• Title/Summary/Keyword: Smoking cessation intervention

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Multiple Approaches and Participation Rate for a Community Based Smoking Cessation Intervention Trial in Rural Kerala, India

  • Jayakrishnan, Radhakrishnan;Mathew, Aleyamma;Uutela, Antti;Auvinen, Anssi;Sebastian, Paul
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.5
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    • pp.2891-2896
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    • 2013
  • Background: To illustrate multiple approaches and to assess participation rates adopted for a community based smoking cessation intervention programme in rural Kerala. Materials and Methods: Resident males in the age group 18-60 years who were 'current daily smokers' from 4 randomly allocated community development blocks of rural Thiruvananthapuram district, Kerala (2 intervention and 2 control groups) were selected. Smoking status was assessed through house-to-house survey using trained volunteers. Multiple approaches included awareness on tobacco hazards during baseline survey and distribution of multicolour anti-tobacco leaflets for intervention and control groups. Further, the intervention group received a tobacco cessation booklet and four sessions of counselling which included a one-time group counselling cum medical camp, followed by proactive counselling through face-to-face (FTF) interview and mobile phone. In the second and fourth session, motivational counselling was conducted. Results: Among 928 smokers identified, smokers in intervention and control groups numbered 474 (mean age: 44.6 years, SD: 9.66 years) and 454 respectively (44.5 years, SD: 10.30 years). Among the 474 subjects, 75 (16%) had attended the group counselling cum medical camp after completion of baseline survey in the intervention group, Among the remaining subjects (n=399), 88% were contacted through FTF and mobile phone (8.5%). In the second session (4-6 weeks time period), the response rate for individual counselling was 94% (78% through FTF and 16% through mobile phone). At 3 months, 70.4% were contacted by their mobile phone and further, 19.6% through FTF (total 90%) while at 6 months (fourth session), the response rate was 74% and 16.4% for FTF and mobile phone respectively, covering 90.4% of the total subjects. Overall, in the intervention group, 97.4% of subjects were being contacted at least once and individual counselling given. Conclusion: Proactive community centred intervention programmes using multiple approaches were found to be successful to increase the participation rate for intervention.

Effects of a Strength Based I-Change Smoking Cessation Program for Smoking Middle School Boys (강점기반 I-Change 금연프로그램이 흡연남자중학생의 금연에 미치는 효과)

  • Kim, Jung Hee;Choi, Yeon Hee
    • 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.

Influence of State of Smoking, Smoking Beliefs and Smoking Cessation Self-efficacy in the Nursing College Students (간호대학생의 흡연실태와 흡연신념이 금연자기효능감에 미치는 영향)

  • Kwon, Youn-Suk
    • Health Communication
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    • v.13 no.2
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    • pp.117-124
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    • 2018
  • Purpose: This descriptive research study was influence of state of smoking, smoking beliefs and smoking cessation self-efficacy(SCSE) in a nursing college students. Survey design was adopted for 137 nursing college students in Gyeongbuk. Methods: Data were gathered from April 30 to May 14, 2018. Analyzed for descriptive statistics, independent t-test, ANOVA, Pearson correlation, and multiple regression. Results: There was a significant negative correlation between smoking belief and SCSE. The significant factors influencing SCSE were daily average amount of smoking, smoking motivation, and smoking beliefs. This model explained 58.2% of variance in SCSE. Conclusion: The results suggest that an intervention program is needed to reduce negative decreasing smoking beliefs and improving smoking attitudes in the nursing college students.

Effectiveness of Video- and Discussion-based Smoking Cessation Intervention for Adolescents (시청각 교육과 토론을 통합한 청소년 금연교육 프로그램의 효과 평가)

  • Choi, Ji-Hye;Kim, Myung;Choi, Eun-Jin;Kim, Hye-Kyeong
    • Korean Journal of Health Education and Promotion
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    • v.20 no.3
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    • pp.19-35
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    • 2003
  • The purpose of this study is to examine the effectiveness of video-and discussion-based smoking cessation intervention for adolescents. And this study is intended to provide a basic database for the development of health education, to serve health promotion for adolescent. The subjects were 472 high school students in K yungkido. The data was collected from September 23th to October 31 st, 2002. The data was collected by the measurement of knowledge, attitude, and intention toward smoking. Pre-research was conducted before smoking cessation education and post-research was performed twice, immediately after the education and 4 weeks later. Collected data was analyzed by using the SPSS 10.0 which is a computational statistical program. The results of this study are as follows: 1. Total knowledge points in smoking cessation program-based group are higher than any other groups and the statistical difference is significant. 2. The students' attitude points in experimental groups are higher than that of the control group and the statistical difference is significant. However, the meaningful statistical difference disappeared after 4 weeks. 3. The non-smoking students' intention points do not show any significant difference. And the smoking students' intention points in experimental groups are higher than that of the control group but the statistical difference is insignificant. 4. There are correlations among knowledge, attitude and intention toward smoking: knowledge and attitude are negatively correlated, knowledge and intention are positively correlated for non-smoking students, and for smoking students, attitude and intention have a negative correlation.

A Phenomenological Study on Experiences of Smoking Cessation Attempts by Male Smokers' (남성 흡연자의 금연시도 경험에 관한 현상학적 연구)

  • Shin, Jeong-Soon;Yeo, Hyeong-Nam
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.11
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    • pp.170-180
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    • 2019
  • The aim of this study was to understand the nature and semantic structure of male smokers' experience of smoking cessation attempts. The participants were nine male smokers with at least one smoking cessation attempt, and who responded voluntarily to the preliminary survey. Data collection was conducted from September to December 2017, and the results of individual in-depth interview were analyzed by applying the Giorgi(2009)'s phenomenological research method. Result: 'Attempt's of smoking cessation', 'Several failed attempts of smoking cessation', 'Desperate need for help' and 'An important factor in the success of smoking cessation'. Conclusion: The present study showed that male smokers were desperate for outside intervention, smoking cessation policies, and help from family members and acquaintances as they tried to cease smoking. Therefore, it is necessary to have a comprehensive understanding of smoking men's experience in smoking cessation, to identify their nursing needs, and provide necessary nursing intervention so that they can lead a healthy life as a member of society without giving up smoking. This study is meaningful in that smoking men can gain new insights by providing a comprehensive and comprehensive understanding of their experience

Features Related to Smoking and Psychological Characteristics of Coronary Artery Patients Associated with the Stage of Change in Smoking Cessation (금연변화단계에 따른 관상동맥질환자들의 흡연관련 특성과 심리적 특성)

  • Kim, Hwa Soon
    • Korean Journal of Adult Nursing
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    • v.17 no.4
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    • pp.592-601
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    • 2005
  • Purpose: The purpose of this study was to investigate differences in smoking related characteristics and psychological features of coronary artery patients by the stages of change in smoking cessation behaviors. Method: Subjects for this survey were 97 patients who were smoking when doctors diagnosed them to have coronary artery diseases. Result: Subjects were distributed 21.6% in precontemplation stage, 24.7% in contemplation stage, 17.5% in preparation stage, 19.6% in action stage, and 16.5% in maintenance stage respectively. The numbers of previous attempts to quit smoking of subjects in precontemplation stage(mean=3.00, SD=3.71) and contemplation stage(mean=2.63, SD=2.32) were significantly lower than that of subjects in preparation stage(mean=5.82, SD=6.20). Benefit scores of subjects in maintenance stage were significantly greater than those of subjects in precontemplation stage. Self-efficacy, barriers, seriousness, and nicotine dependency were not significantly different by the stages of change. Number of signs and symptoms related to smoking which subjects were experiencing were not significant by the stages of change too. Conclusion: Future intervention programs for smoking cessation should be focused on the strategies to enhance the realization of health benefits that patients might acquire from smoking cessation.

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The Effect of a Multi-component Smoking Cessation Program on Bone Union in Adult Patients with Fracture (다요소 금연 프로그램이 성인골절 환자의 금연 및 골유합에 미치는 효과 분석)

  • Kim, In Sook;Lee, Hanju;Lee, Seon Heui
    • Journal of muscle and joint health
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    • v.27 no.1
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    • pp.31-40
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    • 2020
  • Purpose: This study was done to examine the effect of a multi-component cessation program on bone union by comparing the union time between the experimental group and the control group. Methods: A non-equivalent control group posttest design was used. The subjects were 33 patients in the experimental group and 33 patients in the control group, 66 patients in total. The subjects of the experimental group were provided with a face-to-face multi-component smoking cessation program. After the discharge, telephone consultation was provided once a week for 10 weeks. Results: Bone union time was 51.6±10.9 days in the experimental group and 60.9±13.83 days in the control group (p=.003). Among 33 subjects who participated in the smoking cessation program, the average union period of the participants who succeeded in quitting smoking was 44.56 days, the participants who reduced smoking were 50.67 days, and failed to quit smoking group was 60.11 days (p=.006). Conclusion: This study indicated the importance of smoking cessation in patients with fracture and the decrease in the union time by providing smoking cessation education. If the multi-component smoking cessation program is used as a nursing intervention in clinical practice, it will be effective for bone union by increasing the smoking cessation rate of patients with fracture.

The Effects of the Smoking Cessation Program of Life Skill Training Using Flipped Learning for Middle School Male Students (남자중학생 대상 플립드러닝 적용 생활기술훈련 금연 프로그램의 효과)

  • Seo, Eun Hee;Choi, Eun Suk
    • Research in Community and Public Health Nursing
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    • v.32 no.3
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    • pp.268-280
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    • 2021
  • Purpose: The study is examined the effects of the smoking cessation program of life skills training using flipped learning for male middle school students. Methods: The study was a nonequivalent control group non-synchronized design. The Smoking Cessation Program of life skills training using flipped learning is a Smoking Cessation Program that applied 5 stages of flipped learning such as before class, introductory class, during class, after class, and during work. Participants were 32 male students attending a middle school in D city, with 16 in the control group and 16 in the experiment group. Data collection was conducted from February 26, 2019 to May 14, 2019 for the control group, and from May 28, 2019 to August 19, 2019 for the experiment group. The collected smoking knowledge, smoking attitude, self-efficacy, basic psychological needs, and urine cotinine were analyzed by x2 test, independent t-test, two-way repeated measured ANOVA, and Fishers exact test using the SPSS 25.0 program. Results: The experimental group showed higher smoking knowledge, smoking attitude, self-efficacy, basic psychological need, and urine cotinine negative response than the control group, and there were significant differences. Conclusion: These findings indicate that the Smoking Cessation Program of life skill training using flipped learning is an effective intervention for cessation of middle school male students, and it has a positive effect on the increase in urine cotinine, and a physiological indicator of the cessation effect, and is effective in the success of smoking cessation.

Effectiveness of a Motivational Interviewing Smoking Cessation Program on Cessation Change in Adolescents (동기면담 금연 프로그램이 청소년의 금연에 미치는 효과)

  • Ha, Young-Sun;Choi, Yeon-Hee
    • Journal of Korean Academy of Nursing
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    • v.42 no.1
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    • pp.19-27
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    • 2012
  • Purpose: This study examined the effectiveness of an Adolescent Motivational Interviewing Cessation program on smoking cessation change. The study was done with a nonequivalent control group pretest-posttest design. Methods: The participants were 39 high school students from G city, who were in school from September 1 to October 30, 2009. The students were assigned to the experimental group (20) and participated in the motivational interviewing cessation program or to the control group (19) who did not participate. Data analyses involved ${\chi}^2$-test, independent t-test, Repeated Measures ANOVA, and utilized the SPSS program. Results: The experimental group had significantly less daily smoking, nicotine dependence and smoking temptation in comparison to the control group. The experimental group had significantly higher stage of change in comparison to the control group. Conclusion: The results of the study indicate that a motivational interviewing cessation program delivered to adolescents who smoke is an effective method of encouraging cessation, and can be utilized as an effective nursing intervention for adolescents who smoke.

Effectiveness of a Social Marketing Mix Intervention on Changing the Smoking Behavior of Santri in Traditional Islamic Boarding Schools in Indonesia

  • Ismail, Ismail;Teuku, Tahlil;Nursalam, Nursalam;Zurnila Marli, Kesuma;Syarifah Rauzhatul, Jannah;Hajjul, Kamil;Fithria, Fithria;Kintoko, Rochadi
    • Journal of Preventive Medicine and Public Health
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    • v.55 no.6
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    • pp.586-594
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    • 2022
  • Objectives: This study investigated the effectiveness of the social marketing mix approach in increasing students' knowledge about smoking, promoting positive attitudes toward smoking cessation, and decreasing smoking behavior. Methods: This quantitative research study incorporated a quasi-experimental method with a pretest-posttest non-equivalent group design. Using the purposive sampling technique, 152 smoking students were selected as participants. They were divided into 2 equal groups, with 76 students in the control group and 76 in the intervention group. The data were collected using questionnaires and analyzed with the chi-square test, independent t-test, Wilcoxon signed-rank test, and Mann-Whitney U-test. Results: The social marketing mix intervention was effective in increasing the students' knowledge about smoking (p<0.001), improving their attitude toward smoking cessation (p<0.001), and reducing their smoking behavior (p=0.014). Conclusions: This approach should be implemented by local governments to reduce smoking behavior in the community, especially among teenagers, in addition to instituting a smoking ban and applying fines.