J Korean Acad Nurs.  2017 Apr;47(2):164-177. 10.4040/jkan.2017.47.2.164.

Effects of a Strength Based I-Change Smoking Cessation Program for Smoking Middle School Boys

• Kim JH
• Choi YH

• KMID: 2426343
• DOI: http://doi.org/10.4040/jkan.2017.47.2.164

Abstract

PURPOSE
This study was done to develop a strength based I-change smoking cessation program for middle school boys and identified its effects.
METHODS
The study design was a nonequivalent control group pre-post test design. The participants were 97 middle school students from D city, who were in school from April 6 to September 25, 2015. The experimental group participated in the strength based I-change smoking cessation program, while the comparative group participated in a general smoking cessation program. The control group did not participate in any program. Data analyses involved χ²-test, Fishers' exact test, Bonferroni test, and Repeated measures ANOVA, with the IBM SPSS for Windows (version 20.0) program.
RESULTS
Compared to the comparison and control groups, the experimental group showed significant improvement in knowledge, attitude, self-efficacy, behavior change. Also cotinine in urine and modeling of social influence in the experimental group significantly decreased after the strength based I-change smoking cessation program.
CONCLUSION
These findings indicate that the strength based I-change smoking cessation program is an effective intervention for middle school boys who smoke. The findings suggest that such programs can be used at public health centers or through school health education to decrease smoking in adolescents.

Keyword

Smoking cessation; Self efficacy; Adolescent

MeSH Terms

Adolescent
Cotinine/urine
Health Education
Health Knowledge, Attitudes, Practice
Humans
Male
*Program Evaluation
Self Efficacy
Smoking
*Smoking Cessation
Surveys and Questionnaires

Reference

1. Cho KS. Prevalence of hardcore smoking and its associated factors in Korea. Health Soc Welf Rev. 2013; 33(1):603–628.

2. Shin SR, Oh PJ, Youn HK, Shin SH. Effect of school-based peer leader centered smoking prevention program. J Korean Acad Nurs. 2014; 44(6):649–659. DOI: 10.4040/jkan.2014.44.6.649.

3. Kim HS, Kim HS. The influence of alcohol drinking and substance abuse on delinquent behavior among Korean adolescents. J Korean Neuropsychiatr Assoc. 2002; 41(3):472–485.

4. Park NH. Effects of an empowerment program on nicotine dependency, temptation, self-esteem, depression in adolescents who smoke. J Korean Acad Child Health Nurs. 2012; 18(1):1–8. DOI: 10.4094/jkachn.2012.18.1.1.

5. Byeon YS, Lee HS. Relation of the blood pressure, lipids and body mass index by smoking status among adolescents. J Korean Acad Nurs. 2007; 37(6):1020–1026.

6. Lee MJ, Bong M. Learned helplessness in school during adolescence. Korean J Educ Res. 2013; 51(1):77–105.

7. Park SH, Kang JH, Chun JS, Oh HJ. A longitudinal comparative study of mental health between adolescent smokers and adolescent nonsmokers. J Adolesc Welf. 2010; 12(2):75–94.

8. Lee SW, Jang YE. A study on the effect of adolescent`s academic stress to suicidal ideation: Moderating effect of family cohesion. Korean J Youth Stud. 2011; 18(11):111–136.

9. Jee YJ, Lee H, Lim Y. Effects of a smoking cessation program using self-regulated learning strategy for middle school boys. J Korean Acad Psychiatr Ment Health Nurs. 2011; 20(1):1–12.

10. Kim YS, Jeong BR. An analysis of articles related to smoking and smoking cessation of Korean adolescents. J Korean Acad Community Health Nurs. 2010; 21(1):53–62.

11. Kim HK, Park JY, Kwon EJ, Choi SH, Cho HI. Efficacy of smoking cessation and prevention programs by intervention methods: A systematic review of published studies in Korean journals during recent 3 years. Korean J Health Educ Promot. 2013; 30(5):61–77. DOI: 10.14367/kjhep.2013.30.5.061.

12. Shin SR, Lee CO, Jeong GC. Effect of a smoking cessation motivational program for adolescents. Child Health Nurs Res. 2013; 19(2):130–139. DOI: 10.4094/chnr.2013.19.2.130.

13. Kim BH, Kim TH. The effect of a group art therapy program based on the integrated change model in adolescent smoking behavior. Korean Art Ther Assoc. 2014; 21(3):541–564.

14. de Vries H, Mudde A, Leijs I, Charlton A, Vartiainen E, Buijs G, et al. The European smoking prevention framework approach (EFSA): An example of integral prevention. Health Educ Res. 2003; 18(5):611–626.

15. de Vries H, Eggers SM, Bolman C. The role of action planning and plan enactment for smoking cessation. BMC Public Health. 2013; 13:393. DOI: 10.1186/1471-2458-13-393.

16. Park N, Peterson C, Seligman MEP. Strengths of character and well-being. J Soc Clin Psychol. 2004; 23(5):603–619.

17. Seligman MEP, Rashid T, Parks AC. Positive psychotherapy. Am Psychol. 2006; 61(8):774–788. DOI: 10.1037/0003-066x.61.8.774.

18. Smith EJ. The strength-based counseling model. Couns Psychol. 2006; 34(1):13–79. DOI: 10.1177/0011000005277018.

19. Seo YS, Kim YI. Factors affecting smoking middle school students' intention to quit smoking: On the basis of the ASE model. J Korean Acad Community Health Nurs. 2013; 24(4):471–479. DOI: 10.12799/jkachn.2013.24.4.471.

20. Kim Y, Park I, Park JS. Meta-analysis of effects on adolescent smoking cessation programs in Korea. J Korean Acad Nurs. 2008; 38(2):204–216.

21. Lim ES. Effects of ‘5&6 smoking cessation program' and 5-day smoking cessation program' on adolescents' smoking behavior. Korean J Health Educ Promot. 2010; 27(2):95–108.

22. Paek KS. The effects of smoking prevention education on the smoking cessation intention and knowledge and attitude toward smoking among male middle school students. J Korean Acad Community Health Nurs. 2005; 16(1):32–39.

23. Seels BB, Richey R. Instructional technology: The definition and domains of the field. Washington, DC: Association for Educational Communications and Technology;1994.

24. Korea Health Promotion Foundation. END: Experience new days. Seoul: Author;2012. p. 9–10.

25. Kim JC. Practical statistics. Seoul: Hakjisa Corp;2008. p. 285–286.

26. Yi Y, Yun SN, Ko Y, Chang MK, Nam BR. Analysis of the factors affecting to youth smoking based on the stage of change. J Korean Acad Community Health Nurs. 2009; 20(2):225–233.

27. Park HS, Jung SY. Construction of the addiction prevention core competency model for preventing addictive behavior in adolescents. J Korean Acad Nurs. 2013; 43(6):714–725. DOI: 10.4040/jkan.2013.43.6.714.

28. Kim YS. The effects of a self-esteem and smoking cessation self-efficiency improvement program on smoking high school students. J Korean Acad Community Health Nurs. 2011; 22(2):121–130.

29. Choe EY, Jeong SH. The effect of self-efficacy promotion smoking cessation program on the amount of smoking, CO, urine cotinine level and self-efficacy for adolescent smokers. J Korean Biol Nurs Sci. 2012; 14(2):103–111. DOI: 10.7586/jkbns.2012.14.2.103.

30. Ha YS, Choi YH. Effectiveness of the self-determination theory based a motivational interviewing YOU-TURN program for smoking cessation among adolescents. J Korean Acad Nurs. 2015; 45(3):347–356. DOI: 10.4040/jkan.2015.45.3.347.