• Korean Journal of Adult Nursing
• /
• v.17 no.4
• /
• pp.592-601
• /
• 2005

Purpose: The purpose of this study was to investigate differences in smoking related characteristics and psychological features of coronary artery patients by the stages of change in smoking cessation behaviors. Method: Subjects for this survey were 97 patients who were smoking when doctors diagnosed them to have coronary artery diseases. Result: Subjects were distributed 21.6% in precontemplation stage, 24.7% in contemplation stage, 17.5% in preparation stage, 19.6% in action stage, and 16.5% in maintenance stage respectively. The numbers of previous attempts to quit smoking of subjects in precontemplation stage(mean=3.00, SD=3.71) and contemplation stage(mean=2.63, SD=2.32) were significantly lower than that of subjects in preparation stage(mean=5.82, SD=6.20). Benefit scores of subjects in maintenance stage were significantly greater than those of subjects in precontemplation stage. Self-efficacy, barriers, seriousness, and nicotine dependency were not significantly different by the stages of change. Number of signs and symptoms related to smoking which subjects were experiencing were not significant by the stages of change too. Conclusion: Future intervention programs for smoking cessation should be focused on the strategies to enhance the realization of health benefits that patients might acquire from smoking cessation.

• The Journal of the Korean dental association
• /
• v.44 no.10 s.449
• /
• pp.647-657
• /
• 2006

By organizing the results of study questioned 1,620 dentists working nationwide in 2005, we concluded the followings. 1. The smoking rate of dentist is 29.69%. 2. 60.9% of current dentist smokers responded that they started smoking at the age of 20-24, during their dental school ages. 3. 67.41% of respondents have no idea of cyber antismoking campaign launched by Korean Dental Association, and 94.07% of respondents didn t receive formal education about smoking cessation. 4. 59.01% of respondents want to educate patients about smoking cessation in dental clinics but couldn t help putting it off for practical reasons. The reasons include their busy office hour(36.30%), difficulties in collecting proper smoking cessation documents(25.10%), and lack of their own knowledge in renunciation of smoking. (18,83%) 5. As dental healthcare personnels, they agreed with their status and duty of leading role in national renunciation of smoking. (R>80%) 6. 83.34% of dentists agreed that if educational antismoking program is arranged by Korean Dental Association, they should receive the education.

• Korean Journal of Health Education and Promotion
• /
• v.27 no.4
• /
• pp.177-188
• /
• 2010

Objectives: The aim of this study was to examine factors related to smoking behavior, and to develop multilevel communication strategies for smoking cessation. Methods: This paper reviewed theories and empirical findings with currents ecological models to develop communication strategies. Theory comparison was also performed to identify important mediators in the process of smoking cessation. Results: Factors that have been identified to influence smoking behavior ranges from individual perception, attitudes and self efficacy toward smoking to organizational norms, regulations, community capacity, media advocacy and public smoking regulation policy. In order to address these multi-level determinants of smoking behavior, objectives and strategies for smoking cessation intervention were developed utilizing ecological perspectives to cover intrapersonal, interpersonal(mainly family member and peers), organizational and community/public policy level factors. Conclusion: Multilevel approaches have advanced the existing knowledge on determinants of health behaviors. New direction of research focusing on testing multilevel intervention approaches should be expanded to inform the efficacy of applying social ecological models to health behavior change process.

• Korean Journal of Health Education and Promotion
• /
• v.27 no.4
• /
• pp.123-129
• /
• 2010

Objectives: The aim of this study is to seek an effective way to support smoking cessation by analyzing any change to the pattern of nicotine dependence according to the change in time. Methods: The study was conducted with 800 male smokers who had participated in smoking cessation programs at public health centers from July 16, 2005 to July 15, 2008. Latent growth curve modeling approach was used for data analysis. Results: From the developmental trajectory of individual nicotine dependence, while nicotine dependence of smokers with high nicotine dependence in the first year was slightly decreased in the third year, smokers with low nicotine dependence in the year showed dramatically lower nicotine dependence in the third year. Compared with those who did not successfully quit smoking, the initial value of nicotine dependence of those who successfully quit smoking in the first and the second year was low. Over the years, nicotine dependence was decreased. Conclusion: From this study it was demonstrated that nicotine dependence was reduced through the practice of smoking cessation and reduced nicotine dependence was a factor which affects successful smoking cessation. These results indicate that multiple attempts to quit smoking finally reduces nicotine dependence. Reduced nicotine dependence is likely to increase the possibility of successful smoking cessation.

• Korean Journal of Adult Nursing
• /
• v.17 no.1
• /
• pp.139-148
• /
• 2005

Purpose: The specific aims of this study was to find out the barrier to smoking cessation intervention in clinical practice among clinical nurses and compare them in high barrier group with those in the low barrier group. Method: The sample of this study consisted of 738 nurses practicing in general hospitals with over 400 beds throughout the country. The questionnaire was adopted from the 'Oncology Nurse's Tobacco Control Survey' used in the United Stated by Sarna et al.(2001). Result: Age, marital status, hospital experience, position were the variables related to the mean score of subjective resource insufficiency. The perception that the patient was not motivated to quit smoking was the most commonly identified barrier in low barrier group and the second most common barrier in high barrier group. Conclusion: Younger, with less clinical experience, single, staff nurses were the characteristics of nurses in the high barrier group. The smoking cessation educational program should be targeted to these populations. Further research is needed to develope strategies to reduce the perception associated with barriers in delivery of tobacco cessation interventions.

• Asian Pacific Journal of Cancer Prevention
• /
• v.17 no.sup2
• /
• pp.1-5
• /
• 2016

To reduce tobacco use and related harm in Korea, telephone based cessation services (Quitlines) began full operation to provide regular behavioral counseling for smoking cessation in 2006. After registration in the cessation program, at least 21 calls per year are given to each client to help quit and encourage maintenance. Tailored programs for males, females, and adolescent smokers have been offered taking into account smokers' characteristics and smoking behavior. Mailing self-help quit packs and e-mail and SMS services are allowable as additional services.A total of 23,201 smokers were registered on the Quitline program from 2006 to 2014. In 2014, an average of 13,343 calls per month have been received by 28 coaches, the 1 year abstinence rate of clients is 26%, and clients' satisfaction rate is 81.6%. After introduction of the call system in 2007, client convenience and effective operations have been achieved with high technology support of a computer-based telephone system. Systematic education and evaluation programs for quit coaches have contributed to quality assurance of the services. Currently, research into development of new programs and evaluation of Quitline performance is being undertaken. A Comprehensive Multi-channel Cessation Center (CMCC) has been suggested and is now planned as a next step in the national program for smoking cessation.

• Research in Community and Public Health Nursing
• /
• v.22 no.4
• /
• pp.365-376
• /
• 2011

Purpose: The purpose of this study was to investigate the patterns of smoking relapse and to identify risk factors related to smoking relapse among those successful in smoking cessation at the smoking cessation clinics of public health centers. Methods: Data were collected from 1,705 six-month quitters and analyzed by the Kaplan-Meier analysis and the Cox proportional hazard model. Results: The rate of smoking relapse was 38.2% in 1 year, 44.4% in 2 years, and 47.8% in 5 years. The vast majority of relapse (62.3%) occurred within the first six months after quitting. The risk factors related to smoking relapse were age (HR 1.964: 95% CI 1.545, to 2.497), nicotine dependence (HR 1.293: 95% CI 1.087 to 1.539), problem drinking (HR 1.497: 95% CI 1.116 to 2.008), behavioral therapy type (HR 1.398: 95% CI 1.193 to 1.638), and nicotine replacement therapy type (HR 1.363: 95% CI 1.077 to 1.724). Conclusion: For reducing smoking relapse, it is necessary to develop a smoking relapse prevention program for the first six months after quitting and to strengthen behavioral therapy in the course of smoking cessations clinics.

• Journal of East-West Nursing Research
• /
• v.14 no.1
• /
• pp.24-35
• /
• 2008

Purpose: The study were to identify smoking knowledge, attitude on smoking and experience of smoking cessation in male smokers. Methods: The subjects were 174 male smoker in Seoul and Inchun. The data were collected using structured questionnaires from 18th of December in 2007 to 16th of March in 2008. The data were analyzed by descriptive statistics and Pearson's Correlation Coefficient with SPSS computer program. The tools were used with smoking knowledge, smoking attitude and experience of smoking cessation. Result: Participants showed that a high level of smoking knowledge score 48.20 (${\pm}5.27$) of total 57. Participants showed that a high level of score 40.80 (${\pm}6.81$) of total 60. There was a positive correlation between smoking attitude and smoking knowledge (r=.319 p=.000). Conclusion: These results suggested that the level of smoking knowledge was related to the level of smoking attitude. Therefore, these finding give useful information for constructing a smoking cessation program in male smokers.

• Journal of muscle and joint health
• /
• v.17 no.2
• /
• pp.113-123
• /
• 2010

Purpose: The purpose of this study was to identify the effects of a smoking cessation program on processes of change, situational temptation, and decisional balance in male university student smokers. Method: Utilizing a quasi-experimental design, 78 male university students consisted of an experimental group (n=48) and a control group (n=30). A smoking cessation program was applied to the experimental group for a period of 6 months while no program was given to the control group. Study questionnaires were used to measure outcome variables before and after the program. Descriptive analysis, $\chi^2$-test, t-test, and ANCOVA were used with SPSS 18.0 program for data analysis. Results: After treatment with this program, the experimental group showed significantly higher scores for processes of change (experiential and behavioral processes of change) than the control group. The experimental group also showed significantly lower scores for situational temptation (positive social, negative affect, and habit strength). Conclusion: The smoking cessation program may have positive effects on process of change and smoking temptation for male university student smokers.

• Research in Community and Public Health Nursing
• /
• v.18 no.3
• /
• pp.431-440
• /
• 2007

Purpose: The purpose of this study was to describe stage distribution of current and former smokers and to analyze significant variables that used by adolescents at each stage using the Transtheoretical Model. Methods: A cross-sectional study was performed with 145 students attended to five high schools in one rural area. The survey instruments included stages and processes of change. decisional balance, self-efficacy, and knowledge related to smoking. Results: Among the participants, 47.6% were in the precontemplation and contemplation stages, 20.7% were in the preparation stage, and the other 31.7% were in the action and maintenance stages. Analysis of variance tests revealed that behavioral processes, pros and cons of smoking, and self-efficacy were significantly associated with the stages of smoking cessation, while among 10 processes of change, self-reevaluation, self-liberation, and reinforcement management were significantly different by the stages. Conclusions: The study results suggest that smoking cessation programs should emphasize behavioral strategies, self-efficacy, and decisional balance to help students adopt and maintain smoking cessation.