Influential Variables on Intention and Action to Quit Smoking between Adolescent Smokers and Adult Smokers-Based on the Transtheoretical Model

금연의 준비단계 영향변인: 범이론적(Transtheoretical model) 모형을 중심으로

  • Published : 2005.12.01


Purpose: This study identified and compared influential variables on intention and action to quit smoking between adolescent smokers and adult smokers. Methods: For the selection of variables, the transtheoretical theory was used. A survey was conducted with 376 adolescent smokers in 4 high schools and 451 adult smokers in community settings in South Korea. Discriminant analysis was used for data analysis Results: The variables of adolescent smokers that predicted an intention to quit smoking were: smoking temptation, self re-evaluation, counter conditioning and stimulus control. The variables that predicted an action to quit smoking were: self-efficacy for smoking abstinence, pros for smoking, self reevaluation, and self liberation. The variables of adult smokers that predicted an intention to quit were: smoking temptation, pros for smoking, cons for smoking, self reevaluation. The variables that self liberation and predicted an action to quit smoking were: self efficacy for smoking abstinence, smoking temptation, and counter conditioning. Conclusions: Developing stage specific smoking intervention methods based on different ways of how individuals make a decision to quit smoking within their contexts needs to be done.



  1. American Cancer Society (1992). Pathway to health, American Cancer Society
  2. Chang, S. O. (2004a). The concept development of smoking temptation, J Korean Acad Nurs, 34(1), 160-171
  3. Chang, S. O. (2004b). Development of a scale to measure Korean smoking temptation, J Korean Acad Nurs, 34(5), 849-858
  4. Self-efficacy and the stages of self-change of smoking. Cogni Ther Res, 9, 181-200
  5. Jung, K. H. (2005). The development of smoking temptation scale of the adolescent in Korea, Unpublished master thesis, Graduate School of Education, Korea University, Korea
  6. Kim, J. E. (2005). A study on development of a tool to measure decisional balance for smoking of adolescent smokers in Korea, Master Thesis, Graduate School of Education, Korea University, Korea
  7. Kim, T. M., Jee, S. H., & Ohr, H. C. (1992). Effect of anti-smoking education on male high school student, J Epidemiology, 14(2), 175-183
  8. Lee, E. H., Jung, Y. H., Kim, J. S., Song, R. Y., & Hywang, G. Y. (2002). Statistical methods for health care research. Seoul : GunJa
  9. Lee, J. H, Kang, E. S., Lee, M. H, & Lee, Y. E. (2001). The effect of self-efficacy program smoking cessation program for middle school students, J Korean Comm Nurs, 12(3), 716-731
  10. Macnee, C. L., & AcCabe, S. (2004). The transtheoretical model of behavior change and southern Appalachia, Nurs Res, 53(4), 243-250
  11. Marcus, B. H., Selby, V. C.,Niaura, R. S., & Rossi, J. P. (1992). Self-efficacy and the Stages of exercise behavior change, Res Quarterly for Exercise and Sport, 63(1), 60-66
  12. Marcus, B. H., Simkin, L. R, Rossi, J. S., Pinto, B. M. (1996). Longitudinal shifts in employee's stages and processes of exercise behavior change. Am J Health Promotion, 10(3), 195-200
  13. Pallonen, U. E. (1998). Transtheoretical measure for adolescent and adult smokers: similarities and difference, Preventive Med, 27, A29-A38
  14. Pollak, K. I., Carbonari, J. P., DiClemente, C. C, Niemann, Y. F., & Mullen, P. D. (1998). Causal relationships of processes of change and decisional balance: Stage-specific models for smoking. Addict Behav, 23(4), 437-448
  15. Prochaska, J. O., Velicer, W. F., DiClemente, C. C, & Fava, J. L. (1988). Measuring the processes of change: Applications to the cessation of smoking. J Consult Clini Psychol, 56, 520-528
  16. Pulmmer, B. A., Velicer, W. F., Redding, C. A., Prochaska, J. O., Redding, J. S., & Pallonen, U. E. (2002). Stage of change, decisional balance, and temptation for smoking: Measurement and validation in a large, school-based population of adolescents, Addict Behav, 16, 551-571
  17. Oh, H. S., & Kim, Y. R. (1997). Exploratory study on developing model for smoking cessation process, J Korean Acad Nurs, 27(1), 71-82
  18. Orleans, C. T., Schoenback, V. J., Salmon, M. A., Wagner, E. A., Pearson, D. C, & Fiedler, J. (1988). Effectiveness of self-help quit smoking strategies, in T. Glynn, Four national cancer institute-funded self-help smoking cessation trials: interim results and emerging patterns. Symposium presented at the annual meeting of the Association for the Advancement of Behavior therapy, New York
  19. Shin, S. R., Lee, D. S., & Park, J. W. (2000). The effect of life smoking cessation program-multidisciplinary approach, J Korean Acad Nurs, 30(1), 110-121
  20. Son, H. M. (2005). Differences in processes of change, decisional balance, and temptation across the stages of change for smoking cessation, J Korean Acad Nurs 35(5), 904-913
  21. Velicer, W. F., DiClemente, C. C, Prochaska, J. O., & Brandenberg, N. (1985). A decisional balance measure for assessing and predicting smoking status. J Personality Soc Psychol, 48, 1279-1289
  22. Velicer, W. F., DiClemente, C. C, Rossi, J. S., & Prochaska, J. O. (1990). Relapse situation and self-efficacy: an integrative model. Addic Behav, 15, 271-283
  23., 2005