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Using Focus Group Interview to Explore the Effectiveness of Adolescent Smoking Cessation Program with Music Therapy (음악중재 청소년 금연교실 파일럿 연구: 포커스 그룹 인터뷰)

  • HwangMyung, Hee-Song
    • Korean Journal of Health Education and Promotion
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    • v.27 no.4
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    • pp.131-139
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    • 2010
  • Objectives: This pilot study was designed to examine whether the adolescent smoking cessation program with harmonica therapy was effective or not. It was qualitatively explored perceived smoking consequences, cessation and relapse experience, specific harmonica help to overcome smoking urge, preference of harmonica toward cessation, and harmonica intervention planning to quit. Methods: The treatment program was conducted 30-minute, 6-session, and once a week basis. Qualitative data using Focus Group Interview were collected at the completion of the program with 6 participants, and analyzed by Krueger's systematic process. Results: Participants were smoking daily and consumed 3-10 cigarettes. They recognized undesirable smoking consequences in terms of cost, interpersonal relationship, and health that might lead to cessation attempts in the past. Participants who did not want to quit smoking at the program beginning changed their attitude to quit after exploring partial cessation efforts with the help of harmonica therapy. They believe harmonica's consistent help of quitting and leading to success. Conclusion: Adolescent attitudinal change toward smoking cessation has promising insight of motivation enhancement through harmonica therapy that was a major barrier to successful quit.

Comparison of the Factors for Attempts to Quit Smoking by Adolescent using Tobacco Cigarettes only and those Adolescents using Tobacco Cigarettes Together with Electronic Cigarettes (궐련 흡연 청소년과 전자담배를 중복 사용하는 흡연 청소년의 금연시도 영향요인 비교)

  • Park, Min Hee;Song, Hye Young
    • Journal of Korean Public Health Nursing
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    • v.33 no.3
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    • pp.340-353
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    • 2019
  • Purpose: This study was conducted to compare and analyze the smoking-related social-ecological factors affecting attempts to quit smoking by adolescents using tobacco cigarettes only and also those adolescents using tobacco cigarettes along with electronic cigarettes. Methods: This study, as secondary analysis research, used the raw data from the 14th Korea youth risk behavior survey 2018. The data was analyzed by frequency analysis, the Rao-scott χ2-test and logistic regression analysis when considering the complex sample's analysis. Results: On logistic regression analysis, during their first smoking period, intense physical activities and having friends who smoked were associated with significantly more attempts to quit smoking by cigarettes smokers, and their first smoking period and experiences of undergoing smoking cessation education were associated with significantly more attempts to quit smoking for dual smokers of both tobacco cigarettes and electronic ones. Conclusion: As a result of this study, we identified the need to differentiate different types of smoking cessation counseling and education according to the types of smoking in adolescents.

Factors Associated With Smoking, Quit Attempts and Attitudes towards Total Smoking Bans at University: A Survey of Seven Universities in England, Wales and Northern ireland

  • Ansari, Walid El;Stock, Christiane
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.2
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    • pp.705-714
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    • 2012
  • Objectives: This study assessed the associations between socio-demographic, health and wellbeing variables (independent variables) and daily smoking, attempts to quit smoking, and agreement with smoking ban (dependent variables). Methods: Data from 3,706 undergraduate students were collected from seven universities in England, Wales, and Northern Ireland using a standardised questionnaire. Results: About 15.8% of the whole sample reported daily smoking, while 12% were occasional smokers. Smoking was significantly more prevalent among males, but the difference was due to a higher rate of occasional smokers. About every second smoker (55%) had attempted to quit smoking. Almost 45% of the whole sample agreed or strongly agreed with implementing a total smoking ban on campus. Daily smoking was more likely among students with not sufficient income, students whose fathers had at least a bachelor degree; and, students who reported binge drinking. Conversely, daily smoking was less likely among students who rated their health as very good/ excellent, those who ate ${\geq}5$ portions of fruit or vegetables, and those who had never taken illicit drugs. Previous attempt/s to quit smoking were more likely among students who have never taken illicit drugs and those who agreed with a total smoking ban; and less likely among those with not sufficient income. Daily smokers were less likely to report quit attempts as compared to occasional smokers. An agreement with smoking ban was more likely among students who rated their health as very good/excellent, those who ate ${\geq}5$ portions of fruit or vegetables daily, and those who had never taken illicit drugs, but less likely among daily smokers. Conclusion: Favourable health practices and positive attitudes towards smoking ban were associated with each other. Interventions would need to comprise multi-component programmes that do not solely focus on smoking prevention/cessation, but also on other health promoting practices as well.

The Effects of a Quit Smoking Program Using the Web and Short Message Service on Exhaled Carbon Monoxide, Self-efficacy and Depression according to Nicotine Dependency Level in Undergraduate Students (웹과 문자메시지를 활용한 대학생 금연프로그램이 니코틴 의존도 집단에 따라 호기 일산화탄소 농도, 자기효능감, 우울에 미치는 영향)

  • Lee, Hea Shoon;Song, Mi Ryeong
    • Journal of Korean Biological Nursing Science
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    • v.16 no.3
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    • pp.173-181
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    • 2014
  • Purpose: The purpose of this study was to analyze the effects of a quit smoking program using the Web and short message service on exhaled carbon monoxide, self-efficacy, and depression according to nicotine dependency level in undergraduate students. Methods: In this study a non-equivalent control group pretest-posttest design was applied. The participants included 90 students (52 in the low nicotine dependency group and 38 in the high nicotine dependency group) who succeeded in quitting smoking. Data were collected on 3 occasions, that is, before the program, immediately after the program, and 3 weeks after the program. Collected data were analyzed using independent t-test, repeated measure ANOVA, and paired t-test with SPSS 20.0. Results: Exhaled carbon monoxide was higher in the high nicotine dependency group than in the low nicotine dependency group. Self-efficacy significantly increased 3 weeks after the program in the low nicotine dependency group and significantly increased immediately after the program in the high nicotine dependency group. Depression significantly decreased 3 weeks after the program in the low nicotine dependency group. Conclusion: Self-efficacy may be enhanced when it is dealt with during an early phase of the quit smoking program for the high nicotine dependency group. Long-term intervention and persistent intervention are needed with regard to depression during a quit smoking program.

The Phenomenology of Quitting: Effects from Repetition and Cognitive Effort (중단의 현상학: 반복과 인지적 노력의 효과)

  • Lynn, Margaret T.;Riddle, Travis A.;Morsella, Ezequiel
    • Korean Journal of Cognitive Science
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    • v.23 no.1
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    • pp.25-46
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    • 2012
  • When performing a monotonous task, one often experiences an urge to quit. This urge may vary depending on how long one has performed the task (a temporal factor) and on which particular component of the task one is carrying out (an event-based factor). Using the Stroop task and a working memory task, we examined changes in the urge to quit as a function of basic temporal (repetition) and event-based (cognitive conflict) factors. Consistent with the law of least work and recent theorizing, for the memory task, urges to quit were greater following difficult trials; for the Stroop task, urges to quit were greater following incongruent than congruent trials, but only during early/novice phases of performance, when responding is inefficient. This is a demonstration of an avoidance response toward cognitive conflict. Regarding temporal sources of quitting, urges to quit were greater for late task stages than early stages. These basic findings may illuminate the nature of the more 'hot' motivational struggles involving the delay of gratification.

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Analysis for Influences of Individual Characteristics, Experience, Cognition, and Affect Relating to Smoking Quitting Behavior on Commitment to a Plan of and Practice for Smoking Quitting Behavior (금연과 관련된 개인의 특성, 경험, 그리고 인지·감정요인들이 금연행동 계획수립 및 실천에 미치는 영향 분석 -Pender의 개정된 건강증진 모형 적용-)

  • Oh, Hyun-Soo
    • Korean Journal of Adult Nursing
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    • v.13 no.2
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    • pp.277-290
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    • 2001
  • This study was conducted to examine if the revised HPM was appropriate to explain smoking quitting behavior. A convenience sample of 400 college students enrolled in the universities located in Seoul and Kyunggi-Inchon province was selected. According to the study results, smoking-specific cognitions and affect included in the study could significantly explain commitment to a plan to quit smoking which was one of the behavioral outcomes in the revised HPM. The study result showed that among predictors, smoking-related affect, perceived benefit of quitting smoking, and perceived self-efficacy significantly explained commitment to a plan to quit smoking, but perceived barriers and interpersonal influences did not. The model for smoking quitting behavior formulated with smoking-specific cognitions and affect was statistically significant and the model explained 48 percent of variance in smoking quitting behavior. More specifically, it was shown that among smoking-specific cognitions and affect, only smoking-related affect, interpersonal influences, and perceived self-efficacy were the significant predictors to explain smoking quitting behavior. Smoking-related affect was the most important variable to explain smoking quitting behavior, followed by perceived self-efficacy. However, the influence of commitment to a plan to quit smoking on smoking quitting behavior was not statistically significant. Lastly, the model for smoking quitting behavior formulated with individual characteristics and experiences could explain 13 percent of the variance in behavior to quit smoking. Although the model is statistically significant, only the number of quitting attempts had significant and direct influence on behavior to quit smoking, while the remaining variables did not.

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Hardcore Smoking in Three South-East Asian Countries: Results from the Global Adult Tobacco Survey

  • Kishore, Jugal;Jena, Pratap Kumar;Bandyopadhyay, Chandan;Swain, Monali;Das, Sagarika;Banerjee, Indrani
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.2
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    • pp.625-630
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    • 2013
  • Background: Hardcore smoking is represented by a subset of daily smokers with high nicotine dependence, inability to quit and unwillingness to quit. Estimating the related burden could help us in identifying a high risk population prone to tobacco induced diseases and improve cessation planning for them. This study assessed the prevalence and associated factors of hardcore smoking in three South-East Asian countries and discussed its implication for smoking cessation intervention in this region. Materials and Methods: Global Adult Tobacco Survey (GATS) data of India, Bangladesh and Thailand were analyzed to quantify the hardcore smoking prevalence in the region. On the basis of review, an operational definition of hardcore smoking was adopted that includes (1) current daily smoker, (2) no quit attempt in the past 12 months of survey or last quit attempt of less than 24 hours duration, (3) no intention to quit in next 12 months or not interested in quitting, (4) time to first smoke within 30 minutes of waking up, and (5) knowledge of smoking hazards. Logistic regression analysis was carried out using hardcore smoking status as response variable and gender, type of residence, occupation, education, wealth index and age-group as possible predictors. Results: There were 31.3 million hardcore smokers in the three Asian countries. The adult prevalence of hardcore smoking in these countries ranges between 3.1% in India to 6% in Thailand. These hardcore smokers constitute 18.3-29.7% of daily smokers. The logistic regression model indicated that age, gender, occupation and wealth index are the major predictors of hardcore smoking with varied influence across countries. Conclusions: Presence of a higher number of hardcore smoking populations in Asia is a major public health challenge for tobacco control and cancer prevention. There is need of intensive cessation interventions with due consideration of contextual predictors.

The relationship between job satisfaction and intention to quit of employees in F&B department of hotels by job type (직무 유형에 따른 특급호텔 조리ㆍ식음료 종사원의 직무만족도가 이직의사 견해에 미치는 영향 분석)

  • 양일선;명미선;이소정;이해영
    • Korean journal of food and cookery science
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    • v.20 no.2
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    • pp.151-157
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    • 2004
  • This study was designed firstly to measure the job satisfaction levels of F&B (Food & Beverage) personnel in hotels by using JDI (Job Descriptive Index) and secondly to identify the effects of job satisfaction on intention to quit by job type. Of 498 respondents, there were 245 employees in the back of the house (eBOH) and 253 in the front of the house (eFOH). From an analysis on job satisfaction, total JDI, score was 136.57${\pm}$11.48 out of a maximum 210 and the payroll (14.79 out of 21, 70.4%) facet of JDI was the highest job satisfaction followed by co-workers (36.07 out of 54, 66.8%), supervision (35.37 out of 54, 65.5%), promotion (17.45 out of 27, 64.6%) and work itself (32.86 out of 54, 60.8%). In comparison between the job satisfaction of eBOH and eFOH, eFOH perceived significantly higher than eBOH for job itself (p<.001) and total job satisfaction (p<.01). No facets of JDI were significant by job level, but work itself (p<.05), payroll (p<.05), supervision (p<.01) and promotion (p<.05) were significant by work section in eFOH,. In addition, no facets except work itself were significant by either job level or work section in eFOH. Finally, among job satisfaction facets, payroll had a negative effect on intention to quit whereas supervision had a positive effect on it in eBOH. On the other, work itself affected intention to quit positively but promotion affected it negatively. The findings confirmed the necessity for internal marketing focusing on the lower level of job satisfaction facets and indicated that such a focus would improve organizational effectiveness.

Effects of Smoking Cessation Programs in Public Health Centers on High School Smokers' Smoking Behavior and Attitude (보건소 금연교육 프로그램이 흡연 고등학생의 흡연행동과 태도에 미치는 영향)

  • Cha, Jae-Sool;Park, Chun-Man;Lee, Jong-Ryol
    • The Journal of Korean Society for School & Community Health Education
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    • v.11 no.2
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    • pp.43-55
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    • 2010
  • Objectives: Subjects of this study were technical high school students. It researched students' smoking status, smoking attitude, smoking perception and willingness to quit smoking, providing them with a five-day-smoking cessation program. Methods: Data collection proceeded from April to August 2008. The subjects were the whole number, 38 students, of 1EA technical high school located. The subjects who attended the smoking cessation program were the first and second grade students of the high school whom classroom teachers recommended. As to the subject, I comparatively analyzed differences between the before and after instruction, between after instruction and after consecutive consulting, and between before instruction and after consecutive consulting. The five-day-smoking cessation program took 2 successive hours a day for five days. Results: Average age for them to start smoking was 13.6 and to form smoking habits was 15.5. Average smoking period was 31.6 months and average smoking quantity was 11.2 cigarettes. As a result of the five-days smoking cessation program, 10.5% of the participants quit smoking and smoking quantity also significantly reduced. After instruction, willingness to quit smoking was generally higher than before. Smoking attitude, especially toward adolescent smoking, changed to be more negative than before. Perception of smoking also changed to be positive. Conclusions: The results from the comparative analysis of before and after instruction revealed a decrease on smoking quantity of the participants who attended the smoking cessation program. It also showed a significant change on smoking attitude, willingness to quit smoking and smoking perception.

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A Study on the Smoking Condition and Smoking Related Knowledge and Attitudes in White Color Workers (사업장 근로자의 흡연실태, 흡연지식 및 흡연태도에 관한 연구)

  • Park, In-hyae;Ryu, Hyun-sook;Cho, In-sook;Park, Young-ju
    • Korean Journal of Occupational Health Nursing
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    • v.14 no.1
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    • pp.24-33
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    • 2005
  • Purpose: This cross-sectional study was to find out smoking condition, smoking related knowledge and attitudes of white color workers to provide baseline data which were to develope smoking cessation programs. Methods: The subjects were 303 workers in G-city. Data were collected from July 1st to Aug. 31st 2003 by self-reported questionnaire. Data were analyzed by descriptive statistics, t-test, ANOVA, and Duncan's multiple comparison test, using SAS-pc 8.0 version. Results: Average age of the laborers was 32.3 years, and 50.7% of male were smoking currently, and 2.4% of female were so. Starting age of smokers was average 20.1 and smoking period was average 12.4 years. Majority of smokers smoked more than one pack of cigarettes in a day. Average points of nicotine dependency was 3.9 out of 10 and 12.5% were more than 7. Those who wanted to 'quit smoking very soon' and 'decided to quit smoking right now' were 29.1%. But those who got any helps and advices from professional experts in smoking cessation were 6.4%. 83.5% of the smokers had tried to quit smoking but failed due to their stress(44.6%), lack of will(36.6%) etc. Laborers knowledge related smoking score were average 11points out of 15, and attitudes were average 75.7points out of 125. Smokers showed significantly low knowledge(p=.012), and more allowing attitudes(p=.001). Conclusions: The smoking cessation programs for the workers should consist of stress management skills, and strengthened willingness. And should be run the program for those who want to 'quit smoking very soon' and 'decided to quit smoking right now' first of all.

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