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Kong and Ha: Effects of a Smoking Cessation Program including Telephone Counseling and Text Messaging using Stages of Change for Outpatients after a Myocardial Infarction
Original Article

Journal of Korean Academy of Nursing 2013; 43(4): 557-567.

Published online: 30 August 2013

DOI: https://doi.org/10.4040/jkan.2013.43.4.557

Effects of a Smoking Cessation Program including Telephone Counseling and Text Messaging using Stages of Change for Outpatients after a Myocardial Infarction

Jung-Hyeon Kong1, Yeongmi Ha2

1Department of Nursing, Cheongam College, Suncheon, Korea.

2College of Nursing · Institute of Health Sciences, Gyeongsang National University, Jinju, Korea.

Address reprint requests to: Ha, Yeongmi. College of Nursing & Institute of Health Sciences, Gyeongsang National University, 816-15 beon-gil Jinju-daero, Jinju 660-987, Korea. Tel: +82-55-772-8253, Fax: +82-55-772-8222, yha@gnu.ac.kr

Received 1 May 2013       Accepted 29 July 2013

© 2013 Korean Society of Nursing Science

Abstract

Purpose

This study was done to identify effects of a smoking cessation program including telephone counseling and text messaging using stages of change for outpatients who have had a myocardial infarction (MI).

Methods

This research was a quasi-experimental design with a nonequivalent control group pretest-posttest. The participants were 48 outpatients (experimental group=24, control group=24) recruited from one university hospital. They were randomly assigned to one of two groups: (a) an experimental group with telephone counseling (once a week) and text messaging (five times a week) using stages of change, and (b) a control group with traditional telephone counseling (once a month). Efficacy of the intervention was measured by comparing the two groups on smoking-related variables at 3 weeks and 12 weeks.

Results

At the 3-week and 12-week measurements, there were significant differences between the experimental and control groups on smoking cessation self-efficacy (p<.001), nicotine dependence (p<.001), CO levels (p<.001), and smoking cessation rates (p<.001).

Conclusion

The results indicate that the smoking cessation program including telephone counseling and text messaging using stages of change is effective for outpatients after a MI. Further attention should be paid to the intensity of the smoking cessation program and periods for long-term follow-up.

Keywords: Smoking cessation, Counseling, Text messaging, Myocardial infarction

Figures and Tables

Table 1
Intervention Principle of Stage-matched Smoking Cessation Program using Telephone Counseling and Text Messaging
jkan-43-557-i001
Table 2
Homogeneity Test of General Characteristics of the Participants
jkan-43-557-i002

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

*χ2 with Fishers' exact test.

Table 3
Homogeneity Test of the Smoking-related Characteristics of the Participants
jkan-43-557-i003

Exp.=Experimental group; Cont.=Control group; CO=Carbon monoxide.

*χ2 with Fishers' exact test.

Table 4
Mean Scores of Smoking Cessation Self-efficacy and Nicotine Dependence between the Two Groups at 3 Weeks and 12 Weeks
jkan-43-557-i004

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

Table 5
CO Levels and Smoking Cessation Rate between the Two Groups at 3 Weeks and 12 Weeks
jkan-43-557-i005

CO=Carbon monoxide; Exp.=Experimental group; Cont.=Control group.

References

1. Ahn HK, Lee HJ, Jung DS, Lee SY, Kim SW, Kang JH. The reliability and validity of Korean version of questionnaire for nicotine dependence. J Korean Acad Fam Med. 2002; 23(8):999–1008.
2. Aveyard P, Lawrence T, Cheng KK, Griffin C, Croghan E, Johnson C. A randomized controlled trial of smoking cessation for pregnant women to test the effect of a transtheoretical model-based intervention on movement in stage and interaction with baseline stage. Br J Health Psychol. 2006; 11(Pt 2):263–278. http://dx.doi.org/10.1348/135910705x52534.
3. Balmford J, Borland R, Benda P, Howard S. Factors associated with use of automated smoking cessation interventions: Findings from the eQuit study. Health Educ Res. 2013; 28(2):288–299. http://dx.doi.org/10.1093/her/cys104.
4. Barth J, Critchley J, Bengel J. Psychosocial interventions for smoking cessation in patients with coronary heart disease. Cochrane Database Syst Rev. 2008; (1):CD006886. http://dx.doi.org/10.1002/14651858.cd006886.
5. Cahill K, Lancaster T, Green N. Stage-based interventions for smoking cessation. Cochrane Database Syst Rev. 2010; (11):CD004492. http://dx.doi.org/10.1002/14651858.CD004492.pub4.
6. Chang SO, Kim EJ, Kil SY, Seomun GA, Lee SJ. Influential variables on intention and action to quit smoking between adolescent smokers and adult smokers-based on the transtheoretical model. J Korean Acad Nurs. 2005; 35(7):1410–1419.
7. Cho KS, Song TM. Analysis of key factors in smoking cessation and cost effectiveness at public health centers. Health Welf Policy Forum. 2006; 12:65–77.
8. Critchley JA, Capewell S. Mortality risk reduction associated with smoking cessation in patients with coronary heart disease: A systematic review. JAMA. 2003; 290(1):86–97. http://dx.doi.org/10.1001/jama.290.1.86.
9. Dornelas EA, Sampson RA, Gray JF, Waters D, Thompson PD. A randomized controlled trial of smoking cessation counseling after myocardial infarction. Prev Med. 2000; 30(4):261–268. http://dx.doi.org/10.1006/pmed.2000.0644.
10. Faul F, Erdfelder E, Lang AG, Buchner A. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behav Res Methods. 2009; 41(4):1149–1160. http://dx.doi.org/10.3758/BRM.41.4.1149.
11. Brunner Frandsen N, Sorensen M, Hyldahl TK, Henriksen RM, Bak S. Smoking cessation intervention after ischemic stroke or transient ischemic attack. A randomized controlled pilot trial. Nicotine Tob Res. 2012; 14(4):443–447. http://dx.doi.org/10.1093/ntr/ntr233.
12. Haug S, Meyer C, Schorr G, Bauer S, John U. Continuous individual support of smoking cessation using text messaging: A pilot experimental study. Nicotine Tob Res. 2009; 11(8):915–923. http://dx.doi.org/10.1093/ntr/ntp084.
13. Health Insurance Review & Assessment Service. 2011 National health insurance statistical yearbook. 2012. Retrieved December 15, 2012. from http://www.hira.or.kr/cms/information/05/03/01/__icsFiles/afieldfile/2012/12/10/2011.pdf.
14. Heatherton TF, Kozlowski LT, Frecker RC, Fagerstrom KO. The fagerstrom test for nicotine dependence: A revision of the fagerstrom tolerance questionnaire. Br J Addict. 1991; 86(9):1119–1127.
15. Hyun HJ, Ahn HY. An analysis of the research on effect of smoking cessation intervention. J Korean Acad Community Health Nurs. 2008; 19(3):469–479.
16. Kim H, Kwon EJ, Lim J, Jung H, Cha JK, Cho S, et al. The effects of smoking cessation clinics in the Korean armed forces: Application of the transtheoretical model and life skill approaches. Korean J Health Educ Promot. 2011; 28(4):79–94.
17. Kim YH, Kim JS, Kim MS. Effectiveness of public health center smoking cessation counseling program using the transtheoretical model. J Korean Acad Nurs. 2009; 39(4):469–479. http://dx.doi.org/10.4040/jkan.2009.39.4.469.
18. Korea Internet and Security Agency. 2012 Survey on the internet usage. 2013. Retrieved March 23, 2013. from http://isis.kisa.or.kr/board/index.jsp?pageId=040100&bbsId=7&itemId=792&pageIndex=1.
19. Naughton F, Prevost AT, Gilbert H, Sutton S. Randomized controlled trial evaluation of a tailored leaflet and SMS text message self-help intervention for pregnant smokers (MiQuit). Nicotine Tob Res. 2012; 14(5):569–577. http://dx.doi.org/10.1093/ntr/ntr254.
20. Park SS, Lee JY, Cho SI. Validity of expired carbon monoxide and urine cotinine using dipstick method to assess smoking status. J Prev Med Public Health. 2007; 40(4):297–304. http://dx.doi.org/10.3961/jpmph.2007.40.4.297.
21. Prochaska JO, DiClemente CC. The transtheoretical approach: Crossing traditional boundaries of therapy. Malabar, FL: Krieger Pub Co;1994.
22. Prochaska JO, DiClemente CC, Norcross JC. In search of how people change. Applications to addictive behaviors. Am Psychol. 1992; 47(9):1102–1114.
23. Prochaska JO, Velicer WF, DiClemente CC, Fava J. Measuring processes of change: Applications to the cessation of smoking. J Consult Clin Psychol. 1988; 56(4):520–528.
24. Rigotti NA, Clair C, Munafo MR, Stead LF. Interventions for smoking cessation in hospitalised patients. Cochrane Database Syst Rev. 2012; 5:CD001837. http://dx.doi.org/10.1002/14651858.CD001837.pub3.
25. Ryu SY, Shin JH, Kang MG, Park J. Factors associated with intention to quit smoking among male smokers in 13 communities in honam region of Korea: 2010 community health survey. Korean J Health Educ Promot. 2011; 28(2):75–85.
26. Sim DS, Kim JH, Jeong MH. Differences in clinical outcomes between patients with ST-elevation versus non-ST-elevation acute myocardial infarction in Korea. Korean Circ J. 2009; 39(8):297–303. http://dx.doi.org/10.4070/kcj.2009.39.8.297.
27. Statistics Korea. The cause of death statistics: 2011. 2012. Retrieved December 15, 2012. from http://kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&bSeq=&aSeq=260046&page.
28. Stead LF, Perera R, Lancaster T. Telephone counselling for smoking cessation. Cochrane Database Syst Rev. 2006; (3):CD002850. http://dx.doi.org/10.1002/14651858.CD002850.pub2.
29. Velicer WF, DiClemente CC, Rossi JS, Prochaska JO. Relapse situations and self-efficacy: An integrative model. Addict Behav. 1990; 15(3):271–283.
30. Whittaker R, Borland R, Bullen C, Lin RB, McRobbie H, Rodgers A. Mobile phone-based interventions for smoking cessation. Cochrane Database Syst Rev. 2009; (4):CD006611. http://dx.doi.org/10.1002/14651858.CD006611.pub2.
31. Whittaker R, McRobbie H, Bullen C, Borland R, Rodgers A, Gu Y. Mobile phone-based interventions for smoking cessation. Cochrane Database Syst Rev. 2012; 11:CD006611. http://dx.doi.org/10.1002/14651858.CD006611.pub3.
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