• Research in Community and Public 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.

• Research in Community and Public 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.

• 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.

• 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.

• Research in Community and Public Health Nursing
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• v.17 no.2
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• pp.253-262
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• 2006

Purpose: This study was done to evaluate the predictive factors of smoking cessation intention of smoking adolescents at H. district in Chungchungnam-do. Method: A convenience sample was recruited from a public health center at H. district in Chungchungnam-do. A total of 100 smoking adolescents were enrolled in this study. A self-report survey method was used to identify the predictive factors related to smoking cessation. Result: A forward stepwise logistic regression analysis identified four factors associated with smoking cessation intention of smoking adolescents: accompanied friends during the smoking cessation program (OR=20.14), preparation for smoking cessation (OR=5.12), smoking cessation knowledge after the smoking cessation program (OR=1.41), and the number of cigarettes (OR=0.15). Conclusion: Based on this study results, the effective programs in reducing adolescent smoking rates should include components to accompany peers, increase the knowledge of smoking impact, and the benefit of smoking cessation.

• 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.

• Journal of Korean Academy of Nursing
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• v.28 no.2
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• pp.319-328
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• 1998

The purpose of this study was to explore the process of smoking cessation behavior in adults with a history of smoking cessation. The subject were 17 adults selected by theoretical sampling. The data were collected by in-depth interviews using audiotape recording over a period of six months. The data were analyzed simultaneously by a constant comparative method in which new data were continuously coded in categories and properties according to Strauss and Corbin' methodology. Analysis of the data resulted in the identification of 12 categories. The result of this study are as follows : 1. Smoking cessation in adults is caused by fear about health, environmental pressure of smoking cessation, and intention of smoking cessation. 2. Smoking cessation occurs in connection with situations of limited smoking 3. Maintenence of smoking cessation is related to psychological stress, and environmental cues to smoking. 4. In the smoking cessation process, adults experienced either health promotion or relapse. It is suggested that the result of this study may contributed to the development of a strategy for decreasing smoking behavior among adults.

• The Korean Journal of Health Service Management
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• v.12 no.2
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• pp.135-147
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• 2018

Objectives : This study was to investigate the effect of socioeconomic factors of smokers on their smoking cessation plans, using Korean Welfare Panel data. Methods : Of the 16,664 subjects who responded to the 10th Korean Welfare Panel Survey, 2,246 respondents who answered that they were currently smoking were included in this study. Results : The variables that affected smoking cessation plans were female, low education level, low level of smoking per day, and more than 24 hours of smoking cessation experience. Conclusions : Expanding the smoking cessation program for women, preventing smoking in schools and providing smoking cessation education will likely have a positive effect on smoking cessation plans. In addition, it would be helpful to increase the amount of smoking cessation support aimed at reducing the amount of cigarettes smoked per day and continuing smoking cessation for more than 24 hours.

• 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.

• Korean Journal of Health Education and Promotion
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• v.20 no.3
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• pp.1-18
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• 2003

This study was conducted to evaluate factors related to the recogniton and behavioral intention for smoking cessation programs. Five effective smoking cessation programs were considered： acupuncture, nicotine patch, clinic program, mass education, and alliance programs. To explain the health behavior for smoking and smoking cessation programs, a five-stage behavioral intention model was built, and 500 questionnaires were completed through a telephone survey. Stages of the model included recogniton of the programs, past experiences, present smoking status, intention for smoking, and behavioral intention for smoking cessation programs. The results showed that the recogniton rate of the programs were low in general, therefore strategies of education, public relations, and advertisement need to be pursued. Nicotine dependency resulted in the fact that success rates were low although trial rates of smoking cessation were high among smokers. The necessity for smoking cessation programs was suggested. And the significant factors related to the intention for smoking cessation were individual attitude and reluctancy to pay time and money. Others' attitude was insignificant to subjects' smoking cessation. Purchase rates for nicotine patches were 11.3％ for male and 27.3％ for female, those for acupunture were 7.6％ for male and 10.0％ for female. There were very low purchase rates for clinic, mass education, and alliance programs. In conclusion, evidence-based and effective smoking cessation programs need to be promoted by medical doctors. Strategies in education, public relations, and advertisement also need development. In addition, continuing legal and systematic support for smoking cessation would lower the smoking rate and ultimately contribute to the nation's health.