occupational Health Nurse. (2010). Smoking cessation manual for large size company. Seoul: Korean Association of Occupational Health Nurse.
  12. Korea Centers for Disease Control and Prevention. (2009). The third Korea national health & nutrition examination survey 2008. Seoul: Korea Centers for Disease Control and Prevention.
  13. Korea Centers for Disease Control and Prevention. (2010). The forth Korea national health & nutrition examination survey 2009. Seoul: Korea Centers for Disease Control and Prevention.
  14. Miller, W. R. (1995). Motivational Enhancement Therapy with Drug Abusers. Retrieved November 8, 2000, from http://www.motivationalinterview.org/clinical/METDrugAbuse.PDF
  15. Park, M. K., Kang, K. S., & Kim, N. Y. (2007). Effects of a smoking cessation program on amount of smoking and nicotine dependence and self-efficacy of smoking cessation for smoking workers. Journal of Korean Academy of Nursing, 37 (7), 1073-1079. https://doi.org/10.4040/jkan.2007.37.7.1073
  16. Prochaska, J. O., & DiClemente, C. C. (1983). Stages and process of self-change of smoking: Toward and integrative model of change. Journal of Counseling and Clinical Psychology, 51 , 390-395. https://doi.org/10.1037/0022-006X.51.3.390
  17. Tevyaw, T. O., Colby, S. M., Tidey, J. W., Kahler, C. W., Rohsenow, D. J., Barnett, N. P., et al. (2009). Contingency management and motivational enhancement: A randomized clinical trial for college student smokers. Nicotine & Tobacco Research, 11 (6), 739-749. https://doi.org/10.1093/ntr/ntp058