J Korean Acad Nurs.  2005 Dec;35(7):1285-1294.

Predictive Factors of Aspects of the Transtheoretical Model on Smoking Cessation in a Rural Community

Affiliations
  • 1Department of Nursing, Woosuk University.
  • 2Department of Nursing, Konkuk University. go2ryu@kku.ac.kr
  • 3Department of Nursing, Dongshin University.

Abstract

PURPOSE: This study was done to evaluate the predictive value of aspects of the Transtheoretical model (TTM) of behavior change as applied to smoking cessation in a rural population. METHOD: A convenience sample was recruited from a public health center in a community. A total of 484 participants were recruited, including 319 smokers, 116 ex-smokers and 49 non-smokers. A cross-sectional and descriptive design was used in this study. Data was analyzed using descriptive statistics, frequency statistics, ANOVA and Logistic regression. RESULT: The major findings were 1) The participants were assessed at baseline for their current Stage of Change resulting in a distribution with 42.1% in Precontemplation, 24.1% in Contemplation, 9.7% in Preparation, 6.2% in Active, and 17.9% in the Maintenance stage. 2) There were statistically significant differences of processes of change, decisional balance and situational temptation across the stages of change. 3) The main factors that affect smoking cessation were age, number of years smoking, age when began smoking, self-liberation and negative/affective situations, which combined explained 33.2% of the smoking cessation. CONCLUSION: TTM variables measured prior to a smoking cessation program added little predictive value for cessation outcome beyond that explained by demographic and smoking history variables.

Keyword

Smoking cessation; Rural population; Nicotine dependence

MeSH Terms

Tobacco Use Disorder/psychology/rehabilitation
Smoking Cessation/*psychology
Rural Population
*Models, Psychological
Middle Aged
Male
Korea
Humans
Female
Aged
Adult
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