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KMID : 0367020030150030483
Journal of Korean Academic of Adult Nursing
2003 Volume.15 No. 3 p.483 ~ p.492
Process of Change, Self Efficacy and Decisional Balance Corresponding to Stage of Change in Smoking Cessation in Industrial Workers
Lee Yun-Mi

Park Nam-Hee
Seo Ji-Min
Abstract
Purpose: The study was performed to identify the process of change, decisional balance and self-efficacy corresponding to the stage of smoking cessation behavior based on Transtheoretical Model in industrial workers.

Method: A convenience sample of 146 industrial workers except for the never smokers, were recruited at a H industry in Ulsan. Data were collected from February 1 to 28, 2002. The research instruments were Stages of Change of Smoking Cessation Measure(DiClemente et al, 1991), Process of change (Prochaska, 1988), Smoking Abstinence Self Efficacy (SASE : DiClemente et al, 1985) and Decisional balance (SDB : Kim, 1999).

Result : The results of this study were as follows ; 1. The subjects were distributed in each stage of smoking cessation change : There were 64 subjects (43.0%) in the precontemplation stage, 35 subjects (23.5%) in the contemplation stage, 28 subjects (18.8%) in the preparation stage, 14 subjects (10.1%) in the action stage and 7 subjects (4.7%) in the maintenance stage. 2. Analysis of variance showed that experimental process (F=2.808, p=.042), behavioral process (F=4.567, p=.004) self-efficacy (F=9.809, p=.000), pros(F=11.107, p=.000), cons(F=6.686, p=.000), pros- cons(F=3.446, p=.018) were significantly associated with the stages of smoking cessation change. 3. Through discriminant analysis, it was found that ¡¯PROS¡¯ was the most influential variable in discriminating the four stages of change.

Conclusion: This study can provide the basis of staged matching smoking cessation program using TTM for more effective and useful intervention.
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