172195 Decisional balance and stage of change of quitting behaviors among Korean American smokers

Monday, October 27, 2008

Grace X. Ma, PhD , Public Health, Temple University Center for Asian Health, Philadelphia, PA
Carolyn Fang, PhD , Division of Population Science, Fox Chase Cancer Center, Cheltenham, PA
Jung Choi, PhD , Public Health, Temple University Center for Asian Health, Philadelphia, PA
Jamil I. Toubbeh, PhD , Center for Asian Health, Department of Public Health, Temple University, Philadelphia, PA
Problem/Objective: Smoking rates are disproportionately high among Korean Americans. In order to develop efficacious and well-accepted smoking cessation interventions, it is essential to identify the key psychosocial variables that could influence quitting behaviors. Thus, this study evaluated the effect of decisional balance and stage of change of quitting behavior among Korean American smokers over time. Methods: The study used two-group experimental design with 100 Korean American adult smokers were randomly assigned to a culturally tailored smoking cessation program through combined motivational interviewing and intervention or general health counseling program. Both groups received nicotine replacement therapy. Assessment measures were conducted on the pros and cons of quitting, stages of change and nicotine dependence at baseline, 1-week, 1-month, 3-month and 6 month follow ups. Results: The majority of participants (72.7%) reported smoking regularly, not at all or little affected by physician's advice to quit (57%), and in the precontemplation stage (76.5%). Participants reported fewer cons and more pros of quitting over the course of the study. A greater proportion of intervention participants were in the Action stage at 1-week and 1-month follow-ups. Significant predictors of being in the Action stage for 3 and 6-month follow-ups were older age higher level of education. Conclusion: This intervention strategy has shown that it can successfully aid Korean Americans to quit smoking. Culturally and linguistically appropriate intervention strategies can be effective in promoting smoking cessation. Decisional balance and stages of change variables can be successfully adapted into evaluation of smoking intervention programs for Korean Americans.

Learning Objectives:
1. Identify psychosocial variables that contribute to high levels of smoking among Korean Americans. 2. Describe how demographic factors are associated with attitudes towards quitting smoking. 3. Apply the results of this study to development of an intervention strategy that would improve the rates of smoking cessation among Korean American smokers.

Keywords: Tobacco Control, Smoking Cessation

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Principal Investigator of the study to be presented. There is no conflict of interest with any commercial entity associated with this study.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.