ประสิทธิผลของโปรแกรมการประยุกต์ใช้แบบจำลองขั้นตอนการเปลี่ยนแปลงพฤติกรรม และการสนับสนุนทางสังคมต่อพฤติกรรมการเลิกสูบบุหรี่ของวัยรุ่น The Effectiveness of Stages of Change Model and Social Support Application Program on Adolescent Smoking Cessation

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คธาวุฒิ สุระมรรคา
เกศินี สราญฤทธิชัย

Abstract

This quasi-experimental design study aimed to determine the effectiveness of stages of change model and social support application program on adolescent smoking cessation in Thailand. Study samples were 60 adolescent smokers currently studying in secondary schools. A total of 30 adolescent smokers were randomly allocated into experimental group and control group. The experimental group received the smoking cessation program. The 12-weeks program include educational implementation by using instructional media, set up goal for quit smoking, role model for quit smoking, practice quite smoking by raising awareness, practicing to refuse smoking, and getting support such as observation and giving advice from peers, parents, teachers in school and health care provider. Instrument used in this study were 1) stages of change of adolescent smoking cessation questionnaire, 2) adolescent smoking cessation questionnaire and 3) Fagerstrom Test for Nicotine Dependence.  Study outcomes were quit smoking behavior and stage of change of quit smoking behavior. Data were analyzed by using descriptive statistics, t-test, 95% CI, Z test and statistical significance was set at p-value < .05 level.


                Results showed that the experimental group were able to change the habit of smoking in the better side of 26 people.(86.7%) and the experimental group had smoking cessation behavioral scores higher than the comparison group with statistical significance (Mean difference= 28.63, 95% CI: 26.65 to 30.61, p < .001). The experimental group can quit smoking for 13 people (43.3 %)


It is suggested that social support has strong impacts on adolescent smoking cessation. Thus, the application for adolescent quit smoking program is not only including stage of change model but social support from peers, parents and teachers need to be focused on.

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