Effects of a Smoking Cessation Program including Telephone Counseling and Text Messaging using Stages of Change for Outpatients after a Myocardial Infarction.
10.4040/jkan.2013.43.4.557
- Author:
Jung Hyeon KONG
1
;
Yeongmi HA
Author Information
1. Department of Nursing, Cheongam College, Suncheon, Korea.
- Publication Type:Original Article ; Controlled Clinical Trial ; English Abstract
- Keywords:
Smoking cessation;
Counseling;
Text messaging;
Myocardial infarction
- MeSH:
Adult;
Carbon Monoxide/analysis;
Counseling/*methods;
Female;
Hospitals, University;
Humans;
Male;
Middle Aged;
Myocardial Infarction/*psychology;
Outpatients;
*Program Evaluation;
Self Efficacy;
*Smoking Cessation;
Telephone;
Text Messaging;
Time Factors;
Tobacco Use Disorder
- From:Journal of Korean Academy of Nursing
2013;43(4):557-567
- CountryRepublic of Korea
- Language:Korean
-
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.