Jung-Hyeon Kong; Yeongmi Ha

doi:10.4040/jkan.2013.43.4.557

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Original Article
Effects of a Smoking Cessation Program including Telephone Counseling and Text Messaging using Stages of Change for Outpatients after a Myocardial Infarction: Jung-Hyeon Kong, Yeongmi Ha; Journal of Korean Academy of Nursing 2013;43(4):557-567.
DOI: https://doi.org/10.4040/jkan.2013.43.4.557
Published online: August 30, 2013

¹Department of Nursing, Cheongam College, Suncheon, Korea.

²College of Nursing · Institute of Health Sciences, Gyeongsang National University, Jinju, Korea.

Address reprint requests to: Ha, Yeongmi. College of Nursing & Institute of Health Sciences, Gyeongsang National University, 816-15 beon-gil Jinju-daero, Jinju 660-987, Korea. Tel: +82-55-772-8253, Fax: +82-55-772-8222, yha@gnu.ac.kr

• Received: May 1, 2013 • Accepted: July 29, 2013

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Abstract
REFERENCES

Abstract

Purpose
This study was done to identify effects of a smoking cessation program including telephone counseling and text messaging using stages of change for outpatients who have had a myocardial infarction (MI).
Methods
This research was a quasi-experimental design with a nonequivalent control group pretest-posttest. The participants were 48 outpatients (experimental group=24, control group=24) recruited from one university hospital. They were randomly assigned to one of two groups: (a) an experimental group with telephone counseling (once a week) and text messaging (five times a week) using stages of change, and (b) a control group with traditional telephone counseling (once a month). Efficacy of the intervention was measured by comparing the two groups on smoking-related variables at 3 weeks and 12 weeks.
Results
At the 3-week and 12-week measurements, there were significant differences between the experimental and control groups on smoking cessation self-efficacy (p<.001), nicotine dependence (p<.001), CO levels (p<.001), and smoking cessation rates (p<.001).
Conclusion
The results indicate that the smoking cessation program including telephone counseling and text messaging using stages of change is effective for outpatients after a MI. Further attention should be paid to the intensity of the smoking cessation program and periods for long-term follow-up.
Keywords: Smoking cessation; Counseling; Text messaging; Myocardial infarction

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Table 1

Intervention Principle of Stage-matched Smoking Cessation Program using Telephone Counseling and Text Messaging

Table 2

Homogeneity Test of General Characteristics of the Participants

Exp.=Experimental group; Cont.=Control group.

^*χ² with Fishers' exact test.

Table 3

Homogeneity Test of the Smoking-related Characteristics of the Participants

Exp.=Experimental group; Cont.=Control group; CO=Carbon monoxide.

^*χ² with Fishers' exact test.

Table 4

Mean Scores of Smoking Cessation Self-efficacy and Nicotine Dependence between the Two Groups at 3 Weeks and 12 Weeks

Exp.=Experimental group; Cont.=Control group.

Table 5

CO Levels and Smoking Cessation Rate between the Two Groups at 3 Weeks and 12 Weeks

CO=Carbon monoxide; Exp.=Experimental group; Cont.=Control group.

Figure & Data

REFERENCES

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Effects of a Smoking Cessation Program including Telephone Counseling and Text Messaging using Stages of Change for Outpatients after a Myocardial Infarction

J Korean Acad Nurs. 2013;43(4):557-567. Published online August 30, 2013

DOI: https://doi.org/10.4040/jkan.2013.43.4.557

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Effects of a Smoking Cessation Program including Telephone Counseling and Text Messaging using Stages of Change for Outpatients after a Myocardial Infarction

Table 1

Intervention Principle of Stage-matched Smoking Cessation Program using Telephone Counseling and Text Messaging

Table 2

Homogeneity Test of General Characteristics of the Participants

Exp.=Experimental group; Cont.=Control group.

^*χ² with Fishers' exact test.

Table 3

Homogeneity Test of the Smoking-related Characteristics of the Participants

Exp.=Experimental group; Cont.=Control group; CO=Carbon monoxide.

^*χ² with Fishers' exact test.

Table 4

Mean Scores of Smoking Cessation Self-efficacy and Nicotine Dependence between the Two Groups at 3 Weeks and 12 Weeks

Exp.=Experimental group; Cont.=Control group.

Table 5

CO Levels and Smoking Cessation Rate between the Two Groups at 3 Weeks and 12 Weeks

CO=Carbon monoxide; Exp.=Experimental group; Cont.=Control group.

Table 1 Intervention Principle of Stage-matched Smoking Cessation Program using Telephone Counseling and Text Messaging

Table 2 Homogeneity Test of General Characteristics of the Participants

Exp.=Experimental group; Cont.=Control group.

^*χ² with Fishers' exact test.

Table 3 Homogeneity Test of the Smoking-related Characteristics of the Participants

Exp.=Experimental group; Cont.=Control group; CO=Carbon monoxide.

^*χ² with Fishers' exact test.

Table 4 Mean Scores of Smoking Cessation Self-efficacy and Nicotine Dependence between the Two Groups at 3 Weeks and 12 Weeks

Exp.=Experimental group; Cont.=Control group.

Table 5 CO Levels and Smoking Cessation Rate between the Two Groups at 3 Weeks and 12 Weeks