Korean Journal of Health Education and Promotion (보건교육건강증진학회지)

Korean Society for Health Education and Promotion (한국보건교육건강증진학회)
권호 표지

Effects of a Tailored Smoking Cessation Program in High School Girls

여고생을 대상으로 한 개별화 금연 프로그램의 효과

  • Song Yeon-Yi (Department of Nursing, MunKyung College) ;
  • Lee Kang-Sook (Department of Preventive Medicine, The Catholic University)
  • 송연이 (문경대학 간호과) ;
  • 이강숙 (가톨릭대학교 의과대학 예방의학교실)
  • Published : 2006.06.01
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: This study was conducted to evaluate the effects of a tailored program based on the Transtheoretical Model to smoking cessation in high school girls. Methods: A quasi-experimental research design was used in this study. The participants were 35 industrial high school girls who have been smoking. The girls were allocated to an experimental group(18) and a control group(17) by randomization. For intervention, the experimental group received the group smoking cessation program and individual program which tailored according to the stage of change. A common group smoking cessation program was given to the control group. Data were collected before the program, immediately after and 4 weeks after the program was completed and were analyzed with repeated measure ANOVA. Result: In the experimental group, the daily smoking amount, nicotine dependency and decisional balance(Pros) score were significantly decreased and the self-efficacy score were significantly increased at one month after the intervention in comparison with before and immediately after it. The decisional balance(Cons) and processes of change score of the experimental group were significantly increased at immediately after the intervention and one month after it in comparison with before it, and at one month after it in comparison with immediately after it. A significant difference in the daily smoking amount, urine cotinine, nicotine dependency, decisional balance(Pros, Cons) and processes of change score between the both groups was found after one month of intervention. Conclusions: The tailored smoking cessation program was more effective, compared to the common smoking cessation program on smoking behavior, self-efficacy, decisional balance, processes of change. This program can be used for favorable changes in high school girl's smoking behavior.

Keywords

References

  1. 고윤정. 사이버상담에 대한 태도 연구-여중생을 대상으로[석사학위논문]. 서울: 한양대학교 교육대학원, 2000
  2. 김문실, 김애경. 대학생의 흡연행위 유형에 대한 연구. 대한간호학회지 1997;27(4):843-856
  3. 김수진. 범 이론적 모델을 적용한 금연프로그램이 고등학생의 흡연행위와 사회 심리적 변인에 미치는 효과 [박사학위논문]. 서울: 가톨릭대학교 대학원, 1999
  4. 노원환. 흡연예방교육에 의한 청소년들의 흡연에 대한 지식 및 태도변화와 흡연량의 감소 효과 [박사학위논문]. 대구: 영남대학교 대학원, 2000
  5. 손재희, 김성아, 감신, 예민해, 박기수, 오희숙. 근로자의 금연프로그램 참가의도와 관련된 요인. 예방의학회지 1999;32(3):297-305
  6. 신성례. 흡연청소년을 위한 자기조절효능감 증진 프로그램 개발과 효과에 관한 연구 [박사학위논문]. 서울: 이화여자대학교 대학원, 1997
  7. 연세대학교 보건대학원 국민건강증진연구소, 한국금연운동협의회. 2005년 전국 중고등학교 학생흡연 실태조사 .2005
  8. 이명순. 청소년 흡연관리 프로그램의 개발. 2001년 보건소금연지도자교육, 한국금연운동협의회 2001. 쪽 106-118
  9. 최정숙. 인지행동요법을 적용한 금연프로그램의 효과 [박사학위논문]. 서울: 서울대학교 대학원, 1999
  10. 최지혜, 김명, 최은진, 김혜경. 시청각 교육과 토론을 통합한 청소년 금연교육 프로그램의 효과 평가. 보건교육.건강증진학회지 2003;20(3):19-35
  11. 한국보건사회연구원.1998년도 국민건강 영양조사-보건의식행태조사(20세 이상 성인). 서울: 보건복지부 한국보건사회연구원. 1999
  12. 한상철, 조아미, 박성희. 청소년 심리학. 서울: 양서원. 2001
  13. Audrain J, Gomez-Caminero A, Robertson AR, Boyd R, Orleans CT, Lerman C. Gender and ethnic differences in readiness to change smoking behavior. Women's Health 1997;3(2):139-150 https://doi.org/10.2217/17455057.3.2.139
  14. Blake SM, Klepp KI, Pechacek TF, Folsom AR, Luepker RV, Jacobs DR, Mittlemark MG. Differences in smoking cessation strategies between men and women. Addict Behav 1989;14:409-418 https://doi.org/10.1016/0306-4603(89)90028-2
  15. Camp DE, Kleges RC, Relyea G. The relationship between body weight concerns and adolescent smoking. Health Psychol 1993;12:24-32 https://doi.org/10.1037/0278-6133.12.1.24
  16. Centers for Disease Control and Prevention Cigarette smoking among adults-United States 1993. Morb Mortal Wkly Rep (MMWR) 1944;43:925-929
  17. Colletti G, Supinck JA, Payne TJ. The Smoking Self-Efficacy Questionnaire(SSEQ):Preliminary scale development and validation. Behavioral Assessment 1985;7:249-260 https://doi.org/10.1016/0005-7967(69)90004-7
  18. Compas BE, Orooan PG, Grant KE. Adolescent stress and coping: Implications for psychopathology during adolescence. J Adolescence 1993;16:331-349 https://doi.org/10.1006/jado.1993.1028
  19. Cummings KM, Emont SL, Jaen C, Sciandra R. Format and quitting instructions as factors influencing the impact of a self-administered quit smoking program. Health Education Quarterly 1988;15:199-216 https://doi.org/10.1177/109019818801500205
  20. DiClemente CC, Prochaska JO. Self change and therapy change of smoking behavior: A Comparison of0 processes of change in cessation and maintenance. Addictive Behavior 1982;7:313-142
  21. Dijkstra A, De Vries H, Bakker M. Pros and Cons of Qutiting, Self-Efficacy, and the Stages of Change in Smoking Cessation. J Consulting and ClinicaI Psychology 1996;64(4):758-763 https://doi.org/10.1037/0022-006X.64.4.758
  22. Dijkstra A, De Vries H, Roijackers J. Targeting Smokers with Low Readiness to Change with Tailored and Non-tailored Self-Help Materials. Prev Med 1999;28:203-211 https://doi.org/10.1006/pmed.1998.0407
  23. Fagerstrom KO, Schneider NG. Measuring nicotine dependence: A Review of the Fagerstrom Tolerance Questionnaire. J Behavior Medicine 1989;12(2):159-182 https://doi.org/10.1007/BF00846549
  24. Fava JL, Velicer WF, Prochaska JO. Applying the Trans-theoretical Model to s Representative Sample of Smokers. Addictive Behaviors 1995;20(2):189-203 https://doi.org/10.1016/0306-4603(94)00062-X
  25. Frydenberg E, Lewis R. Boys play sport and girls turn to others: Age, gender and ethnicity as determinants of coping. J Adolescence 1993;16:253-266 https://doi.org/10.1006/jado.1993.1024
  26. Gilbert RM, Pope MA. Early effects of quitting smoking. Psychopharmacol 1982;78:211-127
  27. Gritz ER, Thompson B, Emmons K, Ockene JK, McLerran DF, Nielsen IR. Gender differences among smokers and quitters in the working well trial. Prev Med 1998;27:553-561 https://doi.org/10.1006/pmed.1998.0325
  28. Grotvedt L, Stavem K. Association between age, gender and reason for smoking cessation. Scandinavian J Public Health 2005;33: 72-76 https://doi.org/10.1080/14034940410028361
  29. Hunter SM, Qutiting. In: Samet JM, Yoon SY, editors. Woman and the Tobacco Epidemic. World Health Organization, 2001. pp.121-146
  30. Jekel JF, Elmoer JG, Katz DL. Epidemiology Biostastics and Preventive Medicine. Philadelphia : W.B. Saunders Company, 1993
  31. McGinnis JM, Foege WH. Actual Causes of Death in the United States. JAMA 1993;270(18):2207-2212 https://doi.org/10.1001/jama.270.18.2207
  32. Mittelmark ME, Murray DM, Luepker RV, Pechacek TF, Pirie PL, Pallonen UE. Predicting experimentation with cigarettes: the Childhood Antecedents of Smoking Study(CHSS). Am J Public Health 1987;77(2):206-208 https://doi.org/10.2105/AJPH.77.2.206
  33. Pierce JP, Fiore MC, Novotny TE, Hatziandreu EJ, Davis RM. Trends in cigarette smoking in the United States: Educational differences are increasing. JAMA 1989;261:56-60 https://doi.org/10.1001/jama.261.1.56
  34. Pirie PL, Murray DM, Luepker RV. Smoking and quitting in a cohort of young adults. Am J Public Health Psychology 1991;81:324-327 https://doi.org/10.2105/AJPH.81.3.324
  35. Prochaska JO, DiClemente CC. Velicer WF, Rossi JS. Standardized, Individualized, and Personalized Self-Help Programs for Smoking Cessation. Health Psychology 1993;12(5):399-405 https://doi.org/10.1037/0278-6133.12.5.399
  36. Prochaska JO, DiClemente CC. Stages and Processes of Self-Change of Smoking: Toward An Integrative Model of Change. J Consulting and Clinical Psychology 1983;51 (3):390-395 https://doi.org/10.1037/0022-006X.51.3.390
  37. Prochaska JO, Redding CA, Evers KE. The Trans-theoretical Model and Stages of Change. In: Glantz K, Lewis FM, Rimer BK. Health Behavior & Health Education Theory, Research & Practice. 2nd ed. Califonia : Jossey-Bass, 1997. pp.60-84
  38. Prochaska JO, Velicer WF, Diclamente CC, Fava J. Measuring Processes of Change: Applications to the Cessation of Smoking. J Consulting and Clincal Psychology 1988;56(4):520-528 https://doi.org/10.1037/0022-006X.56.4.520
  39. Prochaska JO. Systems of Psychotherapy: A Trans-theoretical Analysis. 2nd ed. California: Brooks-cole, 1984
  40. Prokhorov AV, De Moor CA, Hudman KS, Hu Shaohua Kelder SH, Gritz ER. Predicting initiation of smoking in adolescents: Evidence for integrating the stages of change and susceptibility to smoking constructs. Addictive Behaviors 2002;27:697-712 https://doi.org/10.1016/S0306-4603(01)00203-9
  41. Shulman S. Close relationships and coping behavior in adolescence. J Adolescence 1993;16:267-283 https://doi.org/10.1006/jado.1993.1025
  42. Stanton WR. DSM III-R tobacco dependence and quitting during late adolescence. Addict Behav 1995;20:595-603 https://doi.org/10.1016/0306-4603(95)00019-9
  43. Swan AV, Creeser R, Murray M. When and why children first start to smoke. International J Epidemiology 1990;19(2):323-330 https://doi.org/10.1093/ije/19.2.323
  44. U.S. Department of Health and Human Services. Healthy People 2000: National Health Promotion and Disease Prevention Objectives. Washington D.C., 1990
  45. U.S. Department of Health and Human Services. Women and Smoking. A Report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2001
  46. Velicer WF, DiClemente CC, Prochaska JO, Brandenburg N. A decisional balance measure for assessing and predicting smoking status. J Per Soc Psycho 1985;48:1279-1239 https://doi.org/10.1037/0022-3514.48.5.1279
  47. Velicer WF, DiClemente CC, Rossi JS, Prochaska JO. Relapse situations and self-efficacy: An integrative model. Addict Behav 1990;15:271-283 https://doi.org/10.1016/0306-4603(90)90070-E
  48. Velicer WF, Prochaska JO, Bellis JB, DiClemente CC, Rossi JS, Steiger JH. An expert system intervention for smoking cessation. Addict Behav 1993;18:269-290 https://doi.org/10.1016/0306-4603(93)90029-9
  49. Ward KD, Klesges RC, Zbikowski SM, Bliss RE, Garvey AJ. Gender differences in the outcome of an unaided smoking cessation attempt Addict Behav 1997;22:521-533 https://doi.org/10.1016/S0306-4603(96)00063-9
  50. Weekly CK, Klesges RC, Reylea G. Smoking as a weight-control strategy and its relationship to smoking status. Addict Behav 1992;17:259-271 https://doi.org/10.1016/0306-4603(92)90031-P
  51. Williamson DF, Madans J, Anda RF, Kleinman JC, Giovino GA, Byers T. Smoking cessation and severity of weight gain in a national cohort. New Engl J Med 1991;324:739-745 https://doi.org/10.1056/NEJM199103143241106