J Korean Acad Nurs.  2009 Aug;39(4):469-479. 10.4040/jkan.2009.39.4.469.

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

Affiliations
  • 1Health Promotion Division, Busan Metropolitan City, Busan, Korea.
  • 2College of Nursing, Pusan National University, Busan, Korea.
  • 3Department of Nursing, Ulsan College, Ulsan, Korea. kanosa@hanmail.net

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-square-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-squre=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.

Keyword

Smoking cessation; Counseling

MeSH Terms

Adult
Aged
Community Health Centers
*Counseling
Demography
Female
Humans
Male
Middle Aged
Models, Psychological
Program Evaluation
Questionnaires
Smoking Cessation/methods/*psychology
Tobacco Use Disorder/psychology

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