A Study of Change Mechanism in Smoking Behavior among Female Adolescents

Hyun, Myung Sun; Lee, Young Ja; Nam, Kyoung A

doi:2004.13.3.273

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Original Article

Journal of Korean Academy of psychiatric and Mental Health Nursing 2004;13(3):273-281.
DOI: https://doi.org/10.12934/jkpmhn.2004.13.3.273 Published online September 30, 2004.

A Study of Change Mechanism in Smoking Behavior among Female Adolescents

Myung Sun Hyun¹, Young Ja Lee², Kyoung A Nam³

¹Assistant Professor, Division of Nursing Science, Ajou University
²Manager of Education & Publicity Dept., Korean Association & Smoking and Health
³Instructor, Department of Nursing, Yonsei University Wonju College of Medicine

Correspondence: Myung Sun Hyun, Tel: +82-31-219-5156, Fax: +82-219-5094,
Email: mhyun@ajou.ac.kr

Received: 23 July 2004 • Accepted: 20 August 2004

Abstract

Purpose
This study was to identify the change mechanism that female adolescents use to progress through the smoking behavior change.
Methods
This study used a cross-sectional survey design. The data was collected from December, 2003 to January, 2004. The subjects included in this study were 125 female high school students in smoking or in smoking cessation. To identify the change mechanism, the factor analysis of the change mechanism (40 items) suggested by Prochaska et al.(1988) was conducted.
Results
Nine factors of change mechanism were identified - emotional appraisal, counter conditioning, self-regulation, reinforcement management, helping relationship, seif-determination, environmental reevaluation, social liberation, consciousness raising. Self-regulation change mechanism among those nine factors was found to include items related to both experiential and behavioral dimensions, therefore, this change mechanism can be considered as transitional one.
Conclusion
Those change mechanism that female high school students use to progress through behavior change in this study identified in this study can provide the framework in developing programs for helping smoking cessation among female adoiescents.

Key Words: Smoking cessation; Change mechanism; Female adolescents

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