The Effects of a Group Smoking Cessation Program among Adult Smokers in a Rural Community

농촌지역 성인흡연자의 집단금연프로그램 효과

  • Seo, Nam-Sook (Department of Nursing, Dongshin University) ;
  • Kim, Young-Hee (Department of Nursing, Woosuk University) ;
  • Kang, Hae-Young (Nursing College, Chonnam National University, Chonnam Research Institute of Nursing Science)
  • 서남숙 (동신대학교 간호학과) ;
  • 김영희 (우석대학교 간호학과) ;
  • 강혜영 (전남대학교 간호대학, 전남대간호과학연구소)
  • Published : 2007.12.31

Abstract

Purpose: The purpose of this study was to investigate the effects of a community-based group smoking cessation program among adult smokers in a rural community. Method: The study design was quasi-experimental with a pre and posttest. A total of 55 adult smokers participated in the study. They were evaluated 1, 3, and 6 months after the program to identify the long-term effectiveness of the program. The program consisted of a total of 5 sessions provided twice a week. To test the effectiveness of the program, urine creatinine, expired air carbon monoxide, nicotine dependence, and smoking-related knowledge were used as dependent variables. Data was analyzed with the SPSS 10.0 program with a t-test, paired t-test, and Scheffe test. Result: Urine creatinine, expired air carbon monoxide, and nicotine dependence were significantly decreased after the program. Also, the rates of continuous abstinence were 81.8% at posttest, 65.5% at 1 month, 54.5% at 3 months, and 54.5% at 6 months follow-up. Conclusion: This community-based group smoking cessation program implemented by a nurse and smoking cessation counselors was effective for quitting smoking and decreasing urine creatinine and nicotine dependence. Therefore, this smoking cessation program could be recommended to induce smoking cessation as health promotion management in the rural community.

Keywords

References

  1. Caggiula, A. R., Donny, E. C., White, A. R., Chaudhri, N., Booth, S., Gharib, M. A., Hoffman, A., Perkins, K. A., & Sved, A. F. (2001). Cue dependency of nicotine self-administration and smoking. Pharm Bioche Bihav, 70, 515-530 https://doi.org/10.1016/S0091-3057(01)00676-1
  2. Carlson, L. E., Taenzer, P., Koopmans, J., & Bultz, B. D. (2000). Eight-year follow-up of a community-based large group behavioral smoking cessation intervention. Addict Behav, 25(5), 725-741 https://doi.org/10.1016/S0306-4603(00)00081-2
  3. DiClemente, C. C., Prochaska, J. O., Fairhurst, S. K., Velicer, W. F., Velasquez, M. M., & Rossi, J. S. (1991). The process of smoking cessation: An analysis of precon-templation, contemplation, and preparation stages of change. J Consult Clin Psychol, 59(2), 295-304 https://doi.org/10.1037/0022-006X.59.2.295
  4. Fiore, M. C., Bailey, W. C., Cohen, S. J., Dorfman, S. F., Goldstein, M. G., & Gritz, E. R. (2000). Treating tobacco use and dependence: Clinical practice guideline. Rockville, MD: U.S. Department of Health and Human Services, Public Health Service
  5. Fiore, M. C., McCarthy, D. E., Jackson, T. C., Zehner, M. E., Jorenby, D. E., Mielke, M., Smith, S. S., Guiliani, T. A., & Baker, T. B. (2004). Integrating smoking cessation treatment into primary care: An effectiveness study. Prev Med, 38, 412-420 https://doi.org/10.1016/j.ypmed.2003.11.002
  6. Gomez, C., Berlin, I. B., Marquis, P., & Delcroix, M. (2005). Expired air carbon monoxide concentration in mothers and their spouses above 5 ppm is associated with decreased fetal growth. Prev Med, 40, 10-15 https://doi.org/10.1016/j.ypmed.2004.04.049
  7. 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. Brit J Addic, 86, 1119-1127 https://doi.org/10.1111/j.1360-0443.1991.tb01879.x
  8. Hughes, J. R., Keely, J., & Naud, S. (2004). Shape of the relapse curve and long-term abstinence among untreated smokers. Addiction, 99(1), 29-38 https://doi.org/10.1111/j.1360-0443.2004.00540.x
  9. Hyun, H. J., & Jung, H. S. (2002). A study on papers of smoking cessation program. Korean J Occup Health Nurs, 11(2), 150-157
  10. Kim, G. S., Lee, Y. J., & Lee, C. Y. (2007). Smoking influence and psycho-social factor of participant in a smoking cessation program. J Korean Acad Pub Health Nurs, 21(1), 37-45
  11. Kim, M. H. (2005). Updates in smoking cessation programs. Korean J Health Psycho, 10(3), 259-276
  12. Korean Association of Smoking & Health (2007). http://www.kash.or.kr
  13. Levshin, V., Radkevich, N., Slepchenko, N., & Droggachih, V. (2006). Implementation and evaluation of a smoking cessation group session program. Prev Cont, 2, 39-47 https://doi.org/10.1016/j.precon.2006.05.003
  14. McEwen, A., West, R., & McRobbie, H. (2006). Effectiveness of specialist group treatment for smoking cessation vs. one-to-one treatment in primary care. Addic Behav. 31, 1650-1660 https://doi.org/10.1016/j.addbeh.2005.12.014
  15. Miguez, M. C., Vazquez, F. L., & Becona, E. (2002). Effectiveness of telephone contact as an adjunct to a self-help program for smoking cessation: A randomized controlled trial in Spanish smokers. Addic Behav, 27, 139-144 https://doi.org/10.1016/S0306-4603(00)00166-0
  16. Ministry of Health & Welfare (2005). The book of support and evaluation for smoking cessation. The Smoking-Cessation Research Team
  17. Park, S. M., Son, K. Y., Lee, Y. J., Lee, H. S., Kang, J H., Lee, Y. J., & Yun, Y. H. (2004). A preliminary investigation of early smoking initiation and nicotine dependence in Korean adults. Drug Alcohol Depend, 74, 197-203 https://doi.org/10.1016/j.drugalcdep.2004.01.001
  18. Parker, D. R., Lasater, T. M., Windsor, R., Wilkins. J., Upegul, D. I., & Heimdal, J. (2002). The accuracy of self-reported smoking status assessed by cotinine test strips. Nicotine Tob Res, 4(3), 305-309 https://doi.org/10.1080/14622200210142715
  19. Rice, V. H. (2006). Nursing intervention and smoking cessation: Meta-analysis update. Heart Lung, 35(3), 147-163 https://doi.org/10.1016/j.hrtlng.2006.01.001
  20. Stevens, K. R., & Munoz, L. R. (2004). Cigarette smoking: Evidence to guide measurement. Res Nurs Health, 27, 281-292 https://doi.org/10.1002/nur.20024