The Effects of Transtheoretical Model-Based Interventions on Smoking Cessation in Taiwan:'A Longitudinal Study

2.50
Hdl Handle:
http://hdl.handle.net/10755/616530
Title:
The Effects of Transtheoretical Model-Based Interventions on Smoking Cessation in Taiwan:'A Longitudinal Study
Author(s):
Guo, Su-Er; Chang, Yin-Hui; Fu, Chiung-Hui; Hsu, Mei-Hsiu
Lead Author STTI Affiliation:
Lambda Beta-at-Large
Author Details:
Su-Er Guo, RN, seguo@gw.cgust.edu.tw; Yin-Hui Chang, RN; Chiung-Hui Fu, RN; Mei-Hsiu Hsu, RN
Abstract:
Session presented on Saturday, July 23, 2016 and Sunday, July 24, 2016: Purpose: The adverse effects of cigarette smoking have caused a noticeable increase in smoking-related diseases and death globally. The purpose of this study is to assist smokers in smoking cessation with interventions based on the Transtheoretical Model (TTM) and to evaluate the effects of TTM-based interventions on knowledge about the hazardous effects of smoking, attitude toward smoking, and movement through stages of change. Methods: In this quasi-experimental longitudinal study, a structured questionnaire was administered pre-intervention (pretest, Time 1), post-intervention (3 months, Time2), and at follow-up (6 months, Time 3). Participants aged 18 years and older were recruited in a regional hospital in Taiwan and divided into 2 groups (experimental group, n = 100; comparison group, n = 100). The interventions involved 6 counseling sessions in 3 months with the implementation of recommendations from a textbook of smoking cessation therapy edited by the Health Promotion Administration (2013), Taiwan. The intervention effect was assessed using the generalized estimating equation (GEE) model with robust standard error and exchangeable working correlation matrix for the adjustment of time. The intervention effect was verified when a significant two-way interaction effect(s) (of time by treatment) emerged, which indicates that a difference exists from pretest to posttest between groups. The TTM stage at each time-point between the study groups was compared using Fisher?s exact test. Results: The experimental and comparison groups were homogeneous in the basic variables of demographic characteristics, lifestyle, and disease history. The experimental group showed a greater improvement than the comparison group in scores on knowledge of cigarette smoking. The groups significant differed between Time 1 and Time 3 for the stages of precontemplation, contemplation, and action (P < .01).' Conclusion: A TTM-based smoking cessation intervention significantly increased knowledge of the hazardous effects of smoking and resulted in improvement in stages of change at a 6-month follow-up among smokers.
Keywords:
Transtheoretical Model; Longitudinal Study; smoking cessation
Repository Posting Date:
13-Jul-2016
Date of Publication:
13-Jul-2016 ; 13-Jul-2016
Other Identifiers:
INRC16PST249
Conference Date:
2016
Conference Name:
27th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Cape Town, South Africa
Description:
Theme: Leading Global Research: Advancing Practice, Advocacy, and Policy

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.titleThe Effects of Transtheoretical Model-Based Interventions on Smoking Cessation in Taiwan:'A Longitudinal Studyen
dc.contributor.authorGuo, Su-Eren
dc.contributor.authorChang, Yin-Huien
dc.contributor.authorFu, Chiung-Huien
dc.contributor.authorHsu, Mei-Hsiuen
dc.contributor.departmentLambda Beta-at-Largeen
dc.author.detailsSu-Er Guo, RN, seguo@gw.cgust.edu.tw; Yin-Hui Chang, RN; Chiung-Hui Fu, RN; Mei-Hsiu Hsu, RNen
dc.identifier.urihttp://hdl.handle.net/10755/616530-
dc.description.abstractSession presented on Saturday, July 23, 2016 and Sunday, July 24, 2016: Purpose: The adverse effects of cigarette smoking have caused a noticeable increase in smoking-related diseases and death globally. The purpose of this study is to assist smokers in smoking cessation with interventions based on the Transtheoretical Model (TTM) and to evaluate the effects of TTM-based interventions on knowledge about the hazardous effects of smoking, attitude toward smoking, and movement through stages of change. Methods: In this quasi-experimental longitudinal study, a structured questionnaire was administered pre-intervention (pretest, Time 1), post-intervention (3 months, Time2), and at follow-up (6 months, Time 3). Participants aged 18 years and older were recruited in a regional hospital in Taiwan and divided into 2 groups (experimental group, n = 100; comparison group, n = 100). The interventions involved 6 counseling sessions in 3 months with the implementation of recommendations from a textbook of smoking cessation therapy edited by the Health Promotion Administration (2013), Taiwan. The intervention effect was assessed using the generalized estimating equation (GEE) model with robust standard error and exchangeable working correlation matrix for the adjustment of time. The intervention effect was verified when a significant two-way interaction effect(s) (of time by treatment) emerged, which indicates that a difference exists from pretest to posttest between groups. The TTM stage at each time-point between the study groups was compared using Fisher?s exact test. Results: The experimental and comparison groups were homogeneous in the basic variables of demographic characteristics, lifestyle, and disease history. The experimental group showed a greater improvement than the comparison group in scores on knowledge of cigarette smoking. The groups significant differed between Time 1 and Time 3 for the stages of precontemplation, contemplation, and action (P < .01).' Conclusion: A TTM-based smoking cessation intervention significantly increased knowledge of the hazardous effects of smoking and resulted in improvement in stages of change at a 6-month follow-up among smokers.en
dc.subjectTranstheoretical Modelen
dc.subjectLongitudinal Studyen
dc.subjectsmoking cessationen
dc.date.available2016-07-13T11:14:44Z-
dc.date.issued2016-07-13-
dc.date.issued2016-07-13en
dc.date.accessioned2016-07-13T11:14:44Z-
dc.conference.date2016en
dc.conference.name27th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationCape Town, South Africaen
dc.descriptionTheme: Leading Global Research: Advancing Practice, Advocacy, and Policyen
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