• Korean Journal of Health Education and Promotion
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• v.27 no.5
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• pp.27-39
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• 2010

Objectives: The purposes of this study were to examine the contribution of each of the Transtheoretical Model components in explaining stages of smoking cessation and to identify factors associated with the smoking cessation behavior among Korean college students. Methods: The participants for this study were 334 undergraduate students who enrolled in general education courses. Self-report surveys were distributed and returned. The survey variables comprised the stages of change for smoking cessation, self-efficacy, decisional balances and processes of change in smoking cessation. Results: Significant differences were noted in the five stages of change for self-efficacy, decisional balance, and the processes of change. The strongest factor associated with the smoking cessation behavior was self-efficacy. Conclusion: Study findings indicate application of the Transtheoretical Model may be useful to enhance future smoking cessation efforts in college students. The strategies to enhance smoking cessation self-eficacy in college students will be an important intervention component in future studies.

• Korean Journal of Social Welfare Studies
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• v.49 no.1
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• pp.5-28
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• 2018

Smoking is one of the important public health concerns because it is preventable causes regarding individuals' negative health consequences and increased social and economic cost. However, few studies have examined longitudinal patterns of stages of changes(SOC) in smoking behaviors among the general population. The purpose of the study is to explore the latent patterns of SOC over time among Korean adult smokers using the 2008-2016 Korea Welfare Panel Study. A repeated measure latent class analysis is employed in the present study. The finding of the present study are as follows: First, four latent groups were identified: (1) action/maintenance stage(33.6%), (2) contemplation/preparation to action/maintenance stage(14.8%), (3) continuously contemplation/preparation stage(29.6%), and (4) continuously pre-contemplation stage(22.1%). Second, the results of a multinomial logistic regression found that socio-demographic and clinical characteristics were associated with the identified longitudinal patterns of smoking behaviors. Compared to a continuously pre-contemplation stage, higher levels of depressive symptoms and drinking behavior were associated with increased odds of being in action/maintenance stage. The findings of the present study highlight that a tailored intervention is needed for individuals with continuously pre-contemplation stage and contemplation stage.

• Journal of the Korea Convergence Society
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• v.11 no.2
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• pp.315-321
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• 2020

This research explores the change of smoking cessation motivation, maintenance(6months) from the heavy smokers who have experienced residential treatment. Data was collected by the questionnaires about participates motivation from 1st August 2015 to 31st December 2018. Total participates were 1317 that 1248 males (94.8%) and 69 females (31.3%). The most of participants answered their period of smoking was 31-40years as 31.3% (413p) of total participants. Motivation improved after residential treatment, and the 6-month success group had overall cessation of smoking cessation (F=6.52, p=.011), In the subcategories, pre-contemplation(F=5.12, p=.024), contemplation(F=.90, p= .341), preparation-level1(F=5.79, p=.016) and preparation-level2(F=1.33, p=.249) were statistically significant. Thus, this research investigates that the residential program for smoking cessation actually works to the heavy smokers to increased their motivation and that the 6-month success group had stronger.

• Journal of Korean Library and Information Science Society
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• v.52 no.1
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• pp.279-300
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• 2021

The present study aimed to investigate the information needs and information seeking behavior of consumers who attempted to quit or maintain the ceasing of smoking and analyze the effects of the health information obtained at different stages. In particular, we examined how consumers use mobile health applications(health apps) as aids to change unhealthy behaviors and how their use of health apps influence health behavior changes. For 7 months from December 2017 to July 2018, the researchers observed changes in smoking behaviors of college students who use smoking-cessation apps and conducted face-to-face interviews. Regarding the effects of smoking-cessation apps, the participants in the action stage reported that they were encouraged to quit smoking by visualized information such as the number of days of smoking cessation, change of health status, and the saving of money due to smoking cessation. The participants in the maintenance stage highlighted that smoking cessation apps were helpful in recognizing the importance and achievement of smoking cessation by sharing experiences and social support with other attempters in the app community. The study provided theoretical implications in the field of information behavior in that it identified the particular types of information needs and information-seeking behavior of the consumers who were using mobile apps in their behavior modification process. In addition, those findings can contribute to designing the contents of the smoking cessation apps that reflect the information needs of those who attempt to cease smoking and further suggest practical insights to health information services that promote effective information intervention strategies in health behavior change.

• Child Health Nursing Research
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• v.19 no.2
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• pp.130-139
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• 2013

Purpose: In this study an examination was done of the effects of a adolescent smoking cessation motivational program on smoking temptation, internal motivation, stage of smoking cessation and quit rate. The study was done with a nonequivalent control group pretest-posttest design. Methods: Participants in the experimental group were adolescents who smoked and were referred to the program by their high school teachers. They participated in the smoking cessation motivational program for 60 minutes per session, once or twice a week for six weeks. Participants in the control group were selected from the same age group within the school and the program was provided after the posttest was completed. t-test, Mann-Whitney test, and ${\chi}^2$-test were used to analyze data. Results: The level of smoking temptation, internal motivation and stage of smoking cessation had significant change in comparison to the pretest whereas the control group did not exhibit these changes. Conclusion: The results of the study indicate that a smoking cessation motivational program for adolescents is an effective strategy to increase smoking cessation motivation in adolescents, and can be utilized as an effective intervention for adolescents who smoke.

• Journal of dental hygiene science
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• v.13 no.3
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• pp.314-320
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• 2013

This study was aimed to investigate the motivators of smoking in 300 subjects using convenient extraction in one hospital. After informed consent, the survey that consisted of general characteristics, health behavior, stage of change, health behavior-related-perceived benefit, health behavior-related-perceived barrier, health behavior-related-family support, oral health behavior, subjective oral health and others was carried out. The smoking rate was higher in case of male (sex), high school graduates (education) and 2~3 million Korean won (KRW) (monthly income). The present smokers responded lower oral health behavior (p<0.001), lower health behavior-related-perceived benefit (p=0.021), higher health behavior- related-perceived barrier (p<0.001) and lower stage of change (p<0.001). The oral health related variables were not influenced by smoking. In logistic regression model, odds ratios in smoking were 0.378 in below average (health behavior-related-perceived barrier), 4.746 in below average (stage of change), 12.743 in male (sex) and 3.271 in 2~3 million KRW (monthly income/standard : over 3 million KRW). It was suggested that oral health related manpower should take account of not only smoking-related oral health but also motivators of smoking as to deliver effective no-smoking program.

• The Journal of the Korea Contents Association
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• v.16 no.11
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• pp.444-455
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• 2016

The purpose of this study was to examine the effect of motivational counseling program for improving knowledge and attitude of smoking cessation and smoking cessation behaviors of middle school students. The research design was nonequivalent control group pre- and post-test design. The subjects were 42 third grade students of M and D middle school in G city (experiment group 21, control group 21). The treatment of this study, motivational counseling program was modified by author based on Lim(2010), developed by Valasquez(2001). The effects of this study were evaluated with the scales for smoking knowledge, smoking attitude, daily cigarette consumption, and the scales of stage of change. The data were analyzed with percentage and t-test using SPSS 21.0. The results of this study were summarized as follows: The experiment group who participated in the motivation counseling program had higher scores in knowledge(t=8.99, p=.000) and attitude(t=2.77, p=.008) of smoking cessation and stage of change(t=3.85, p=.000), and lesser daily cigarette consumption(t=-3.68, p=.001) than those of the control group. Based on these results, it was verified that the motivational counseling program may be effective in improving smoking cessation of middle school students. It is recommended that the motivational counseling program will be used as useful psychiatric nursing intervention for smoking prevention, smoking cessation, and mental health promotion for middle school students.

• Journal of Korean Academy of Nursing
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• v.35 no.5
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• pp.904-913
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• 2005

Purpose: The purpose of this study was to investigate smoking cessation behavior of male taxi drivers in Korea on the basis of the Transtheoretical model(TTM), and to validate the usefulness of TTM. Method: Data were collected using a self-reported questionnaire including smoking history and major factors of TTM from 208 subjects who were current smokers or ex-smokers. Data were analyzed by descriptive statistics and ANOVA. Result: Most subjects ($85.1\%$) were current smokers. Stages of change were precontemplation ($44.7\%$) and contemplation ($27.4\%$). Subjects in precontemplation stages had the lowest mean score in processes of change and the highest mean scores in decisional balance(pros) and temptation(positive affective, habitual/craving). According to stages of change, there were statistically significant differences in processes of change, decisional balance, and temptation. Conclusion: This study supported the generalization of TTM. As this study showed that the subjects didn't have motivation in smoking cessation, applying tailored smoking cessation programs for taxi drivers is needed.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.4
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• pp.188-198
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• 2016

This study examined the effects of a smoking cessation coaching program based on the motivation stage applying the Transtheoretical Model to stop the smoking of patients in terms of the amount of smoking, nicotine dependence, CO level, and urine cotinine. The study design was a multi-repeat multiple repeat intermittent time series study with one-group, a pre-post design. The participants were 47 smoking patients (44 males and 3 females), who were treated at a public hospital in N city. The participants were 4 (8.51%) subjects in the action stage and 43 subjects (91.49%) in the preparation stage of the motivation stage. The coaching program intervention was conducted at the first day, second week, and 6th week. The smoking cessation maintenance of the subjects was checked at the 12th week. A chi-square test and t-test were used to analyze the data. The subjects in the action stage were kept under the condition of no smoking and nicotine dependence. After the program of subjects in the preparation stage, the amount of smoking, nicotine dependence, and CO level were significantly lower compared to the pre-test (p<.001). The findings suggest that the coaching program based on the motivation stage was effective in improving the smoking cessation for patients who smoke. On the other hand, the patients in the smoking cessation program may require much more financial assistance than those of healthy people. A greater workforce and budget will be needed for patients to stop smoking.

• Journal of Korean Academy of Nursing
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• v.37 no.7
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• pp.1159-1165
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• 2007

Purpose: The purpose of this study was to investigate the stages of change in smoking cessation after a Coronary Artery Bypass Graft(CABG) and to identify the related factors. Methods: The subjects (n=157) were patients who underwent a CABG in a university hospital from March 1998 to October 2005 and were smokers before the CABG. Data was collected viachart review and a telephone interview, and analyzed with descriptive statistics, $X^2$ test, one-way ANOVA, and Kruskal-Wallis procedure by the SPSS/PC win 12.0 program. Results: The subjects smoked for an average of 34 years (21 cigarettes per day) before surgery. Eleven percent of the subjects were in pre-contemplation, 6.4% in contemplation, 13.5% in preparation, 4.5% in action, and 64.5% in the maintenance stage. Nicotine dependence and self-efficacy were different among the groups with different stages of change in smoking cessation. Nicotine dependence was the lowest (p=0.00) and self-efficacy was the highest (p=0.00) in the maintenance stage. The number of subjects in pre-contemplation and contemplation significantly increased 6 years after surgery(p=0.05). Conclusions: To implement effective smoking cessation interventions for CABG patients, the intervention should be developed to accommodate individual readiness for smoking cessation, especially so for those who had a CABG more than 6 years previously.