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Original Article
Effectiveness of Public Health Center Smoking Cessation Counseling Program using the Transtheoretical Model
Yun Hee Kim, Jung Soon Kim, Myoung Soo Kim
Journal of Korean Academy of Nursing 2009;39(4):469-479.
DOI: https://doi.org/10.4040/jkan.2009.39.4.469
Published online: August 31, 2009

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, kanosa@hanmail.net
• Received: February 12, 2009   • Accepted: July 8, 2009

Copyright © 2009 Korean Society of Nursing Science

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  • 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.
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Table 1
Comparison of National Smoking Cessation Program and Smoking Cessation Counseling Program using Transtheoretical Model
jkan-39-469-i001.jpg

CH=completing handout; CCD=check counseling documentation; VOD=video on demand; PI=presentation of impressions.

Table 2
Homogeneity Test for Smoking related Characteristics between the Two Groups
jkan-39-469-i002.jpg

Exp.=experimental group; Con.=control group.

Table 3
Homogeneity Test for Process of Change, Situational Temptation and Decisional Balance between the Two Groups
jkan-39-469-i003.jpg

Exp.=experimental group; Con.=control group.

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
jkan-39-469-i004.jpg

*ANCOVA. Exp.=experimental group; Con.=control group.

Figure & Data

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        Effectiveness of Public Health Center Smoking Cessation Counseling Program using the Transtheoretical Model
        J Korean Acad Nurs. 2009;39(4):469-479.   Published online August 31, 2009
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      Effectiveness of Public Health Center Smoking Cessation Counseling Program using the Transtheoretical Model
      Effectiveness of Public Health Center Smoking Cessation Counseling Program using the Transtheoretical Model

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

      CH=completing handout; CCD=check counseling documentation; VOD=video on demand; PI=presentation of impressions.

      Homogeneity Test for Smoking related Characteristics between the Two Groups

      Exp.=experimental group; Con.=control group.

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

      Exp.=experimental group; Con.=control group.

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

      *ANCOVA. Exp.=experimental group; Con.=control group.

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

      CH=completing handout; CCD=check counseling documentation; VOD=video on demand; PI=presentation of impressions.

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

      Exp.=experimental group; Con.=control group.

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

      Exp.=experimental group; Con.=control group.

      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

      *ANCOVA. Exp.=experimental group; Con.=control group.


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