Korean Journal of Health Education and Promotion (보건교육건강증진학회지)

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

Ways to Improve Effectiveness of School-Based Smoking Cessation Intervention for Adolescents: Implications from Focus Group Interviews

포커스 그룹 인터뷰를 통한 학교기반 청소년 금연 프로그램 효과성 제고 방안

  • Nam, Sung-Hee (Graduate School of Social Welfare, Ewha Womans University) ;
  • Chun, Jong-Serl (Graduate School of Social Welfare, Ewha Womans University)
  • 남성희 (이화여자대학교 사회복지전문대학원) ;
  • 전종설 (이화여자대학교 사회복지전문대학원)
  • Received : 2012.07.24
  • Accepted : 2012.09.17
  • Published : 2012.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objective: The objective of this study is to explore factors that contribute toward improving the effectiveness of school-based smoking cessation programs for Korean adolescents. Methods: Thematic analysis was done on the feedback gathered from a focus group interview of 5 instructors with ample service experience at smoking cessation programs provided in school settings. Results: This study has identified 9 categories of initiatives that may contribute to improving the quality of existing programs. These nine categories were grouped into the following 4 themes. 1) Improvement in the structure of intervention: the programs should be restructured to allow more instruction time and better instruction environment; 2) Improvement in the content of intervention: the programs should develop differentiated contents considering the characteristics of adolescence; 3) Importance of rapport, adolescents' interests and compensation: the program should be more interesting to adolescents and provide rewards based on the rapport between instructors and adolescents; 4) Cooperation among smoking cessation instructor, school, and community: instructors, teachers at schools, and communities should cooperate actively with one another. Conclusions: The school-based smoking cessation programs will benefit from implementing the findings of this study in improving its effectiveness in smoking cession in adolescents.

Keywords

References

  1. Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101. https://doi.org/10.1191/1478088706qp063oa
  2. Center for Disease Control and Prevention. (1994). Guidelines for school health programs to prevent tobacco use and addiction. Morbidity and Mortality Weekly Report, 43, 1-18. Atlanta. GA: U.S. Dept. of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention.
  3. Chang, H. (2011). A qualitative study on experience of special education teachers who have undertaken community-based instruction. Special Education Research, 10(3), 5-31.
  4. Cho, H-H. (2004). A qualitative study on the psychological characteristics of male adolescent's smoking. (Unpublished master's thesis). Sungshin Women's University, Seoul, Korea.
  5. Chun, J. S., & Song, I. S. (2010). The effectiveness of smoking cessation programs for adolescents on probation. Studies on Korean Youth, 21(3), 61-89.
  6. Cullen A. J., & Webster, M. (2007). A user-oriented B2B e-commerce model based on connectivity and purpose. International Journal of Operations and Production Management, 27 (2), 205-225. https://doi.org/10.1108/01443570710720621
  7. Ely, M., Anzul, M., Friedman, T., Garner, D., & Steinmetz, A. C. (1991). Doing qualitative research: circles within circles. New York, NY: Falmer.
  8. George, H. (1992). Teen-age attitudes and behavior concerning tobacco: report of the findings. Princeton, NJ.: Gallup International Institute.
  9. Hahm, J., Hyun, M., & Lim, Y. (2006). The effects of stress, significant others' smoking and smoking belief on smoking behavior in adolescents. The Korean Journal of Health Psychology, 11(1), 191-207.
  10. Han, Y. R., Ha, E. H., Park, H. S., & Lee, B. E. (2005). Motivations of adolescents smoking cessation: Use of focus group interview. Korean Journal of Health Education and Promotion, 22(1), 55-71.
  11. Horn, K., Dino, G., Kalsekar, G., & Mody, R. (2005). The impact of Not-On-Tobacco on teen smoking cessation: end of program evaluation results. Journal of Adolescent Research, 20(6), 640-661. https://doi.org/10.1177/0743558405274891
  12. Howitt, D., & Cramer, D. (2005). Introduction to research methods in psychology. London, England: Pearson.
  13. Hwang, M. S. (2007). A meta-analysis of adolescent psychosocial smoking prevention programs in the United States: identifying factors associated with program effectiveness. Journal of Korean Society for Health Education and Promotion, 24(5), 1-21.
  14. Hwang, M. S. (2010). Using focus group interview to explore the effectiveness of adolescent smoking cessation program with music therapy. Korean Journal of Health Education and Promotion, 27(4), 131-139.
  15. Hwang, M. S., Yeagley, K. L., & Petosa, R. (2004). A meta-analysis of adolescent psychosocial smoking prevention programs published between 1978 and 1998 in the United States. Health Education & Behavior, 31(6), 702-719. https://doi.org/10.1177/1090198104263361
  16. Jeong, M. (2011). The effects of smoking cessation program for smoking teenagers in youth shelters. (Unpublished doctoral dissertation). Jeonju University, Jeonju, Korea.
  17. Kang, S., & Kim, S. N. (2005). School-based educational programs for anti-tobacco use at Busan middle and high Schools. Korean Journal of Health Education and Promotion, 22(4), 91-105.
  18. Kim, M. S., & Kwon, J. H. (2006). The outcome study of cognitive behavioral and behavioral smoking abstinence program for Korean nicotine dependent adolescents. The Korean Journal of Clinical Psychology, 25(1), 1-23. https://doi.org/10.1521/jscp.2006.25.1.1
  19. Kim, S. J. (1999). The effect of smoking cessation program using the transtheoretical model on the smoking behavior and psychosocial variables in high school students. Unpublished doctoral dissertation. The Catholic University of Korea, Seoul, Korea.
  20. Kim, S. N., & Kang, S. Y. (2007). A study on the reality of non-smoking education of school nurses and health teachers holding additional job and a demand for non smoking education in middle school in Busan. Journal of Korean Public Health Nursing, 21(1), 1-23.
  21. Kim, Y., Park, I., & Park, J. S. (2008). Meta-analysis of effects on adolescent smoking cessation programs in Korea. Journal of Korean Academy of Nursing, 38(2), 204-216. https://doi.org/10.4040/jkan.2008.38.2.204
  22. Kim, Y. H. (2010). Factors influencing the community capacity of non-smoking teachers in schools. Journal of the Korean Data Analysis Society, 12(4), 2009-2023.
  23. Korean Ministry of Education, Science & Technology, Korean Ministry of Health, Welfare and Family Affairs, & Korea Centers for Disease Control and Prevention. (2011). The 6th national online survey on Korean adolescent health status. Seoul, Korea: Korea Centers for Disease Control & Prevention.
  24. Lee, Y. J. (2004). For a beautiful life: 5&6 smoking cessation program. Seoul, Korea: Korean Association on Smoking or Health.
  25. Lim, E. S. (2010). Effects of '5&6 smoking cessation program' and '5-day smoking cessation program' on adolescents' smoking behavior. Korean Journal of Health Education and Promotion, 27(2), 95-108.
  26. Lim, E. S., Lee, C. Y., Lee, Y. J., & Kim, J. A. (2007). Effects of '5&6 smoking cessation program' on perception, behavior, and physiology of high school smokers. Korean Journal of Health Education and Promotion, 24(4), 115-130.
  27. Marlatt, G. A., & Gordon, J. R. (1985). Relapse prevention. New York, NY: Guilford Press.
  28. Moon, H. L. (2009). Mother's perceptions about early childhood social education: using focus group interviews. Korean Journal of Human Ecology, 18(5), 1009-1020. https://doi.org/10.5934/KJHE.2009.18.5.1009
  29. Morgan, D. L., & Krueger, R. A. (1993). When to use focus groups and why. In D. L. Morgan (Ed.), Successful focus groups: advancing the state of the art (pp. 3-19). Newbury Park, CA: Sage.
  30. Morgan, D. L., & Scannell, A. U. (1998). Planning focus groups. Thousand Oaks, CA: Sage.
  31. Myers, M. G., & Kelly, J. (2006). Cigarettes smoking among adolescents with alcohol and other drug use problems. Alcohol Research & Health, 29, 221-227.
  32. Padgett, D. K. (1998). Qualitative methods in social work, research: challenges and rewards. Thousand Oaks, CA: Sage.
  33. Park, I. H., & Ryu, H. S. (2000). Correlation among adolescent smoking, stress, and self-esteem. The Journal of the Korean Society of School Health, 13(2), 271-282.
  34. Statistical Research Institute (2008). Youth statistics. Daejeon, Korea: National Statistical Office.
  35. Sussman, S., Sun, P., & Dent, C. W. (2006). A meta-analysis of teen cigarette smoking cessation. Health Psychology, 25(5), 549-557. https://doi.org/10.1037/0278-6133.25.5.549
  36. U.S. Department of Health & Human Services. (1994). Preventing to tobacco use among young people: a report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Service, Centers for Disease Control and Prevention.
  37. Van Maanen, J. (1988). Tales of the field: on writing ethnography. Chicago, IL: University of Chicago Press.
  38. Wiehe, S. E., Garrison, M. M., Christakis, D. A., Ebel, B. E., & Rivara, F. P. (2005). A systematic review of school-based smoking prevention trials with long-term follow-up. Journal of Adolescent Health, 36(3), 162-169. https://doi.org/10.1016/j.jadohealth.2004.12.003
  39. Yeo, J. Y., Kim, H, J., Shin, J. Y., Shin, Y. K., Seo, B. I., & Yun, S. O. (2005). Professionals' note for publicity. Seoul, Korea: Chungnyun-Jungshin.
  40. Yu, B. K., Oh, Y. J., Lee, J. C., Lee, K. H., Min, J. H., & Park, S. H. (2009). A study of adolescent smoking and drinking in Korea. Korean Journal of Pediatrics, 52(4), 422-428. https://doi.org/10.3345/kjp.2009.52.4.422