Effectiveness of group counseling in smoking cessation program amongst adolescent smokers in Malaysia
Aim: To assess the effectiveness of groups counseling for smoking cessation among secondary school students.
Methods: This study was conducted among secondary school students in two districts in Selangor Malaysia, during July 2005 until August 2006. Upon screening, 346 students were randomly assigned into intervention group (IG) (n=158) and non intervention group (NIG) (n=188). IG underwent structured group counseling regularly for four months, while no group counseling was given to the NIG but subjected to the regular smoking cessation activities organized by their respective schools. Â Â Â Â Knowledge and attitude towards smoking and quit rate wereÂ measured in both groups before intervention, and at 4, 8, and 12 months after intervention.
Results: Revealed that students in IG had signifi cantly higher knowledge scores than those in NIG during follow-up visits (24.29+7.97 vs 23.58+8.44 on the fi rst visit), (29.10+8.52 vs 24.09+8.69 on the second visit) (26.59+8.26 vs 22.08+8.04 on the third visit) and (25.54+8.34 vs 21.26+9.60 on the fourth visit). Attitude scores were not signifi cantly different in both groups. Quit rate at four months after intervention was signifi cantly higher in IG as compared to the NIG (45%; 71/158 vs 32%; 60/188) (P=0.013).
Conclusion: Group counseling is very effective in improving the respondentsâ€™ knowledge and quite rate, but not their attitudes toward smoking. (Med J Indones 2010; 19:273-9)
Keywords: attitude, group counseling, intervention, knowledge, smoking cessation
Lum MSW. Smoking: health information series. Kuala Lumpur: MSWLUM; 2004.
Conrad KM, Flay BR, Hill D. Why children start smoking cigarette: predictors of onset. Br J Addiction. 1992; 87:1711- 24.
Slovic P. Smoking: risk, perception and policy. USA: Sage
Mackay J, Eriksen M, Shafey O. The Tobacco Atlas. 2nd ed.Atlanta, GA: Am Cancer Soc. 2006.
Ministry of Health Malaysia. Smoking among adolescents (Age 13-<18 years old) 2009. Cited 2009 October 10. http:// www.nih.gov.my/NHMS/abstracts_14.html.
Lee LK, Paul CYC, Kam CW, Hagmohni K. Smoking among secondary school students in Negeri Sembilan, Malaysia. Asia Pacifi c J Public Health. 2005; 17:130-6.
Niaura R. Nonpharmacologic therapy for smoking cessation:
characteristics and effi cacy of current approaches. Am J Med. 1992;121:511-9.
Kottke TE, Battista RN, DeFriese GH. Attributes of successful smoking cessation intervention in medical practice. A meta-analysis of 39 controlled trials. J Am Med Assoc. 1988;259:2883-9.
Balch GI, Tworek C, Barker DC, Sasso B, Mermelstein RJ,
Giovino GA. Opportunities for youth smoking cessation:
fi ndings from a national focus group study. Nicotine and
Tobacco Research. 2004;6:9-17.
Milton MH, Maule CO, Backinger CL, Gregory DM.
Recommendation and guidance for practice in youth tobacco
cessation. American J Health Behavior. 2003;27:159-69.
Department of Selangor Education. ICT Unit Ministry of
Education Malaysia. 2005.
Gilbert J. Botvin. Life skill training. Modifi ed and translated by Drug Research Centre University Science Malaysia. 1979â€“1996.
Hashami B. The Effectiveness of health education package
in smoking behavior modifi cation. [thesis]. Kuala Lumpur.
Universiti Kebangsaan Malaysia. 1998.
Ministry of Health Malaysia. Educational training module
on preventing smoking, alcohol and drugs intake among
Corey G. Theory and practice of group counseling. 5th ed.
Brooks (USA). Cole Thomson Learning. 2000.
Hawe P, Degeling D, Hall J. Evaluating health promotion.
Maclennan & Petty Pty Limited, NSW Australia. 1992.
Schofi eld MJ, Lynagh M, Mishra G. Evaluation of health
promoting school program to reduce smoking in Australian
secondary schools. Health Education Res. 2003;18:678-92.
Bruvold WH. A meta-analysis of adolescent smoking prevention programs. Am J Public Health. 1993;83:872-80.
Frikart M, Etienne S, Cornuz J, Zelweger JP. Five day plan
for smoking cessation using group behaviour therapy. Swiss
Medical Weekly. 2003;133:39-43.
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