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Original Articles
The Effects of Prevention Programs on Drug Use in Korean Adolescents
Sayaja Kim, Sunah Kim, Sung Suk Kong, Myung Ah Kim, Mia Seo
Journal of Korean Academy of Nursing 1999;29(1):150-160.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.1.150
AbstractAbstract PDF

BACKGROUND AND PURPOSE: Drug abuse is one of the most serious problems among the Korean adolescents today and has been associated with delinquent behavior in adolescents. The number of adolescents who abuse drugs is increasing yearly. Solutions to the problem, however, have not been well developed. The purpose of this study was to determine the effectiveness of a drug use prevention program which was developed by researchers. The program was a modified DARE(Drug Abuse Resistance Education) program for Korean adolescents. MEHTODS: This study used an experimental, one-group pretest-posttest design with a convenience sample of 122 middle school students who were at one middle school located in Seoul. Data were collected using a self-administered questionnaire where 'knowledge and attitude about drug use', 'social skill', and 'self-esteem' were measured. The program had 12 sessions to improve knowledge and attitudes towards drugs, decision making skills, social resistance skills, management of stress and self-esteem of students. Teaching strategies for each session were varied : lectures, group discussion, role-playing, question-and-answer sessions and audiovisual materials. Paired t-test was used to analyze the differences between the pre- and post-test scores on knowledge of and attitudes towards drug use, social skills, and self-esteem. RESULTS: There were significant differences in knowledge and attitudes about drug use between pretest and post-test(p<.05), but no significant differences in social skill and self-esteem(p>.05). CONCLUSION: Our results showed that the drug use prevention program was not effective in promoting social-skill and self-esteem of Korean adolescents. These findings might be due to the respondents being in the period of early adolescence(puberty) and not being good at group discussion. So, further study is needed to develop a drug use prevention program appropriate to students 9 and 10 years old, and to encourage small group discussion.

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Effectiveness of a Smoking Cessation Program for Adolescents
Soyaja Kim, Kyoung Ah Nam, Mia Seo, Hyun Hwa Lee
Journal of Korean Academy of Nursing 2004;34(4):646-654.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.4.646
AbstractAbstract
Purpose

The purpose of this study was to test the effectiveness of a comprehensive smoking cessation program for Korean adolescents.

Method

The study design was quasi-experimental with one pre and three post-tests. The three posttests were done immediately after, three months later, and six months after the completion of the program. A total of 43 high school students who smoked participated in the study with 22 in the experimental group and 21 in the control group. The smoking cessation program consisted of 9 sessions with content on enhancement of self-efficacy, stress management, correction of distorted thoughts, consciousness raising, and assertiveness training. The study variables were urine cotinine levels, self-efficacy, stress, and stages of changed behavior.

Results

Urine cotinine levels significantly decreased in the experimental group after the program (F=3.02, p=.06) but significantly increased in the control group (F=6.32, p=.004). Self-efficacy and the degree of stress did not change in either group. The stages of smoking cessation behavior tended to change when compared with raw data for the experimental group. For most participants, the stages of change had been precontemplation and contemplation, but changed to action and maintenance stage among the experimental group.

Conclusion

The program was effective in smoking cessation and influencing stages of change but did not change psychosocial factors such as self-efficacy and stress. It is suggested a program should be developed to change psychosocial variables on a long-term basis. It is also desirable to involve peers and families of adolescents who smoke when planning programs to enhance social support.

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Rehabilitation for Homeless Adolescent Substance Abusers at a Halfway House in Korea
Myungsun Hyun, Mia Seo
Journal of Korean Academy of Nursing 2003;33(8):1161-1170.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.8.1161
AbstractAbstract PDF
Purpose

The purpose of this study was to examine the effects of a rehabilitation program on hope and self-efficacy in a sample of homeless adolescent substance abusers at a halfway house in Seoul, Korea.

Methods

Five residents of a halfway house were provided with a 16-week rehabilitation program based on a cognitive-behavioral approach. To evaluate the effectiveness of the program, this study used a single-case experimental design with the variables - hope and self-efficacy - being measured at pre-, post-, and follow-up tests.

Results

While three participants showed considerable positive changes in hope and self-efficacy after the program, two participants did not show any positive changes. Despite this lack of consistent patterns in the effectiveness of the rehabilitation program, there was a qualitative change in social status (such as academic and work status) for the participants at the follow-up test.

Conclusion

A rehabilitation program based on a cognitive-behavioral approach may improve the hope and self-efficacy of homeless adolescent substance abusers at a halfway house and help them to reintegrate into society.

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