title: Differences in evaluations of a tobacco awareness and cessation program by adolescents in four stages of change.
abstract: This study determined whether adolescents in four stages of change provided significantly different ratings on evaluations of a tobacco awareness and cessation program and the program facilitators. A systematic sample of 639 adolescents in four stages of change (precontemplation, contemplation, preparation, and action) was used for analysis. Analysis of variance revealed significant differences in ratings on 'Cessation Skills,' 'Situation Management,' 'Overall Facilitator,' and 'Facilitator Likeability' evaluations between the groups. Follow-up analysis revealed that adolescent precontemplators provided significantly lower ratings than those in preparation and action, and adolescents in action provided significantly higher ratings than precontemplators and contemplators. This study suggests a need to assess the stage of the adolescent at the beginning of the program in order to provide the facilitator the opportunity to engage and motivate adolescents who are in the precontemplation and contemplation stage of change. This study also provides important information for facilitator training, program planning, and program delivery.
authors.affiliation: Department of Social and Behavioral Health, School of Rural Public Health, Texas A&M University System Health Science Center, 1266 TAMU, College Station, TX 77843-1266, USA. stevens@medicine.tamu.edu
authors.forename: Stacey L
authors.initials: SL
authors.lastname: Stevens
authors.forename: Brian
authors.initials: B
authors.lastname: Colwell
authors.forename: Katherine
authors.initials: K
authors.lastname: Miller
authors.forename: Donald
authors.initials: D
authors.lastname: Sweeney
authors.forename: Catherine
authors.initials: C
authors.lastname: McMillan
authors.forename: Dennis W
authors.initials: DW
authors.lastname: Smith
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000367:Age Factors; D000704:Analysis of Variance; D001294:Attitude to Health; D002648:Child; D003695:Delivery of Health Care; D005500:Follow-Up Studies; D006293:Health Promotion; D006801:Humans; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D016540:Smoking Cessation / Q000523:psychology*