PURPOSE: Smoking temptation is communicated frequently among people related to smoking cessation and has specific meanings within the context of smoking. However, the concept of smoking temptation has not been well articulated in the literatures. This study was conducted to clarify and to conceptualize the phenomena of smoking temptation. METHOD: The Hybrid Model of concept development was applied to develop a concept of smoking temptation, which included a field study carried out in Seoul, South Korea using in-depth interviews with 5 adult smokers. RESULT: The concept of smoking temptation emerged as a complex phenomenon having meanings in several different dimensions which encompassed several attributes. In addition, the conceptual structure of smoking temptation centered around five dimensions: Response to conditioned stimuli, Distancing from harsh reality, Nicotine dependency, Habitual routine, and Lack of control. CONCLUSION: Smoking temptation is a concept that needs to be treated in a specified individual way and it is possible to enrich the meanings and methods to manage smoking temptation in nursing smoking cessation interventions that its application may have positive impacts on patients' well being.
Adult ; Humans ; Male ; Middle Aged ; Smoking/*psychology ; Smoking Cessation/*psychology

OBJECTIVE: To compare the efficacy of different acupuncture frequencies in tobacco-dependent patients and explore the impact of nicotine metabolite rate (NMR) on smoking cessation in the intervention with acupuncture. METHODS: A total of 120 cases of tobacco-dependent patients were randomly divided into a high-frequency group (60 cases, 12 cases dropped off) and a low-frequency group (60 cases, 6 cases dropped off). In the two groups, smoking cessation counseling was provided prior to acupuncture. Acupuncture was applied to Baihui (GV 20), Lieque (LU 7), Zusanli (ST 36), etc. Additionally, electric stimulation was added at Lieque (LU 7) and Zusanli (ST 36), with continuous wave, 15 Hz in frequency. The duration of treatment was 8 weeks in either group. In the high-frequency group, the treatment was given 5 times weekly from week 1 to week 4, and was 3 times weekly from week 5 to week 8. In the low-frequency group, the treatment was given 3 times weekly from week 1 to week 4, and was twice a week from week 5 to week 8. The immediate withdrawal rate, persistent withdrawal rate, the score of Fagerstrőm test for nicotine dependence (FTND) before and after treatment, as well as the score of Minnesota nicotine withdrawal scale (MNWS) in 1 and 8 weeks of treatment were compared among the patients with high and low NMR between the two groups separately. The Logistic regression analysis was used to screen the influencing factors of smoking cessation in the intervention with acupuncture. RESULTS: After treatment, there was no statistical significance of the differences in the immediate withdrawal rate (35.4% [17/48] vs 29.6% [16/54]) and the persistent withdrawal rate (33.3% [16/48] vs 25.9% [14/54]) between the high-frequency group and the low-frequency group (P>0.05). The difference in withdrawal rate had no statistical significance between high and low NMR patients (P>0.05). FTND scores after treatment were lower than those before treatment (P<0.01) and MNWS scores were lower than those in 1 week of treatment (P<0.01) in the two groups. However, the differences had no statistical significance between the two groups and between the patients with high NMR and low NMR (P>0.05). Age, education level and NMR were the influencing factors of smoking cessation in the intervention with acupuncture (P<0.05). CONCLUSION Acupuncture with different frequencies has no obvious impact on the efficacy in tobacco-dependent patients. The lower nicotine metabolite rate in individuals, the better efficacy of acupuncture. The smokers with high nicotine metabolite rate may obtain a better effect of cessation in the high-frequency intervention with acupuncture.
Acupuncture Therapy ; Humans ; Nicotine ; Smoking Cessation/psychology*

Up to December of 2011, the domestic and overseas literatures of acupuncture for smoking cessation are searched and collected through Pubmed, CNKI, Wanfang and Chongqing VIP databases, which are analyzed from treatment method, action mechanism, influencing factors of efficacy and efficacy evaluation research and so on. The result shows that (1) acupuncture has positive effect on smoking cessation, and large clinical trials has been carried out. However, most of them are needling methods and the short-term effect observation, which lack of long-term efficacy research of withdrawal symptoms, especially continuous withdrawal symptoms and index of life quality. (2) Because of unified clinical treatment, manipulation standard and curative effect criteria, it is difficult to make comparison among them. (3) The study of mechanism on acupuncture for smoking cessation is not of in-depth. In future, clinical research project of acupuncture on smoking cessation should be optimized and regulated, including the unified treatment, manipulation standard and curative effect criteria, also long-term researches with large-scale samples should be launched to confirm effect ofacupuncture for smoking cessation to further discuss its action mechanism.
Acupuncture Therapy ; trends ; Humans ; Internationality ; Smoking ; psychology ; therapy ; Smoking Cessation

PURPOSE: This study was done to analyze the changes in smokers' subjectivity about smoking before and after participation in a 5-day hospitalized smoking cessation program. Design: Q-methodology, which provides a scientific method on subjectivity, was applied. Findings: Nine types of subjectivity changes about smoking were identified; Type I, Nicotine craving --> Confident of self control for smoking; Type II, Nicotine craving --> Cognition of the link between habituation and smoking, Type III, Nicotine craving --> Nicotine craving, Type IV, smoking as a social behavior --> Cognition of the link between habituation and smoking, Type V, smoking as a social behavior --> Motive to turn away from being addicted to smoking to being healthy, Type VI, Habitual smoking --> Confident of self control for smoking, Type VII, Habitual smoking --> Cognition of the link between habituation and smoking, Type VIII, Habitual smoking --> Motive to turn away from being addicted to smoking to being healthy and Type IX, Denial of the negative effects of smoking --> Confident of self control for smoking CONCLUSION: The types of changes in smokers' subjectivity before and after the smoking cessation program in this study suggest a better tailored intervention for individual smokers. The types of changes on smokers' subjectivity provide insight about which factors of the interventions for smoking cessation are especially valued for a particular group of smokers.
Smoking Cessation/*psychology ; Smoking/prevention & control/*psychology ; Middle Aged ; Male ; Humans ; Hospitalization ; Female ; *Attitude to Health ; Adult

PURPOSE: The purpose of this study was to identify the effects of an empowerment program on nicotine dependency, temptation, self-esteem, and depression for adolescents who smoke. METHODS: The study design was a quasi-experimental study with a nonequivalent control group, pre-post design. The participants were 49 adolescents who smoked. Twenty-six adolescents were assigned to the experimental group and 23 to the control group. The intervention was conducted twice a week for 6 weeks. Chi-square test, t-test, paired-test, Wilcoxon rank sum test and Wilcoxon signed rank test were used to analyze the data. RESULTS: After program, scores for self-esteem (t=5.560, p=.014), were significantly higher and scores for depression (t=-2.111, p=.040) were significantly lower for adolescents in the experimental group compared to adolescents in the control group. CONCLUSION: The finding indicate that the empowerment group training program was effective in improving self-esteem, and decreasing depression and could be considered as a positive program for smoking cessation for adolescents who smoke.
Adolescent ; Dependency (Psychology) ; Depression ; Humans ; Nicotine ; Power (Psychology) ; Smoke ; Smoking ; Smoking Cessation ; Child Health

PURPOSE: Smoking temptation is the central concept related to relapse within the context of smoking. Therefore for effective smoking cessation interventions, a scale to measure smoking temptation is necessary. This study was carried out to develop scale to measure smoking temptation. METHOD: This study utilized Cronbach's alpha, spilt-half coefficient and test-retest correlation in analyzing the reliability of the collected data and expert group, factor analysis, item analysis multitrait-multimethod method and known-group technique to analyze validity. RESULT: Twenty-five items were selected from a total of 33 items. The Cronbach's alpha coefficient for internal consistency was .93, spilt-half coefficient .91, and 2 week interval test-retest correlation .93 for the 25 items on the smoking temptation scale. Five factors evolved by factor analysis, which explained 57.28 % of the total variance. The smoking temptation scale was effective in differentiating the subjects at each stage of change for smoking cessation and there were significant negative correlations between smoking temptation and self efficacy for smoking cessation and significant positive correlations between smoking temptation and the Fagerstrom Tolerance Questionnaire. CONCLUSION: The scale for measuring smoking temptation in Korean in this study was evaluated as a tool with a high degree of reliability and validity.
Adult ; Female ; Humans ; Korea ; Male ; Motivation ; *Questionnaires ; Smoking/*psychology ; Smoking Cessation/*psychology

PURPOSE: Smoking temptation is the central concept related to relapse within the context of smoking. Therefore for effective smoking cessation interventions, a scale to measure smoking temptation is necessary. This study was carried out to develop scale to measure smoking temptation. METHOD: This study utilized Cronbach's alpha, spilt-half coefficient and test-retest correlation in analyzing the reliability of the collected data and expert group, factor analysis, item analysis multitrait-multimethod method and known-group technique to analyze validity. RESULT: Twenty-five items were selected from a total of 33 items. The Cronbach's alpha coefficient for internal consistency was .93, spilt-half coefficient .91, and 2 week interval test-retest correlation .93 for the 25 items on the smoking temptation scale. Five factors evolved by factor analysis, which explained 57.28 % of the total variance. The smoking temptation scale was effective in differentiating the subjects at each stage of change for smoking cessation and there were significant negative correlations between smoking temptation and self efficacy for smoking cessation and significant positive correlations between smoking temptation and the Fagerstrom Tolerance Questionnaire. CONCLUSION: The scale for measuring smoking temptation in Korean in this study was evaluated as a tool with a high degree of reliability and validity.
Adult ; Female ; Humans ; Korea ; Male ; Motivation ; *Questionnaires ; Smoking/*psychology ; Smoking Cessation/*psychology

PURPOSE: This study identified and compared influential variables on intention and action to quit smoking between adolescent smokers and adult smokers. METHODS: For the selection of variables, the transtheoretical theory was used. A survey was conducted with 376 adolescent smokers in 4 high schools and 451 adult smokers in community settings in South Korea. Discriminant analysis was used for data analysis RESULTS: The variables of adolescent smokers that predicted an intention to quit smoking were: smoking temptation, self re-evaluation, counter conditioning and stimulus control. The variables that predicted an action to quit smoking were: self-efficacy for smoking abstinence, pros for smoking, self reevaluation, and self liberation. The variables of adult smokers that predicted an intention to quit were: smoking temptation, pros for smoking, cons for smoking, self reevaluation. The variables that self liberation and predicted an action to quit smoking were: self efficacy for smoking abstinence, smoking temptation, and counter conditioning. CONCLUSIONS: Developing stage specific smoking intervention methods based on different ways of how individuals make a decision to quit smoking within their contexts needs to be done.
Smoking Cessation/*psychology ; Smoking/*psychology ; Self Efficacy ; *Models, Psychological ; Male ; Intention ; Humans ; Female ; Adult ; Adolescent

OBJECTIVETo examine the association between social support and successful smoking cessation outcomes in males from rural areas.

METHODSA community-based case-control study was conducted with 642 adult male cases who appeared to be successful spontaneous smoking quitters as cases, together with other 700 adult males who failed quitting smoking to serve, as controls. Social Support Rating Scale (SSRS) was used to assess the individual social support. Multiple linear method was used to evaluate the relationship between social support and the outcome of successful cessation in smoking.

RESULTSAfter adjusting the potential confounders as age, education, marital status, profession, age of initial smoking and number of pack-years on smoking, the adjusted mean of subjective social support in successful quitters was significant lower than that in the failed ones (P<0.001). The differences of adjusted means between objective social support and its utility were not statistically different in the two groups among the population who recognized that cigarettes should always be provided when people interact with each other (P=0.124; P=0.763). However, the adjusted means of social support and the related three dimensions did not show significant differences in the two groups among the population in disapproval of the above said social norms (P>0.05).

CONCLUSIONData from our research indicated that social support would negatively affect the successful spontaneous cessation of smoking among people under unhealthy smoking culture.

Adult ; Case-Control Studies ; Humans ; Male ; Rural Population ; Smoking ; psychology ; Smoking Cessation ; psychology ; statistics & numerical data ; Smoking Prevention ; Social Support

The efectienes of acpuncture for smoking cessation was systematically evaluated in this paper. By using computer retrieval in Chinese national knowledge infrastructure (CNKI), WANFANG database, VIP database, PubMed, ScienceDirect and Springer, the randomized controlled trials (RCTs) regarding acupuncture for smoking cessation from January of 1983 to December of 2013 were collected; by using Table of Standardized Report Factors for Acupuncture RCTs, each inclusive RCT was evaluated; and by using RevMan 5. 2 software, the Meta-analysis was performed. Totally 24 RCTs were included, involving 3084 cases of smoking. The result of literature quality assessment showed that the average score was 25. 71 points without low-quality RCT which had a score of less than 16 points. The Meta-analysis showed that acupuncture could significantly increase the short-time abstinence rate [RR=1. 48, 95% CI (1. 18,1. 84), Z=3. 47, P<0. 0005] and number of cigarettes smoked daily [RR=4. 35, 95% CI (2. 03, 6. 66), Z=3. 68, P<0. 001] and FTND [RR=2. 37, 95% CI (1. 88, 2. 86), Z= 9. 44, P<0. 00001], however, it could not increase the long-time abstinence rate [RR=1. 40, 95% Cl (0. 90, 2.17), Z=1. 49, P>0. 05]. Compared with other treatment, acupuncture has positive advantages on short-time abstinence rate, however, its effect on long-time abstinence rate needs to be verified by high-quality, large-sample and multi-center RCT in the future.
Acupuncture Therapy ; Humans ; Randomized Controlled Trials as Topic ; Smoking ; psychology ; therapy ; Smoking Cessation ; Treatment Outcome