• 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.

• Journal of Preventive Medicine and Public Health
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• v.39 no.4
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• pp.339-345
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• 2006

Objectives: This study (a) investigated the rate of smoking cessation sucess for current male smokers, and (b) identified the factors that are associated with the smoking cessation success. Methods: Data were collected from four follow-up surveys of 700 current male smokers. The follow-up period was from December 2004 to June 2005. Success of smoking cessation was defined as "maintaining a smoking cessation status for six months". The demographic and socioeconomic factors included age, the household income level and, occupation. The smoking behavioral factors were composed of the amount of smoking, the duration of smoking, the age of initiating smoking, the willingness to quit, the frequency of trying to quit smoking and the smoker's attitude toward the anti-smoking policies. Results: The proportion of quitters increased from 6.6% to 11.0% during the follow-up period. The majority of quitters answered that the increase of tobacco price acted as cue to achieve smoking cessation. The age-standardized experience and success rate of smoking cessation were 16.0% (95% C.I.=13.0% to, 19.0%) and 4.5% (95% C.I.=3.0% to, 6.0%), respectively. On the multivariate analysis, success for smoking cessation was associated with the willingness to quit smoking, low prior tobacco consumption, and agreement on the tobacco price increase. Conclusions: The results of this study suggest that the recent anti-smoking policies provided an opportunity to quit smoking. The results of this study can be used to establish evidence for further anti-smoking policies.

• Journal of Korean Academy of Nursing
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• v.47 no.2
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• pp.164-177
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• 2017

Purpose: This study was done to develop a strength based I-change smoking cessation program for middle school boys and identified its effects. Methods: The study design was a nonequivalent control group pre-post test design. The participants were 97 middle school students from D city, who were in school from April 6 to September 25, 2015. The experimental group participated in the strength based I-change smoking cessation program, while the comparative group participated in a general smoking cessation program. The control group did not participate in any program. Data analyses involved $x^2$-test, Fishers' exact test, Bonferroni test, and Repeated measures ANOVA, with the IBM SPSS for Windows (version 20.0) program. Results: Compared to the comparison and control groups, the experimental group showed significant improvement in knowledge, attitude, self-efficacy, behavior change. Also cotinine in urine and modeling of social influence in the experimental group significantly decreased after the strength based I-change smoking cessation program. Conclusion: These findings indicate that the strength based I-change smoking cessation program is an effective intervention for middle school boys who smoke. The findings suggest that such programs can be used at public health centers or through school health education to decrease smoking in adolescents.

• Journal of the Korean Society of School Health
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• v.26 no.2
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• pp.93-103
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• 2013

Purpose: This study was to explore the differences of Korean and Chinese university students for developing smoking cessation program. Methods: The Data was collected from 120 Korean, 103 Chinese undergraduate students by using structured questionnaire from 1st April to 31st July, 2012. Results: The necessity of smoking cessation training was found that there were differences between two groups, showing that 60% of Korean university students and 35% of Chinese university studying in Korea were award of the necessity. For the score of smoking knowledge, there were significant differences between two groups, showing 13.60 from Korean students and 14.63 from Chinese students, but there were no differences towards Smoking attitude, self-efficacy related to smoking cessation, and Nicotine dependency. On the other hand, there were no significant differences toward demand of overall smoking cessation training between Korean and Chinese students, showing 43.4 and 45.1 scores in each group. Conclusion: The results of this study would be helpful to develop smoking cessation programs and health promotion strategies for both Korean and Chinese university students.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.13 no.2
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• pp.294-303
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• 2006

Purpose: To describe nurses' attitude to smoking cessation interventions and importance of participation in tobacco control policy. Method: The participants were 841 nurses practicing in hospitals of 400 beds or more and 103 members of a professional nurse's academic society. The hospitals were systematically selected to cover the whole country. The questionnaire was adopted from the 'Oncology Nurses' Tobacco Control Survey' and used after translation, Results: Nurses who were older, married, had higher positions, more education, more experience, and who worked in an OPD setting had higher mean score for attitude to the involvement of nurses in smoking cessation interventions. More than 80% of nurses agreed on the importance of nurses' participation and involvement in tobacco control policy. However, only 65.4% of nurses stated that supporting laws to increase cigarette price was important. Conclusion: Clinical nurses' attitudes to smoking cessation interventions were positive and participants supported the importance of participation in tobacco control policies.

• Child Health Nursing Research
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• v.7 no.3
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• pp.371-382
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• 2001

This study was conducted to investigate correlation theory of planned behavior, self efficacy and health locus of control about smoking cessation behavior for university student. We sampled 204 university student smokers using questionnaires and analyzed the data using Pearson correlation coefficient. The results of this study were as follows : 1. There were significant positive correlation between theory of planned behavior(intention : r=.215, p=.005, attitude : r=.160, p=.025, perceived behavior control : r=.298, p=.000) and self efficacy. 2. There were significant positive correlation between theory of planned behavior(attitude : r=.228, p=.002) and internal health locus of control. There were significant positive correlation between theory of planned behavior(attitude : r=.203, p=.004, subjective norm : r=.141, p=.047) and external health locus of control. There were significant negative correlation between theory of planned behavior(perceived behavior control : r=-.152, p=.034) and accidental health locus of control. This study has shown a correlation between theory of planned behavior and self efficacy and health locus of control. As a result of these findings, I suggest to develop the intervention program for smoking cessation.

• Journal of Korean Public Health Nursing
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• v.33 no.3
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• pp.354-363
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• 2019

Purpose: This study was undertaken to identify factors related to quit-smoking intention based on the planned behavior theory among out-of-school youths. Methods: This study was a quantitative research, data were collected during Nov. 1. 2018 to Feb. 28, 2019, study subjects were 189 out-of-school youths in Youth support Center located in A, B, C area city. The data were analyzed using independent sample t-test and one-way ANOVA, Pearson's correlation coefficient, and multiple linear regression. Results: There was a significant differences of quit smoking intention according to age, weekly allowance, participate of antismoking program. There were positive correlations between quit smoking intention and attitude to non-smoking and perceived behavior control. In smoking cessation intention influenced by predictive variable, age, weekly allowance, attitude to non-smoking, and perceived behavior control explain 26.8% smoking cessation intention. Conclusion: We believe that findings from this study will help to develop the specific smoking cessation education program for out-of-school youth's health behaviors.

• Korean Journal of Adult Nursing
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• v.22 no.6
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• pp.582-593
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• 2010

Purpose: Health care professionals represent an immediately available resource to promote smoking cessation. However, the content in smoking cessation intervention courses in most institutions is insufficiently covered due to the limited number of class hours. The purpose of this study was to develop a comprehensive tobacco cessation-web-based, multimedia, educational program for a range of medical professionals. Methods: Based on Jung's Teaching and Learning Structure Plan Model, a development process was proposed comprising four stages: (1) analysis, (2) planning, (3) production, and (4) operation/evaluation. The effectiveness of the program was tested using quasi-experimental design, and the participants in experimental group were required to complete the program. Changes in the level of knowledge and attitude were measured. Results: The educational program developed includes nine topics and 26 sub-topics. A total of 180 storyboards, 15 videos, and 27 pictures were made. After the education, the level of knowledge was significantly increased in the experimental group. Conclusion: This web-based program can be recommended as a potential medium for health care professionals to use in counseling smoking cessation. The study findings also indicated that the program may be either offered as a teaching aid or utilized concurrently with lectures for students studying health care-related topics.

• Korean Journal of Health Education and Promotion
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• v.26 no.2
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• pp.49-61
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• 2009

Objectives: The purpose of the study was to test the applicability of the Theory of Planned Behavior(TPB) to Korean adult smokers in order to obtain an enhanced understanding of their smoking-cessation intention and to establish strategies for effective smoking-cessation interventions at the community clinic. Methods: The data came from a survey that was conducted on adult male smokers who visited the smoking-cessation clinic at H community clinic in Korea from January to November in 2006 (N=434). Included in the survey were questions asking core variables and salient belief variables dictated by TPB. A structural equation model was established using TPB and data were analyzed to examine the applicability of the theory to the understanding of the structure of variables leading to intention. Results: The analysis of the structural model revealed that the study model was statistically significant(p<.001), suggesting the high validity of TPB in explaining the structure of the data. Among the relationships in the model, negative behavioral beliefs were not significant(p>.05), and negative control beliefs and subjective norm were significant(p<.05) but not as highly as other variables in the model(p<.001). Conclusion: TPB was useful in understanding smoking-cessation intention of smokers who visited community clinic to stop smoking. More specific strategies for counseling and education need to be developed to enhance attitude and perceived behavioral control (self-efficacy) toward smoking-cessation intention, such as emphasizing health benefits of quitting smoking, and eliciting values and life principles that can help increase the intention to stop smoking.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.1
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• pp.333-338
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• 2015

Background: Oral health professionals are responsible in Iran for providing a brief tobacco cessation program to smoker patients. The aim of this study was to assess Iranian dental student and dentist practice, knowledge and attitudes toward smoking cessation programs. Materials and Methods: A valid and reliable self-administered questionnaire was designed and distributed to 150 dentists working in Isfahan-Iran and 60 dental students. Some questions were developed based on the expected 5A tobacco cessation protocol. Statements on attitudes focused on professional responsibility towards smoking cessation and its effectiveness. Chi-square, ANOVA, and t test were used for statistical analysis. Results: The cessation program in dental settings covers a small group of patients (18%). Some 69.1% (n=96) of dentists reported asking their patients about tobacco use, 64% (n=83) advising their patients to quit, 33.8% (n=47) assessing their patients willingness to quit and 20% (n=28) reported helping their patients in changing their behavior. A far lower percentage reported active involvement in arranging assistance for smokers to quit (4.3%, n=5). Some 22% of students and 26% of dentists disagreed that the tobacco cessation programs should be as part of dentists' professional responsibility and 70% of them were willing to follow the protocol of tobacco cessation for patients. Conclusions: Iranian dentist performance regarding tobacco cessation is weak. Dentists and students indicated their lack of knowledge as the major reason for non-adherence to the protocol. Therefore, planning to encourage dentist to follow the protocol needs continuous educational programs.