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

Kim, Yun Hee; Kim, Jung Soon; Kim, Myoung Soo

doi:10.4040/jkan.2009.39.4.469

J Korean Acad Nurs. 2009 Aug;39(4):469-479. Korean.
Published online Aug 31, 2009.
https://doi.org/10.4040/jkan.2009.39.4.469

Original Article

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

Yun Hee Kim,¹ Jung Soon Kim,² and Myoung Soo Kim³

Author information

Author notes

Copyright and License

- ¹Public Health Nurse, Health Promotion Division, Busan Metropolitan City, Busan, Korea.
- ²Professor, College of Nursing, Pusan National University, Busan, Korea.
- ³Assistant Professor, Department of Nursing, Ulsan College, Ulsan, Korea.
Address reprint requests to: Kim, Myoung Soo. Department of Nursing, Ulsan College, San 160-1 Hwajeong-dong, Dong-gu, Ulsan 682-715, Korea. Tel: 82-52-230-0737, Fax: 82-52-230-0730, Email: kanosa@hanmail.net

Received February 12, 2009; Accepted July 08, 2009.

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, χ²-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 (χ²=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.

Keywords

Smoking cessation; Counseling

Tables

Table 1
Comparison of National Smoking Cessation Program and Smoking Cessation Counseling Program using Transtheoretical Model

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Table 2
Homogeneity Test for Smoking related Characteristics between the Two Groups

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Table 3
Homogeneity Test for Process of Change, Situational Temptation and Decisional Balance between the Two Groups

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Table 4
Post-test Score between the Two Groups for Process of Change, Situational Temptation, Decisional Balance and Achievement of Smoking Cessation during 6 weeks

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Notes

This article is based on a part of the first author's doctoral thesis from Pusan National University.

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