Browse > Article

Effectiveness of Public Health Center Smoking Cessation Counseling Program using the Transtheoretical Model  

Kim, Yun-Hee (Health Promotion Division, Busan Metropolitan City)
Kim, Jung-Soon (College of Nursing, Pusan National University)
Kim, Myoung-Soo (Department of Nursing, Ulsan College)
Publication Information
Journal of Korean Academy of Nursing / v.39, no.4, 2009 , pp. 469-479 More about this Journal
Abstract
Purpose: The purpose of this study was to identify the effectiveness of public health center smoking cessation counseling program using the transtheoretical model on the process of change, smoking temptation, decisional balance and stage change transition. Methods: A nonequivalent control group non-synchronized design was used for this study. The study population was 115 adult smokers. The counseling program was administered to the experimental group and a smoking cessation program from the Korean Ministry of Health & Welfare was administered to the control group. Descriptive analysis, $\chi^2-test$, t-test, and ANCOVA were used with the SPSS 12.0 program to analyze the data. Results: After treatment with this program, the experimental group showed significantly higher scores for process of change (t=4.148, p<.001), smoking temptation (t=-2.988, p=.003), and stage change transition ($\chi^2=5.871$, p=.031) compared to the control group. Experimental group members also showed significantly lower score for Pros of smoking (t=-3.151, p=.002). Conclusion: The findings indicate that this program could have positive effect on process of change, smoking temptation, decisional balance and stage transition for adult smokers. Based on these findings, the authors suggest additional counseling program focusing on smokers in specific stages.
Keywords
Smoking cessation; Counseling;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
Times Cited By Web Of Science : 1  (Related Records In Web of Science)
연도 인용수 순위
1 Ahn, O. H., Yeun, E. J., Kwon, S. B., Chung, H. K., & Ryu, E. J. (2005). Predictive factors of aspects of the transtheoretical model on smoking cessation in a rural community. Journal of Korean Academy of Nursing, 35, 1285-1294   과학기술학회마을   DOI
2 Fiore, M. C., Bailey, W. C., & Cohen, S. J. (2000). Treating tobacco use and dependence, clinical practice guideline. Rockville, MD: U.S. Department of Health and Human Service, Public Health Service
3 Ministry of Health Welfare and Family Affairs. (2006). National tobacco control and smoking cessation program guideline. Seoul:Author
4 Nam, J. J. (2001). Guide for education of smoking cessation and moderation in drink. Seoul: Korea Institute for Health and Social Affairs
5 O'Connell, K. A., Gerkovich, M, M., & Cook, M, R. (1995). Reversal theory's mastery and sympathy states in smoking cessation. Image-Journal of Nursing Scholarship, 27, 311-316   DOI
6 Prochaska, J. O., Velicer, W. F., Diclemente, C. C., & Fava, J. L. (1988). Measuring processes of change: Applications to the cessation of smoking. Journal of Consulting and Clinical Psychology, 56, 520-528   DOI   ScienceOn
7 Rovina, N., Nikoloutsou, I., Dima, E., Michailidou, M., Roussos, C., & Gratziou, C. (2007). Smoking cessation treatment in a real-life setting: The Greek experience. Therapeutic Advances in Respiratory Disease, 1, 93-104   DOI   ScienceOn
8 Chang, S. O. (2004). The concept development of smoking temptation. Journal of Korean Academy of Nursing, 34, 160-171   과학기술학회마을   DOI
9 Prochaska, J. O., Velicer, W. F., Fava, J. L., Rossi, J. S., & Tsoh, Y. T. (2001). Evaluating a population-based recruitment approach and a stage-based expert system intervention for smoking cessation. Addictive Behaviors, 26, 583-602   DOI   ScienceOn
10 Kim, M. R. (2005). Recent options of smoking cessation program. Korean Journal of Health Psychology, 10, 259-276
11 Prochaka, J. O., Velicer, W. F., Redding, C., Rossi, J. S., Goldsein, M., DePue, J., et al. (2005). Stage-based expert systems to guide a population of primary care patients to quit smoking, eat healthier, prevent skin cancer, and receive regular mammograms. Preventive Medicine, 41, 406-416   DOI   ScienceOn
12 Aveyard, P., Lawrence, T., Cheng, K. K., Griffin, C., Croghan, E., & Johnson, C. (2006). A randomized controlled trial of smoking cessation for pregnant women to test the effect of a transtheoretical model-based intervention on movement in stage and interaction with baseline stage. British Journal of Health Psychology, 11, 263-278   DOI   ScienceOn
13 Korean Association of Smoking Health. (2007, October 2). The report of smoking report. Retrieved December 10, 2008 from http://www.kash.or.kr/user_new/pds_list.asp?
14 Prochaska, J. O. (1994). Strong and weak principles for progressing from precontemplation to action on the basis of twelve problem behaviors. Health Psychology, 13, 47-51   DOI   ScienceOn
15 Velicer, W. F., Diclemente, C. C., Prochaska, J. O., & Brandenberg, N. (1985). A decisional balance measure for assessing and predicting smoking status. Journal of Personality and Social Psychology, 48, 1279-1289   DOI   PUBMED
16 Prochaska, J. O., & Velicer, W. F. (1997). The transtheoretical model of health behavior change. American Journal of Health Promotion, 12, 38-48   DOI   ScienceOn
17 Song, T. M. (2007). Smoking cessation clinics at public health centers in Korea. Health and Welfare Forum, 129, 50-65
18 DiClemente, C. C., & Fava, J. L. (1988). Measuring processes of change:Applications to the cessation of smoking. Journal of Consulting and Clinical Psychology, 56, 520-528   DOI   ScienceOn
19 Song, Y. H., & Lee, K. S. (2006). Effects of a tailored smoking cessation program in high school girls. Journal of Korean Society for Health Education and Promotion, 23(2), 11-27
20 Cho, K. S., & Song, T. M. (2007). Analysis of key factors in smoking cessation and cost effectiveness at public health centers. Health and Welfare Forum, 121, 65-77   ScienceOn
21 Velicer, W. F., Rossi, J. S., Prochaska, J. O., & Diclemente, C. C. (1996). A criterion measurement model for health behavior change. Addictive Behaviors, 21, 555-584   DOI   ScienceOn
22 Moore, L., Campbell, R., Whelan, A., Mills, N., Lupton, P., Misselbrook E., et al. (2002). Self help smoking cessation in pregnancy:Cluster randomised controlled trial. BMJ, 325, 1383   DOI   ScienceOn
23 Prochaska, J. O., Diclemente, C. C., Velicer, W. F., & Rossi, J. S. (1993). Standardized, individualized, interactive, and personalized self-help programs for smoking cessation. Health Psychology, 12, 399-405   DOI   ScienceOn
24 Velicer, W. F., Prochaska, J. O., Rossi, J. S., & Snow, M. G. (1992). Assessing outcome in smoking cessation studies. Psychological Bulletin, 111, 23-41   DOI   ScienceOn
25 Chang, S. O., Kim, E. J., Kil, S. Y., Seomun, G. A., & Lee, S. J. (2005). Influential variables on intention and action to quit smoking between adolescent smokers and adults smokers- based on the transtheoretical model. Journal of Korean Academy of Nursing, 35, 1410-1419   과학기술학회마을   ScienceOn
26 Lee, H. S. (2004). A study on evaluation of effects of juvenile smoking cessation program applied by transtheoretical model. Unpublished doctoral dissertation, Inje University, Busan
27 Fava, J. L., Velicer, W. F., & Prochaska, J. O. (1995). Applying the transtheoretical model to representative sample of smokers. Addictive Behaviors, 20, 189-203   DOI   ScienceOn
28 Hall, S. M., Humfleet, G. L., Reus, V. I., Munoz, R. F., & Cullen, J. (2004). Extended nortriptyline and psychological treatment for cigarette smoking. American Journal of Psychiatry, 161, 2001-2007   DOI   PUBMED   ScienceOn