Adolescent Smoking Cessation: Development of a School Nurse Intervention

2004 ◽  
Vol 20 (3) ◽  
pp. 169-174 ◽  
Author(s):  
Greg Hamilton ◽  
Meghan O’Connell ◽  
Donna Cross
Keyword(s):  
Smoking Cessation ◽  
Secondary School ◽  
Trial Design ◽  
Smoking Behavior ◽  
School Nurse ◽  
School Nurses ◽  
Smoking Prevention ◽  
Individual Student ◽  
Quit Smoking ◽  
Nurse Intervention

The purpose of this study was to examine the feasibility of a range of strategies to engage and to enhance secondary school nurse involvement in teenage smoking prevention and cessation. School nurses were willing to assist students to quit smoking, but they felt unprepared. Information provided by nurses involved in a three-stage review, pilot-testing, and trial design resulted in the development of a resource for nurses. This resource comprised individual student approaches (brief intervention based on motivational interviewing and written activities designed to help students examine their smoking behavior), approaches to assist parents (letter of support for parents of students who smoke), and school newsletter items. Each component of the resource was found by school nurses to be appropriate, useful, and complementary to their other school-wide approaches to assist adolescents to quit smoking. Nurses also reported an interest to expand or to enhance their smoking cessation role in the school.

scholarly journals Perceived Pain and Smoking Interrelations and Expectancies Are Associated With Pain and Smoking Cessation in Individuals With Mobility Impairments

2019 ◽  
Author(s):  
Romano Endrighi ◽  
Nicolle Rueras ◽  
Shira I Dunsiger ◽  
Belinda Borrelli
Keyword(s):  
Chronic Pain ◽  
Smoking Cessation ◽  
Self Efficacy ◽  
Smoking Behavior ◽  
Lower Probability ◽  
Smoking Abstinence ◽  
Cross Sectional ◽  
Mobility Impairments ◽  
Quit Smoking ◽  
Perceived Pain

Abstract Introduction Smoking and pain are highly prevalent among individuals with mobility impairments (MIs; use assistive devices to ambulate). The role of pain-related smoking motives and expectancies in smoking cessation is unknown. We examined cross-sectional and prospective associations between a novel measure of pain-related smoking motives (how smokers with pain perceive their pain and smoking to be interrelated) and pain and smoking behavior in smokers with MI. Methods This is a secondary data analysis of a smoking cessation induction trial (N = 263; 55% female) in smokers with MI. Participants did not have to want to quit to enroll. Pain-related smoking motives and expectancies were assessed at baseline with the pain and smoking inventory (PSI) which measures perceived pain and smoking interrelations in three distinct but related domains (smoking to cope with pain, pain as a motivator of smoking and as a barrier to cessation). Other measures included pain occurrence and interference, nicotine dependence, motivation and self-efficacy to quit smoking, and number of cigarettes per day. Biochemically verified smoking abstinence was assessed at 6 months. Results PSI scores were significantly higher among smokers with chronic pain occurrence compared to occasional and to no occurrence (p < .002) and were associated with greater pain interference (ps < .01) and lower self-efficacy to quit smoking (ps < .01). In prospective analyses adjusted for age, treatment group, and chronic pain, only expectancies of smoking to help cope with pain predicted lower odds of abstinence. Conclusions Targeting expectancies of smoking as a mechanism to cope with pain may be useful in increasing smoking cessation in pain populations. Implications Individuals with MI have a high prevalence of smoking and pain, yet the extent to which this population perceives pain and smoking to be interrelated is unknown. This is the first article to examine prospective associations between a novel measure of perceived pain and smoking interrelations (PSI) and smoking outcomes. The PSI was associated with greater pain and lower self-efficacy for quitting. Prospectively, the PSI subscale tapping into expectancies that smoking help coping with pain predicted a lower probability of smoking abstinence. In smokers with MI, expectancies of smoking as pain-coping mechanism may be an important clinical target.

Association Between Smoking Cessation and Obstructive Spirometry Pattern: A Cross-sectional Study

2021 ◽  
Author(s):  
Yeo Jun Yoon ◽  
Myung Soo Lee ◽  
Kyu Won Jang ◽  
Jae Bum Ahn ◽  
Kyungduk Hurh ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Lung Function ◽  
Cross Sectional Study ◽  
Smoking Prevention ◽  
Asian Countries ◽  
Cross Sectional ◽  
Health And Nutrition ◽  
Quit Smoking ◽  
Never Smokers

Abstract Smoking cessation aids in restoring lung function. However, whether long-term cessation can fully restore lung function has not been studied thoroughly, especially in Asian countries. This study aimed to evaluate the association between smoking cessation status and obstructive spirometry pattern among Koreans aged 40–79 years. In total, 6,298 men and 8,088 women aged 40–79 years from the Korea National Health and Nutrition Examination Survey (2015–2019) were analyzed for smoking cessation status, including the duration after quitting. Current-smokers showed a higher likelihood of having an obstructive spirometry pattern than never-smokers among both men (odds ratio [OR]: 3.15, 95% confidence interval [CI]: 2.32–4.29) and women (OR: 2.60, 95% CI: 1.59–4.23). In men, the effect tended to decrease with longer duration after cessation, but male ex-smokers who had quit smoking ≥ 20 years ago still showed a higher likelihood of having an obstructive spirometry pattern than male never-smokers (OR: 1.40, 95% CI: 1.05–1.89). In female ex-smokers, there was no significant association with the obstructive spirometry pattern, compared to that in female never-smokers. This study emphasizes the benefits of smoking cessation, possibility of long-lasting harm to lung function due to tobacco smoking, and importance of smoking prevention.

Coping Strategies Used by Adolescents During Smoking Cessation

2007 ◽  
Vol 23 (3) ◽  
pp. 177-184 ◽  
Author(s):  
Laura Jannone ◽  
Kathleen A. O’Connell
Keyword(s):  
Smoking Cessation ◽  
High Schools ◽  
Coping Strategies ◽  
School Nurses ◽  
School Based ◽  
Quit Smoking ◽  
State Of Mind ◽  
And Coping

The purpose of this study was to examine coping strategies used by teens as they attempted to quit smoking. The teens were attending a school-based cessation program titled Quit 2 Win that was offered in four high schools. This study examined situations in which teens were tempted to smoke. The study compares coping strategies teens reported in resisting smoking with situations where they reported lapsing. Participants were interviewed the week of their quit date and asked about their state of mind, the availability of cigarettes, and coping strategies used to resist smoking. By identifying coping strategies, school nurses can develop new interventions for teen smoking cessation.

scholarly journals Smoking Cessation Using Wearable Sensors: Protocol for a Microrandomized Trial

10.2196/22877 ◽  
2021 ◽  
Vol 10 (2) ◽  
pp. e22877
Author(s):  
Laura M Hernandez ◽  
David W Wetter ◽  
Santosh Kumar ◽  
Steven K Sutton ◽  
Christine Vinci
Keyword(s):  
United States ◽  
Smoking Cessation ◽  
Real Time ◽  
Trial Design ◽  
Wearable Sensors ◽  
Ethnically Diverse ◽  
The United States ◽  
Feasibility Trial ◽  
Quit Attempt ◽  
Quit Smoking

Background Cigarette smoking has numerous health consequences and is the leading cause of morbidity and mortality in the United States. Mindfulness has the ability to enhance resilience to stressors and can strengthen an individual’s ability to deal with discomfort, which may be particularly useful when managing withdrawal and craving to smoke. Objective This study aims to evaluate feasibility results from an intervention that provides real-time, real-world mindfulness strategies to a sample of racially and ethnically diverse smokers making a quit attempt. Methods This study uses a microrandomized trial design to deliver mindfulness-based strategies in real time to individuals attempting to quit smoking. Data will be collected via wearable sensors, a study smartphone, and questionnaires filled out during the in-person study visits. Results Recruitment is complete, and data management is ongoing. Conclusions The data collected during this feasibility trial will provide preliminary findings about whether mindfulness strategies delivered in real time are a useful quit smoking aid that warrants additional investigation. Trial Registration Clinicaltrials.gov NCT03404596; https://clinicaltrials.gov/ct2/show/NCT03404596 International Registered Report Identifier (IRRID) DERR1-10.2196/22877

scholarly journals COVID-19 Pandemic on smoking behavior changes among African American Smokers Eligible for LDCT Screening

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 740-740
Author(s):  
Tung-Sung Tseng ◽  
Yu Hsiang Kao ◽  
Mirandy Li
Keyword(s):  
Lung Cancer ◽  
Smoking Cessation ◽  
African American ◽  
Smoking Behavior ◽  
Behavior Changes ◽  
Minority Population ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Quit Smoking ◽  
Health Behavior Changes

Abstract Smoking has been observed to associate with an elevated severity of disease and risk of mortality among people with COVID-19. Additionally, African American smokers have higher rates of mortality from lung cancer than other racial/ethnic groups. Low dose computed tomography (LDCT) screening can detect lung cancer early to decrease lung cancer-specific mortality for current smokers but remains under-utilized among these population. However, we know little about the effect of COVID-19 pandemic on smoking behavior changes among African American smokers who qualify for LDCT screening. This study recruited 60 African American daily smokers seen in primary care clinics, who qualified to receive LDCT screening in a New Orleans, LA hospital. A total of 22 participants (36.7%) completed anonymous cross-sectional survey that collected demographic, disease history, tobacco use, and smoking cessation behaviors during the period of COVID-19 pandemic via phone interview. The majority were older (61.2 [SD=4.7]), female (77.3%), earned annual income less than $20,000 (100.0%), had Medicaid (63.6%), overweight/obesity (72.7%), planned to quit smoking within 6 months (52.4%), and would consider taking LDCT screening after COIVD-19 pandemic (95.2%). Half of smokers reported they have been diagnosed hypertension (47.6%), diabetes (52.4%), and arthritis (57.1%). Regarding health behavior changes, 42.9% smokers reported they smoked more, felt more stress (42.9%) and anxiety (33.4%) after COVID-19 outbreak. Smoking cessation programs may focus on this high-risk minority population in the post COVID-19 pandemic to help them decrease cigarette smoking and enhance their motivation to quit smoking.

scholarly journals Retraining automatic action tendencies for smoking using mobile phone-based approach-avoidance bias training: Study protocol for a randomized controlled study

2019 ◽  
Author(s):  
Alla Machulska ◽  
Tanja Joan Eiler ◽  
Armin Grünewald ◽  
Rainer Brück ◽  
Katharina Jahn ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Mobile Phone ◽  
Smoking Behavior ◽  
Smoking Cessation Intervention ◽  
Controlled Study ◽  
Future Research ◽  
Control Group ◽  
Waitlist Control ◽  
Quit Smoking ◽  
Cessation Intervention

Abstract Background: Automatic tendencies to approach drug-related cues have been linked to the development and maintainance of harmful drug taking behavior. Recent studies have demonstrated that these automatic approach tendencies can be targeted directly by means of Cognitive Bias Modification (CBM) approaches. Moreover, changing those approach tendencies may enhance treatment outcomes. However, training and therapy effects tend to be rather small and adherence to the training might be impaired by time-consuming multiple lab-training sessions. Here, we present a protocol for a randomized waitlist-control design to improve CBM training efficiency and facilitate access to the training by providing mobile phone-based training sessions at home to current smokers motivated to quit smoking. Methods/Design: Participants (n = 100) are current smokers who smoke at least 6 cigarettes per day for at least 6 months and are willing to quit smoking. All participants attend a brief smoking cessation intervention (TAU) and are randomly assigned either to a training or a waitlist-control group. Participants in the training condition are given access to a training app aimed at retraining automatic approach biases for smoking cues. Participants are instructed to perform the app-training outside the laboratory context on a daily basis for 14 consecutive days. Approach, attentional and association biases, biochemical outcomes, and self-reported smoking behavior will be measured at baseline, directly after training, and at a 4-week follow-up. After completition of the study, smokers in the waitlist-control condition will receive access to the training app. Discussion: This RCT is the first to test the effectiveness of an app-based CBM intervention as an adjunct to a brief smoking cessation intervention in smokers motivated to quit smoking. The results of this study can inform future research in the optimisation and advancement of CBM treatment for addiction. Trial Registration: Registered with Current Controlled Trials: study ID ISRCTN15690771. Registered on 20 November 2018; http://www.isrctn.com/ISRCTN15690771

scholarly journals Smoking-Related Stigma: A Public Health Tool or a Damaging Force?

2018 ◽  
Vol 22 (1) ◽  
pp. 96-103 ◽  
Author(s):  
Paula Lozano ◽  
James F Thrasher ◽  
Melinda Forthofer ◽  
James Hardin ◽  
Luz Myriam Reynales Shigematsu ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Tobacco Control ◽  
Smoking Behavior ◽  
Control Policy ◽  
Quit Attempt ◽  
Quit Smoking ◽  
Tobacco Control Policies ◽  
Quit Attempts ◽  
Lower Likelihood ◽  
Related Stigma

Abstract Background Tobacco control policies and other denormalization strategies may reduce tobacco use by stigmatizing smoking. This raises an important question: Does perceived smoking-related stigma contribute to a smoker’s decision to quit? The aim of this study was to evaluate if perceived smoking-related stigma was associated with smoking cessation outcomes among smokers in Mexico and Uruguay. Methods We analyzed prospective data from a panel of adult smokers who participated in the 2008–2012 administrations of the International Tobacco Control Policy Evaluation Surveys in Mexico and Uruguay. We defined two analytic samples of participants: the quit behavior sample (n = 3896 Mexico; n = 1525 Uruguay) and the relapse sample (n = 596 Mexico). Generalized estimating equations were used to evaluate if different aspects of perceived stigma (ie, discomfort, marginalization, and negative stereotype) at baseline were associated with smoking cessation outcomes at follow-up. Results We found that perceived smoking-related stigma was associated with a higher likelihood of making a quit attempt in Uruguay but with a lower likelihood of successful quitting in Mexico. Conclusions This study suggests that perceived smoking-related stigma may be associated with more quit attempts, but less successful quitting among smokers. It is possible that once stigma is internalized by smokers, it may function as a damaging force. Future studies should evaluate the influence of internalized stigma on smoking behavior. Implications Although perceived smoking-related stigma may prompt smokers to quit smoking, smoking stigma may also serve as a damaging force for some individuals, making quitting more difficult. This study found that perceived smoking-related stigma was associated with a higher likelihood of making a quit attempt in Uruguay but with a lower likelihood of successful quitting in Mexico.

scholarly journals Association of smoking behavior among Chinese expectant fathers and smoking abstinence after their partner becomes pregnant: A cross-sectional study

2020 ◽  
Author(s):  
Wei Xia ◽  
William Ho Cheung Li ◽  
Wenzhi Cai ◽  
Peige Song ◽  
Laurie Long Kwan Ho ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Smoking Behavior ◽  
Health Hazards ◽  
Smoking Abstinence ◽  
Lasso Regression ◽  
Cross Sectional Survey ◽  
Multivariable Logistic Regression Model ◽  
Cross Sectional ◽  
Quit Smoking ◽  
Expectant Fathers

Abstract Background: Exposure to secondhand smoke (SHS) during pregnancy can cause pregnancy complications and adverse birth outcomes. About 40% of Chinese expectant fathers are smokers and they rarely attempt to quit smoking. There is a paucity of effective smoking cessation services targeting this population. In this study, we assessed the smoking behavior of Chinese expectant fathers and examined its association with smoking abstinence after their partner became pregnant, which is an essential prerequisite for designing effective smoking cessation interventions.Methods: We conducted a cross-sectional survey in the obstetrics and gynecology clinic of three tertiary hospitals in China. Expectant fathers who smoked at least one cigarette per day for 1 month within the past 12 months were invited to participate in this study. The participants were asked to complete a structured questionnaire that assessed their smoking behaviors before and after their partner became pregnant. Results: From December 2017 to March 2018, we recruited a total of 466 eligible expectant fathers, among whom 323 (69.3%) were identified as current smokers and 143 (30.7%) were ex-smokers. Using lasso regression, 19 features were selected from among 27 independent variables. The results of the selected multivariable logistic regression model showed that knowledge about the health hazards of smoking among smokers (odds ratio (OR) 1.39; 95% confidence interval (CI) 1.24 to 1.58; p<0.001), knowledge about the health hazards of SHS to pregnant women (OR 1.46; 95% CI 1.09 to 1.97; p<0.001), knowledge about harm to the fetus and newborn (OR 1.58; 95% CI 1.25 to 2.03; p<0.001), and being a first-time expectant father (OR 2.08; 95% CI 1.02 to 3.85; p=0.046) were significantly positively associated with smoking abstinence among expectant fathers after their partner became pregnant. Significantly negative associations were found for severe dysfunctionality in terms of family support (OR 0.48; 95% CI 0.24 to 0.95; p=0.036) and smoking only outside the home (OR 0.81; 95% CI 0.26 to 0.98; p<0.001). Conclusions: In this study, we identified several factors associated with smoking abstinence among expectant fathers after their partner became pregnant. These findings can guide the development of effective interventions targeting expectant fathers, to help them quit smoking.

scholarly journals ASSESSMENT OF SMOKING BEHAVIOR AMONG MALAY MALE SMOKERS IN KELANTAN, MALAYSIA

2017 ◽  
Vol 10 (2) ◽  
pp. 222
Author(s):  
Ruzilawati Abu Bakar
Keyword(s):  
Nicotine Dependence ◽  
Peer Influence ◽  
Physical Dependence ◽  
Age Factors ◽  
Smoking Behavior ◽  
Smoking Initiation ◽  
Smoking Prevention ◽  
Smoking History ◽  
Male Smoker ◽  
Quit Smoking

Objective: The aim of this study was to assess smoking behavior among Malay male smokers in Kelantan, Malaysia.Methods: Volunteers (n=496) were recruited in the study by randomly selected manner. The participants were categorized as smokers (n=248) and non-smoking controls (n=248). All participants were given data collection sheets to record their information. The participants who were selected in smokers group (n=248) were given a form containing questionnaires regarding their smoking behavior. The participants were asked about their smoking history such as smoking initiation age, factors that influence smoking behavior, number of cigarettes daily, number of quitting attempts, and methods of quitting attempts. The validated Malay version of Fagerstrom test for nicotine dependence (FTND-M) was used to measure physical dependence on nicotine among smokers.Results: The study revealed that smokers in this study group were mainly light smokers. More than half of the participants, i.e., 51.6% (n=128), in this study had an FTND-M score lower than 2 (very low nicotine dependence). The minimum smoking initiation age of the participants in this study was 10 years whereas the maximum age was 40 years. Most of the participants start smoking at the age of <20 years with the higher frequency being18 years. More than half of the participants (58.5%) claimed that peer influence is the main factor initiating their smoking behavior. From the study, about 50.4% (n=125) of participants used <10 sticks of cigarettes per day, 39.1% (n=97) used 11-20 sticks, 9.39% (n=23) used 21-30 sticks, while1.2% of the participants used more than 31 sticks of cigarettes per day. Our data indicate that only 10.9% (n=27) of participants had tried more than5 times to quit smoking. Even though new effective treatments are now available, almost half of the participants, i.e., 51.6% (n=128), had tried to quit smoking without any intervention.Conclusion: Data obtained from this study later may help the public health policy makers and practitioners, especially in Kelantan, Malaysia, to make smoking prevention strategies more effective.Keywords: Smoking behavior, Male smoker, Malay male and smoking assessment. 

scholarly journals Are Smoking Cessation Treatments Associated with Suicidality Risk? An Overview

2016 ◽  
Vol 10 ◽  
pp. SART.S33389
Author(s):  
J. Kim Penberthy ◽  
J. Morgan Penberthy ◽  
Marcus R. Harris ◽  
Sonali Nanda ◽  
Jennifer Ahn ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Behavioral Therapy ◽  
Smoking Behavior ◽  
Significant Rise ◽  
Smoking Reduction ◽  
Smoking Cessation Treatment ◽  
Quit Smoking ◽  
Cessation Treatment ◽  
Increased Risk ◽  
The Relationship

Risk of suicidality during smoking cessation treatment is an important, but often overlooked, aspect of nicotine addiction research and treatment. We explore the relationship between smoking cessation interventions and suicidality and explore common treatments, their associated risks, and effectiveness in promoting smoking reduction and abstinence. Although active smokers have been reported to have twofold to threefold increased risk of suicidality when compared to nonsmokers, 1 4 research regarding the safest way to stop smoking does not always provide clear guidelines for practitioners wishing to advise their patients regarding smoking cessation strategies. In this article, we review pharmacological and cognitive behavioral therapy (CBT) options that are available for people seeking to quit smoking, focusing on the relationship between the ability of these therapies to reduce smoking behavior and promote abstinence and suicidality risks as assessed by reported suicidality on validated measures, reports of suicidal ideation, behaviors, actual attempts, or completed suicides. Pharmacotherapies such as varenicline, bupropion, and nicotine replacement, and CBTs, including contextual CBT interventions, have been found to help reduce smoking rates and promote and maintain abstinence. Suicidality risks, while present when trying to quit smoking, do not appear to demonstrate a consistent or significant rise associated with use of any particular smoking cessation pharmacotherapy or CBT/contextual CBT intervention reviewed.

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