Feasibility and effectiveness of a stages-of-change model in cigarette smoking cessation counseling. 1994

W D Wang
Department of Family Medicine, National Taiwan University Hospital, Taipei, R.O.C.

Counseling coupled with a stages-of-change model in cigarette smoking cessation is a useful method for physicians to help patients stop smoking. The participants were 27 physicians, randomly assigned to three groups of nine physicians each. The first group of physicians were given two lectures on the stages-of-change model on which to base their patient counseling. The second group of physicians were not exposed to the model but a reminder reading "Ask your patients to stop smoking" was placed in their clinic. The third group of physicians were neither exposed to the model nor given any reminder. Of the 93 smokers among the patients of the 27 physicians, 39 were in the first group, 26 in the second, and 28 in the third. A survey indicated that among the three groups there was no significant difference in demographic data, cigarette smoking history, and personal attitude toward smoking cessation counseling. At the end of six months, the first group of patients accomplished a quit smoking rate of 28.6%; of the patients still smoking 56% had decreased their daily cigarette consumption. The corresponding figures for the second group were 8.3% and 9.1%. The corresponding figures for the third group were 4.3% and 13.6%. These data show that counseling coupled with the concept of a stages-of-change model is feasible and effective to assist with cigarette smoking cessation.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010819 Physician's Role The expected function of a member of the medical profession. Physicians' Role,Physician Role,Physician's Roles,Physicians Role,Physicians' Roles,Role, Physician's,Role, Physicians',Roles, Physician's,Roles, Physicians'
D003376 Counseling The giving of advice and assistance to individuals with educational or personal problems.
D005240 Feasibility Studies Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project. Feasibility Study,Studies, Feasibility,Study, Feasibility
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D013624 Taiwan Country in eastern Asia, islands bordering the East China Sea, Philippine Sea, South China Sea, and Taiwan Strait, north of the Philippines, off the southeastern coast of China. The capital is Taipei. The alternate country name is Republic of China. Formosa,Republic of China
D016009 Chi-Square Distribution A distribution in which a variable is distributed like the sum of the squares of any given independent random variable, each of which has a normal distribution with mean of zero and variance of one. The chi-square test is a statistical test based on comparison of a test statistic to a chi-square distribution. The oldest of these tests are used to detect whether two or more population distributions differ from one another. Chi-Square Test,Chi Square Distribution,Chi Square Test,Chi-Square Distributions,Chi-Square Tests,Distribution, Chi-Square,Distributions, Chi-Square,Test, Chi-Square,Tests, Chi-Square

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