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

Journal of Korean Academy of Nursing 2015; 45(3): 347-356.

Published online: 30 June 2015

DOI: https://doi.org/10.4040/jkan.2015.45.3.347

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

Young Sun Ha1, Yeon Hee Choi2

1Department of Nursing, Sunlin College, Pohang, Korea.

2College of Nursing, Kyungpook National University, Daegu, Korea.

Address reprint requests to: Choi, Yeon Hee. College of Nursing, Kyungpook National University, 680 Gukchaebosang-ro, Jung-gu, Daegu 700-422, Korea. Tel: +82-53-420-4926, Fax: +82-53-421-2758, yeonheechoi@naver.com

Received 16 October 2014       Revised 12 November 2014       Accepted 17 March 2015

© 2015 Korean Society of Nursing Science

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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.

Keywords: Personal autonomy, Motivation, Interview, Smoking cessation, Adolescent

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)

jkan-45-347-i002

*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)

jkan-45-347-i003

*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)

jkan-45-347-i004

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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