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Using indigenous helpers to increase...

Andersen, Susan.

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Using indigenous helpers to increase smoking cessation among adult FreshStart participants.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Using indigenous helpers to increase smoking cessation among adult FreshStart participants./
作者:	Andersen, Susan.
面頁冊數:	235 p.
附註:	Source: Dissertation Abstracts International, Volume: 65-03, Section: B, page: 1242.
Contained By:	Dissertation Abstracts International65-03B.
標題:	Health Sciences, Nursing. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3126902
ISBN:	0496741802

Using indigenous helpers to increase smoking cessation among adult FreshStart participants.
Andersen, Susan.

Using indigenous helpers to increase smoking cessation among adult FreshStart participants. - 235 p.

Source: Dissertation Abstracts International, Volume: 65-03, Section: B, page: 1242.

Thesis (Ph.D.)--The University of Texas Health Science Center at San Antonio, 2004.

This proposal tested an intervention for smoking cessation based on an extension of The Transtheoretical Model of behavior change (TTM) (Prochaska & DiClemente, 1983). While this model has been used in many smoking cessation studies, the efficacy and effectiveness have not been fully evaluated. Helping relationships and self-efficacy are supported by the literature as important factors enabling smokers to quit. Addiction was theorized to be a deterrent to smoking cessation. National clinical recommendations suggest that nicotine replacement therapy and bupropion are also important methods for fostering smoking cessation. Thus, helping relationships, self-efficacy, and addiction were focused on in testing the TTM.

ISBN: 0496741802Subjects--Topical Terms:

1017798
Health Sciences, Nursing.

Using indigenous helpers to increase smoking cessation among adult FreshStart participants.
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245 1 0 $a Using indigenous helpers to increase smoking cessation among adult FreshStart participants.
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500 $a Source: Dissertation Abstracts International, Volume: 65-03, Section: B, page: 1242.
500 $a Supervisor: Donna C. Owen.
502 $a Thesis (Ph.D.)--The University of Texas Health Science Center at San Antonio, 2004.
520 $a This proposal tested an intervention for smoking cessation based on an extension of The Transtheoretical Model of behavior change (TTM) (Prochaska & DiClemente, 1983). While this model has been used in many smoking cessation studies, the efficacy and effectiveness have not been fully evaluated. Helping relationships and self-efficacy are supported by the literature as important factors enabling smokers to quit. Addiction was theorized to be a deterrent to smoking cessation. National clinical recommendations suggest that nicotine replacement therapy and bupropion are also important methods for fostering smoking cessation. Thus, helping relationships, self-efficacy, and addiction were focused on in testing the TTM.
520 $a The purpose of this study was to test the effect of an intervention consisting of an indigenous helper on smoking behavior. Two research questions were tested. Research question one: Is there a difference in post intervention smoking behavior (point prevalence and stage of change) while controlling for level of addiction, use of NRT and/or bupropion and self-efficacy between smokers who have an indigenous helper compared with those who do not in adult FreshStart participants? Research question two: Does self-efficacy mediate the relationship between helping relationships and smoking behavior (point prevalence and stage of change) when controlling for level of addiction and use of NRT and/or bupropion between smokers who have an indigenous helper compared with those who do not?
520 $a A two-group, two-time, five-week experimental design examined adult smokers participating in American Cancer Society FreshStart programs at five study sites in West Texas. Participants (N = 111) completed surveys at baseline and at four weeks to assess perceived helping relationships, self-efficacy to quit smoking, level of addiction and stage of change. Five instruments were used: Helping Relationships subscale of Processes of Change Scale, Partner Interaction Questionnaire-20, Self-efficacy/Temptation scale, Fagerstrom Test for Nicotine Dependence, and the Stages of Change Questionnaire.
520 $a The hypotheses were not supported. NRT/bupropion use was the only significant predictor for point prevalence and stage of change (p < .00). Participants who used NRT/bupropion were three times more likely to move forward along the stages of change compared with those who did not. A time by group interaction on one helping relationships instrument supports further investigation into use of this construct for smoking cessation. (Abstract shortened by UMI.)
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