Effectiveness of a smoking cessation program on self-esteem, attitude, perception, and practice regarding control over smoking among male high school
Purpose - The smoking rate of male high school students continues to increase. Therefore, the purpose of this paper is to examine the effectiveness of a smoking cessation program on self-esteem, attitude, perception and practice regarding smoking behavioral control among male high school students in...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
College of Public Health Sciences, Chulalongkorn University
2019-09-01
|
| Series: | Journal of Health Research |
| Subjects: | |
| Online Access: | https://www.emerald.com/insight/content/doi/10.1108/JHR-05-2018-0016/full/pdf?title=effectiveness-of-a-smoking-cessation-program-on-self-esteem-attitude-perception-and-practice-regarding-control-over-smoking-among-male-high-school |
| _version_ | 1797934623577079808 |
|---|---|
| author | Niyom Junnual Chulaporn Sota Anun Chaikoolvatana |
| author_facet | Niyom Junnual Chulaporn Sota Anun Chaikoolvatana |
| author_sort | Niyom Junnual |
| collection | DOAJ |
| description | Purpose - The smoking rate of male high school students continues to increase. Therefore, the purpose of this paper is to examine the effectiveness of a smoking cessation program on self-esteem, attitude, perception and practice regarding smoking behavioral control among male high school students in Ubon Ratchathani Province, Thailand. Design/methodology/approach - The effectiveness of the smoking cessation program was tested by a quasi-experimental pre-posttest and follow-up with a 24-week design. Multistage sampling was used to recruit 70 male high school students, including 35 male students in the intervention group and 35 male students in the control group. The intervention group received a 12-week smoking cessation program based on information-motivation-behavioral skills and stages of change models and follow-up at 12 weeks, whereas the control group did not. A self-administered questionnaire was used to assess the improvement of subjects’ self-esteem, attitude toward smoking, perceived control over smoking, number of cigarettes per day and urine cotinine test. The descriptive statistics, generalized estimating equation and proportion test were used for data analysis. Findings - After the program, there were statistically significant differences in mean scores between the group and control groups; the difference of self-esteem was 4.15 (95% CI: 1.95, 6.36), attitude toward smoking was 3.30 (95% CI: 1.89, 5.52) and perceived control over smoking was 6.99 (95% CI: 4.04, 9.94). Thus, all differences in the intervention group were significantly higher than in the control group. The proportion of non-smokers, measured by the urine cotinine test at follow-up, was 25 percent (95% CI: 0.03, 0.48) significantly higher (p-value = 0.015), in the intervention group. Therefore, the smoking cessation program in this study was effective at changing the behavior of male high school student smokers. Originality/value - This smoking cessation program increased self-esteem, attitude toward smoking, perceived control over smoking and decreased smoking per day among male high school students. Therefore, schools and parents should focus on developing these factors to encourage students to quit smoking. |
| first_indexed | 2024-04-10T18:01:53Z |
| format | Article |
| id | doaj.art-aa8d4da8def44ecb88c46942e935ace3 |
| institution | Directory Open Access Journal |
| issn | 0857-4421 2586-940X |
| language | English |
| last_indexed | 2024-04-10T18:01:53Z |
| publishDate | 2019-09-01 |
| publisher | College of Public Health Sciences, Chulalongkorn University |
| record_format | Article |
| series | Journal of Health Research |
| spelling | doaj.art-aa8d4da8def44ecb88c46942e935ace32023-02-02T15:07:04ZengCollege of Public Health Sciences, Chulalongkorn UniversityJournal of Health Research0857-44212586-940X2019-09-0133536637410.1108/JHR-05-2018-0016628578Effectiveness of a smoking cessation program on self-esteem, attitude, perception, and practice regarding control over smoking among male high schoolNiyom Junnual0Chulaporn Sota1Anun Chaikoolvatana2Faculty of Public Health, Khon Kean University, Khon Kean, ThailandFaculty of Public Health, Khon Kean University, Khon Kean, ThailandCollege of Medicine and Public Health, Ubon Rajathanee University, Ubon Ratchathani, ThailandPurpose - The smoking rate of male high school students continues to increase. Therefore, the purpose of this paper is to examine the effectiveness of a smoking cessation program on self-esteem, attitude, perception and practice regarding smoking behavioral control among male high school students in Ubon Ratchathani Province, Thailand. Design/methodology/approach - The effectiveness of the smoking cessation program was tested by a quasi-experimental pre-posttest and follow-up with a 24-week design. Multistage sampling was used to recruit 70 male high school students, including 35 male students in the intervention group and 35 male students in the control group. The intervention group received a 12-week smoking cessation program based on information-motivation-behavioral skills and stages of change models and follow-up at 12 weeks, whereas the control group did not. A self-administered questionnaire was used to assess the improvement of subjects’ self-esteem, attitude toward smoking, perceived control over smoking, number of cigarettes per day and urine cotinine test. The descriptive statistics, generalized estimating equation and proportion test were used for data analysis. Findings - After the program, there were statistically significant differences in mean scores between the group and control groups; the difference of self-esteem was 4.15 (95% CI: 1.95, 6.36), attitude toward smoking was 3.30 (95% CI: 1.89, 5.52) and perceived control over smoking was 6.99 (95% CI: 4.04, 9.94). Thus, all differences in the intervention group were significantly higher than in the control group. The proportion of non-smokers, measured by the urine cotinine test at follow-up, was 25 percent (95% CI: 0.03, 0.48) significantly higher (p-value = 0.015), in the intervention group. Therefore, the smoking cessation program in this study was effective at changing the behavior of male high school student smokers. Originality/value - This smoking cessation program increased self-esteem, attitude toward smoking, perceived control over smoking and decreased smoking per day among male high school students. Therefore, schools and parents should focus on developing these factors to encourage students to quit smoking.https://www.emerald.com/insight/content/doi/10.1108/JHR-05-2018-0016/full/pdf?title=effectiveness-of-a-smoking-cessation-program-on-self-esteem-attitude-perception-and-practice-regarding-control-over-smoking-among-male-high-schoolhigh schoolmale studentssmoking cessation programme |
| spellingShingle | Niyom Junnual Chulaporn Sota Anun Chaikoolvatana Effectiveness of a smoking cessation program on self-esteem, attitude, perception, and practice regarding control over smoking among male high school Journal of Health Research high school male students smoking cessation programme |
| title | Effectiveness of a smoking cessation program on self-esteem, attitude, perception, and practice regarding control over smoking among male high school |
| title_full | Effectiveness of a smoking cessation program on self-esteem, attitude, perception, and practice regarding control over smoking among male high school |
| title_fullStr | Effectiveness of a smoking cessation program on self-esteem, attitude, perception, and practice regarding control over smoking among male high school |
| title_full_unstemmed | Effectiveness of a smoking cessation program on self-esteem, attitude, perception, and practice regarding control over smoking among male high school |
| title_short | Effectiveness of a smoking cessation program on self-esteem, attitude, perception, and practice regarding control over smoking among male high school |
| title_sort | effectiveness of a smoking cessation program on self esteem attitude perception and practice regarding control over smoking among male high school |
| topic | high school male students smoking cessation programme |
| url | https://www.emerald.com/insight/content/doi/10.1108/JHR-05-2018-0016/full/pdf?title=effectiveness-of-a-smoking-cessation-program-on-self-esteem-attitude-perception-and-practice-regarding-control-over-smoking-among-male-high-school |
| work_keys_str_mv | AT niyomjunnual effectivenessofasmokingcessationprogramonselfesteemattitudeperceptionandpracticeregardingcontroloversmokingamongmalehighschool AT chulapornsota effectivenessofasmokingcessationprogramonselfesteemattitudeperceptionandpracticeregardingcontroloversmokingamongmalehighschool AT anunchaikoolvatana effectivenessofasmokingcessationprogramonselfesteemattitudeperceptionandpracticeregardingcontroloversmokingamongmalehighschool |