Continuing Nursing Education
A Computerized Smoking Cessation Intervention for High School Smokers
Deborah J. Fritz
Sally B. Hardin
Paul A. Gore, Jr.
Douglas Bram
This
study evaluated a computerized intervention designed to assist high
school-aged smokers to consider not smoking and move forward in the
“Stages of Change.” A pretest-posttest pilot was conducted with 121
high school students who completed self-reported questionnaires that
provided information about smoking history and exposure, smoking
dependence, stage of change, and social support. Following baseline
assessment, the experimental group (n = 61) completed four, 30-minute
computerized sessions known as the Computerized Adolescent Smoking
Cessation Program (CASCP). Immediately following completion of the
program and 1 month later, the experimental subjects were reassessed.
Control subjects completed baseline assessment and were reassessed 4 to
5 weeks later.
CASCP
increased the number of quit attempts. At 1 month after the
intervention, 20% of the experimental group quit smoking. Of those
subjects who did not quit smoking, nicotine dependence and the number
of cigarettes smoked daily decreased, which decreased their nicotine
dependence. Overall, there was a forward movement in the experimental
group’s stage of change.
CASCP
was found to be an effective and inexpensive intervention that
motivates adolescent smokers to consider smoking cessation, move
forward in the stage of change, and decrease nicotine dependence.
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