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Testing of the Theory of Planned Behavior in the Prediction of Smoking Cessation Intention and Smoking Cessation Behavior among Adolescent Smokers (청소년 흡연자의 금연의도 및 금연행위 예측을 위한 계획적 행위이론(Theory of Planned Behavior)의 검증)

  • Song, Mi-Ra;Kim, Soon-Lae
    • Journal of Korean Academy of Community Health Nursing
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    • v.13 no.3
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    • pp.456-470
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    • 2002
  • Objectives: The purpose of this study was to test the Theory of Planned Behavior (TPB) in the prediction of smoking cessation intention and smoking cessation behavior among adolescent smokers, in order to provide basic data to develop a future smoking cessation program as a nursing intervention. Method: The study subjects were 80 adolescent smokers who had smoked one cigarette and attended a five-day school smoking cessation program. The data were collected from October 24 to December 21, 1999. The instruments used in this study were the tools developed by Jee (1994) to measure TPB variables such as attitude toward smoking cessation behavior, subjective norm, perceived behavioral control, smoking cessation intention, and smoking cessation behavior. The data were analyzed with the SAS/PC program using descriptive statistics, hierarchical multiple regression, and logistic multiple regression. Results: 1. Attitude toward smoking cessation behavior, subjective norm, and perceived behavioral control were partially significant in predicting smoking cessation intention. 2. Smoking cessation intention and perceived behavioral control toward smoking cessation behavior did not significantly predict smoking cessation behavior. 3. There were partial interaction effects among the attitude toward smoking cessation behavior, subjective norm, and perceived behavioral control in the prediction of smoking cessation intention. 4. There were partial interaction effects between smoking cessation intention and perceiver behavioral control toward smoking cessation behavior in the prediction of smoking cessation behavior. Conclusion: This study partially demonstrated support for the TPB model that was partially useful in predicting smoking cessation intention and smoking cessation behavior among adolescent smokers. Therefore, it is recommended that attitude toward smoking cessation behavior and perceived behavioral control should be considered in developing smoking cessation programs and implementing nursing interventions to change the smoking behavior of adolescent smokers.

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Factors Affecting Smoking Cessation Success during 4-week Smoking Cessation Program for University Students (4주간 금연성공 영향요인에 관한 연구: 금연 프로그램에 참여한 대학생 흡연자 중심으로)

  • Koo, Sang Mee;Kang, Jeong Hee
    • Journal of Korean Academy of Community Health Nursing
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    • v.28 no.2
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    • pp.165-172
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    • 2017
  • Purpose: Smoking cessation interventions are important because university students are vulnerable to smoking and good health practices during their university lives greatly affects their health status. The purpose of this study is to investigate the factors affecting smoking cessation success among the university students who participated in the 4-week smoking cessation program. Methods: This study was conducted with 101 university student smokers. To identify the factors affecting the success of smoking cessation, a logistic regression analysis was performed. Results: In Model 1, without the smoking cessation aids variable, when the frequency of face-to-face counseling was greater, the success rate of smoking cessation was 1.70 times higher. In Model 2, including the smoking cessation aids variable, when the nicotine dependence score was higher, the success rate of smoking cessation was 0.72 times lower, and when the number of smoking cessation aids used was greater, the success rate of smoking cessation was 1.40 times higher. Conclusion: Smoking cessation aids are essential to increase the success of short-term smoking cessation, and face-to-face counseling and telephone counseling should be provided continuously to maintain long-term smoking cessation.

Longitudinal Analysis on Success Factors of Smoking Cessation Using Panel Data (패널자료를 활용한 종단적 금연 성공요인 분석)

  • Song, Tae-Min;Lee, Ju-Yul
    • Korean Journal of Health Education and Promotion
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    • v.26 no.3
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    • pp.25-34
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    • 2009
  • Objectives: This study has longitudinally analyzed male smokers in order to find out the trend rate of re-smoking after smoking cessation. Methods: The study was conducted with 800 male smokers who were provided with smoking cessation services for 3 years at public health centers from July 16, 2005 to July 15, 2008. Results: The results can be summarized as follows: First, the success rate of smoking cessation for at least 6 months during 3-year period was 54.4%. The failure rate of smoking cessation at the second year was 47.5% and the third 27.2%, which indicates that the failure rate diminishes as the period of smoking cessation extends. Second, the success rate of smoking cessation at the first trial was 35.0%, the second 24.3%, and the third 16.4%. The success rate diminished as the number of trial increased. Third, the continuation rate of smoking cessation for a year was 18.3%, for 2 years 13.4%. For the success group, the continuation rate of smoking cessation for a year was 52.5%, for 2 years 38.2%. For the failure group, the rate for a year was 21.5%. Fourth, in this longitudinal analysis, the most crucial variables that affect the success rate of smoking cessation are total number of consultation and the past experience of successful smoking cessation. Conclusion: This study shows that success of smoking cessation and the continuance of smoking cessation are both difficult, and that the past experience of smoking cessation plays an important role determining the present success of smoking cessation and continuance of smoking cessation. Thus, it is necessary to divide people into success group and failure group based on the results of the past experience of smoking cessation when they consult at smoking cessation clinics at public health centers. Further, in order to increase the continuation rate of smoking cessation, this study suggests that we need to consider ways to take care of those who successfully abstained from smoking for 6 months.

The Factors Influencing on success of Quitting Smoking in new enrollees and re-enrollees in Smoking Cessation Clinics (보건소 금연클리닉 신규등록자와 재등록자의 금연 성공요인 분석)

  • Song, Tae-Min;Lee, Ju-Yul;Cho, Kyung-Sook
    • Korean Journal of Health Education and Promotion
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    • v.25 no.2
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    • pp.19-30
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    • 2008
  • This study has comparatively analyzed the primary success factors in smoking cessation among new enrollees and re-enrollees of a smoking cessation clinic in order to find out how to efficiently operate smoking cessation clinics at public health centers. The study was conducted with 262,837 smokers aged 19 or over who were provided with smoking cessation services for more than 6 months after being registered with the smoking cessation clinic at public health centers(250 clinics nationwide) from July 16, 2006 to July 15, 2007. After dividing smokers into re-enrollees and new enrollees of the smoking cessation clinic, the success rate of and success factors for smoking cessation over 6 months have been investigated. The success factors in smoking cessation have been compared between new enrollees and re-enrollees of smoking cessation clinics. The results can be summarized as follows: First, the success rate of smoking cessation for 6 months at smoking cessation clinics of public health centers was higher in new enrollees (46.3%) than in re-enrollees (41.1%). Second, the common factors that had an influence on the success of smoking cessation of both new enrollees and re-enrollees of the smoking cessation clinic included age, social security, service, frequency of counseling, number of cigarettes per day, and alcoholic problems. Third, compared to new enrollees, re-enrollees had a higher success rate of smoking cessation as they got older. In terms of the success rate of health insurance, on the contrary, new enrollees were better than re-enrollees. Fourth, the study showed a higher success rate in smoking cessation in both new and re-enrollees if they had no alcoholic problems. In particular, a higher success rate was observed in re-enrollees when there were no alcoholic problems. To efficiently operate smoking cessation clinics at public health centers, this study confirmed that counseling should be tailored depending on the types of enrollees in the program.

Development of Smoking Cessation Education Program for Nursing Students (간호대학생을 위한 금연교육 프로그램 개발)

  • Song, Mi-Sook;Boo, Sunjoo
    • The Journal of Korean Society for School & Community Health Education
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    • v.18 no.3
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    • pp.107-121
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    • 2017
  • Objectives: Given that the expansion of smoking cessation regulations in Korea generates great demand for smoking cessation services, healthcare professionals should be up skilled to make an important contribution to tobacco control. This study was aimed to develop a smoking cessation education program for nursing students and to try to find possible ways to incorporate the smoking cessation education in their regular course program. Methods: One group pre- & post-test design was used. The subjects were 70 nursing students from two universities in S and D city. Subjects were participated in a four-hour smoking cessation education program developed for increasing knowledge, competency, and self-efficacy for smoking cessation counselling. Data were analysed with descriptives and paired t-tests. Results: The developed education program for smoking cessation counselling produced a substantial effects in terms of knowledge, competency, and especially for self-efficacy for smoking cessation counselling. Conclusions: Smoking cessation advices and support from health professionals are key aspects of a comprehensive approach to smoking cessation. Incorporating the smoking cessation education program developed in this study in the regular baccalaureate program for nursing students may help increase the involvement of nurses in cessation counseling upon graduation.

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Experience of Smoking Cessation Treatment Program in Korea: Results from a Qualitative Study (병의원 금연치료프로그램 참여자의 금연 경험: 질적 연구)

  • Pyo, Jeehee;Ock, Minsu;Lee, Jae Wook;Han, Young-Joo;Jo, Min-Woo;Lee, Jung Ah
    • Health Policy and Management
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    • v.27 no.4
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    • pp.284-295
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    • 2017
  • Background: The objectives of this study were to identify the reasons of quitting smoking, to determine the factors that make it difficult or helpful to maintain smoking cessation and to confirm the changes after the smoking cessation. Methods: This study was conducted an in-depth interview with people who participated in the smoking cessation treatment program. There were 10 participants and they were interviewed thoroughly for 14 times. Using the directed content analysis, we analyzed the transcript which was written by recording the interview and the researchers' note. Results: The results of this study are summarized as 'the experience while at the verge of smoking cessation and stepping over the verge of smoking cessation,' 'the changing experience due to smoking cessation,' and 'maintaining the changes through overcoming re-smoking.' The smoking cessation treatment program induced the smokers to quit smoking. Participants mentioned drinking alcohol was the major obstacle to maintain smoking cessation. Also, they noted that the money and the time that were already spent to quit smoking helped their smoking cessation as well as the social relations which helped to prevent re-smoking. Participants felt well-cared through the smoking cessation treatment program and that it helped them to maintain smoking cessation. Conclusion: Smoking cessation treatment program has a positive effect on the smoking cessation trial and maintenance. In order for smokers to overcome re-smoking, educations regarding drinking problem, formation of supportive social relationship, and the applications for smoking cessation will be beneficial.

Comparison of the Characteristics of Smoking Cessation Success between Short-term and Long-term Success Groups (단기 금연성공자와 장기 금연성공자의 특성 비교 - 인천광역시 보건소 금연클리닉을 방문한 흡연자를 중심으로 -)

  • Kim, Young-Sook;Lee, Kun-Ja;Yi, Yeo-Jin
    • Journal of Korean Academy of Community Health Nursing
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    • v.20 no.2
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    • pp.251-258
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    • 2009
  • Purpose: The study aimed to compare characteristics associated with smoking and smoking cessation of those who had succeeded in smoking cessation. Methods: Data were collected from January to June, 2008. The subjects were 9,819 smokers who were registered at the smoking cessation clinic of public health centers in Incheon. Four characteristics (demographic, health promotion, smoking, smoking cessation) were compared between 6-week (short-term) and 6-month (long-term) success groups. Results: There was a significant difference between the 6-week and 6-month success groups for smoking cessation in demographic characteristics (gender, age, job, social security), health promotion (BMI, alcohol dependency, BP), smoking (first smoking age, smoking duration, expiration CO concentration, nicotine dependency), and smoking cessation (attempt to quit smoking, reason for smoking cessation, information source for registration). Conclusion: The group of short-term smoking cessation success was younger than the other. Also, short-term success group was of lower socioeconomic class than the other. The 6-month success group had a larger number of attempts to quit smoking. Therefore, smoking cessation policy should be focused more on younger people and those in lower socioeconomic status. These groups should be given advice on smoking cessation motives and more frequent counseling for smoking cessation.

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The Effects of Smoking Cessation through a Smoking Cessation Counselling Program on Expiratory CO Concentration, BMI, Blood Pressure, Liver Function, and Lipid Metabolism in Smoking Cessation Successes (금연 상담프로그램을 통한 금연이 금연 성공자의 호기 CO농도, BMI, 혈압, 간기능 및 지질대사에 미치는 영향)

  • Lee, Kun-Ja;Lee, Myung-Hee
    • Journal of Korean Academy of Community Health Nursing
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    • v.19 no.2
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    • pp.234-246
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    • 2008
  • Purpose: This study was performed in order to examine the effects of an smoking cessation counselling program for smoking cessation success. Method: Among a total of 468 persons who had ceased from smoking for 6-months and had visited the smoking cessation clinic of a public health center from January 2nd to December 31th in 2006, 61 in all who had a negative reaction in the urine nicotine check were selected for this study. Collected data were expiratory CO concentration, BMI, blood pressure, liver function, and lipid metabolism. These data were analyzed by descriptive statistics, repeated measured ANOVA and paired t-test with the SPSS/PC(Version 12.0) program. Result: There were significant changes in expiratory CO concentration, SBP, DBP, AST, ALT, and TG, but not in BMI, $\gamma$-GTP, TC, HDL-C, and LDL-C. Conclusion: This study showed that smoking cessation through a smoking cessation counselling program has partially positive effects for smoking cessation success. The results of this study show that the smoking cessation counselling program at the smoking cessation clinic of a public health center should be continued for smoking cessation success.

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Evaluation of an Internet and a Mobile-Based Smoking Cessation Program (인터넷과 모바일 금연교육프로그램의 효과 비교분석)

  • 송태민;최지혜;김혜경
    • Korean Journal of Health Education and Promotion
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    • v.21 no.3
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    • pp.179-193
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    • 2004
  • The potential contribution of the internet and mobile phone to smoking cessation seems huge, given that a majority of Koreans now use internet and have mobile phones. The Korean Ministry of Health and Welfare developed and has been offering an internet-based smoking cessation program from the January, 2002 and a mobile-based program from the April, 2004. Despite the anticipated effectiveness of internet and mobile-based smoking cessation programs, there is little empirical evidence regarding the efficacy of both types of programs. Therefore, this study intended to evaluate the effectiveness of an internet and a mobile-based smoking cessation program and to provide the basic database for the development of effective smoking cessation strategies for the health promotion for the whole nation. Cessation and satisfaction data were obtained from the 434 participants in both programs. The data were analysed for the comparison of quit-smoking rate and the degree of satisfaction between an internet smoking cessation program and a mobile smoking cessation program. The main results of this study were as follows: 1. For the internet program participants, there were statistically significant differences in cessation rate by gender(P<0.05) and age(P<0.01). In contrast, none of general characteristics provided statistically significant differences in cessation rate for the mobile program participants. 2. For the internet program participants, smoking related characteristics(average smoking amount and the reasons for smoking) didn't have an effect on smoking cessation. But, for mobile program participants, there was a statistically significant difference in cessation rate by the reasons for smoking(P<0.05). 3. The cessation rate was 31.9%(abstinence for the previous 30 days) for internet program participants and 17.8% for mobile program participants.

A survey on knowledge, attitudes and needs of smoking cessation education in the dental hygienists (치과위생사의 금연교육에 대한 지식, 태도 및 요구도 조사)

  • Jung, Jae-Yeon;Lee, Eun-Sun
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.3
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    • pp.447-454
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    • 2016
  • Objectives: The purpose of the study is to investigate the knowledge, attitudes, and needs of smoking cessation education in the dental hygienists. Methods: A self-reported questionnaire was completed by 262 dental hygienists in Seoul and Gyeonggido from September 25 to December 31, 2015. Except incomplete answers, 250 data were analyzed using Stata 13.0 program. The questionnaire was adapted and modified from Kim and Yoon and was measured by Likert 3 or 5 point scale. The questionnaire consisted of general characteristics of the subjects(6 items), smoking cessation education characteristics of the subjects(4 items), knowledge of smoking cessation education (11 items), attitudes of smoking cessation education(9 items), and needs of smoking cessation education(11 items). Results: Those who said yes in smoking cessation education had higher scores in knowledge (p=0.001), attitudes (p<0.001) and needs of education (p=0.010). Those receiving smoking cessation education higher score in knowledge of smoking cessation education (p=0.017). The dental hygienists working in clinics that practice smoking cessation therapy program tended to have higher level of attitudes toward smoking cessation(p=0.030). The average scores for 11 items to assess knowledge of smoking cessation education and another 11 items to assess the need for smoking cessation education were $2.18{\pm}0.40$ out of 3 and $4.62{\pm}0.49$ out of 5, respectively. Conclusions: The smoking cessation education is very important to improve the knowledge, attitudes, and need of smoking cessation in the dental hygienists.