[Effects of a smoking cessation program including telephone counseling and text messaging using stages of change for outpatients after a myocardial infarction].
OBJECTIVE
This study was done to identify effects of a smoking cessation program including telephone counseling and text messaging using stages of change for outpatients who have had a myocardial infarction (MI).


METHODS
This research was a quasi-experimental design with a nonequivalent control group pretest-posttest. The participants were 48 outpatients (experimental group=24, control group=24) recruited from one university hospital. They were randomly assigned to one of two groups: (a) an experimental group with telephone counseling (once a week) and text messaging (five times a week) using stages of change, and (b) a control group with traditional telephone counseling (once a month). Efficacy of the intervention was measured by comparing the two groups on smoking-related variables at 3 weeks and 12 weeks.


RESULTS
At the 3-week and 12-week measurements, there were significant differences between the experimental and control groups on smoking cessation self-efficacy (p<.001), nicotine dependence (p<.001), CO levels (p<.001), and smoking cessation rates (p<.001).


CONCLUSIONS
The results indicate that the smoking cessation program including telephone counseling and text messaging using stages of change is effective for outpatients after a MI. Further attention should be paid to the intensity of the smoking cessation program and periods for long-term follow-up.
Department of Nursing, Cheongam College, Suncheon, Korea.
Jung-Hyeon
JH
Kong
Yeongmi
Y
Ha
D000328:Adult; D002248:Carbon Monoxide / Q000032:analysis; D003376:Counseling / Q000379:methods*; D005260:Female; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000523:psychology*; D010045:Outpatients; D015397:Program Evaluation; D020377:Self Efficacy; D016540:Smoking Cessation; D013689:Telephone; D060145:Text Messaging; D013997:Time Factors; D014029:Tobacco Use Disorder
D002248:Carbon Monoxide
Counseling; Myocardial infarction; Smoking cessation; Text messaging