Journal List > J Korean Acad Nurs > v.45(3) > 1003072

Ha and Choi: Effectiveness of the Self-determination Theory based a Motivational Interviewing YOU-TURN Program for Smoking Cessation among Adolescents

Abstract

Purpose

In this study, the effectiveness of a motivational interviewing smoking cessation YOU-TURN program for adolescents was examined. The program was based on the self-determination theory.

Methods

The study was carried out with a nonequivalent control group pretest-posttest design. Participants in the present study were 136 high school students living in D city. The students were assigned to the experimental group (n=52) who participated in the motivational interviewing smoking cessation YOU-TURN program based on self-determination theory, or to the control group (n=84) who participated in a general smoking cessation program. Data were collected from September 1, 2013 through April 30, 2014. Collected data were analyzed using SPSS PC+ 21.0 with Chi-square test, Fisher's exact test, t-test, Mann-Whitney U test, Repeated Measures ANOVA, and MANOVA-Wilk's Lambda.

Results

The experimental group had a significant increase in basic psychological needs, and duration of quitting-smoking in comparison with the control group. The experimental group had a significant decrease in cigarettes smoked per day and cotinine in urine in comparison with the control group.

Conclusion

The motivational interviewing YOU-TURN program, when delivered to adolescents who smoked, was effective in discouraging smoking, and can be utilized as an effective nursing intervention for adolescents who smoke.

Figures and Tables

Table 1

Motivational Interviewing Program Based on the Self-determination Theory

jkan-45-347-i001
Table 2

General Characteristics and Homogeneity between Experimental and Control Groups (N=136)

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*Fisher's exact test; Mann-Whitney U; Exp.=Experimental group; Cont.=Control group.

Table 3

Comparison of Basic Psychological Needs, Cigarettes Smoked per Day, Duration of Quitting-smoking between Experimental and Control Groups (N=136)

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*Multivariate analysis of variance (MANOVA)-Wilk's Lambda; Exp.=Experimental group; Cont.=Control group.

Table 4

Comparison of Cotinine in Urine between Experiment and Control Groups (N=136)

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

Notes

This manuscript is based on a part of the first author's doctoral dissertation from Kyungpook National University.

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