Public Health and Preventive Medicine
Articles Information
Public Health and Preventive Medicine, Vol.4, No.1, Mar. 2018, Pub. Date: May 28, 2018
Applying Transtheoratical Model and Stages of Change, Regarding Tobacco Cessation, Among Students, University of Elimam Elmahdi, Sudan 2011-2014
Pages: 11-17 Views: 579 Downloads: 272
[01] Abdalla Hasballa Elmanna, Faculty of Medicine and Health Sciences, Public Health Program, Elimam Elmahdi University, Kosti City, Sudan.
Tobacco is the single greatest preventable cause of death in the world today, killing up to half the people who use it. The TTM has been successfully applied to many health behaviors including tobacco cessation in various settings including universities and schools. The study aim to assess the role of health education regarding tobacco cessation: Applying Transtheoratical Model and Stages of change. The study conducted in Elimam Elmahdi University which located in White Nile State, Sudan. A case control study was conducted. (n=174) students for interventional group and (n=156) for control group. A pre and post tested constructed questionnaires were distributed to respondents, with follow up of 3 years from 2011-2014. Data analyzed with statistical package for social sciences, statistical t test for paired samples was used for the significant. A (P value of 0.05 or less) was considered statistically significant. The transtheoratical model and stages, precontemplation, contemplation, preparation action and maintenance were examined. Significant and different relationships between case and control groups were found (6.3%) of students from intervention group successfully maintained stopped tobacco usage with no change in control group. (3.5%) of targets from intervention group increased in action stage compared with (1.9%) in control group, (23.8%) increased in preparation stage compared with (4.5% (in control group, (27.1%) decreased in contemplation stage in intervention group compared with (3.8%) in control group and decreased of (7.5%) in precont emplation stage in intervention group compared with (2.6%) in control group.
Cessation, Change, Model, Nicotine, Prevalence, Stages, Transtheoratical, Tobacco
[01] WHO. Monograph on tobacco cessation and oral health integration. Geneva: World Health Organization.; Licence: CC BY-NC-SA 3.0 IGO. ISBN 978-92-4-151267-1. 2014.
[02] WHO. Child and adolescent health and development. [Accessed 2002c, April]. Available from: URL: 2002.
[03] Wigand. Addictive, cigarette design and tobacco product regulation. Report to WHO. Global surveillance, prevention and control of chronic respiratory diseases. Geneva: World Health Organization, 2007.
[04] Giving up tobacco has some immediate and long-term health benefits, 2012.
[05] Torabi MR, Yang J, Li, Comparison of tobacco use knowledge, attitudes and practice among college, 2009.
[06] Velicer, W. F, Prochaska, J. O., Fava, J. L., Norman, G. J., & Redding, C. A., Smoking cessation and stress management: Applications of the Transtheoretical Model of behavior change. Homeostasis, 38, 1998.
[07] Aveyard, P, Lawrence, T, Cheng, K. K, Carl Griffin, C. Croghan, E. Johnson, C, A randomized controlled trial of smoking cessation for pregnant women to test the effect of a transtheoretical model-based intervention on movement in stage and interaction with baseline stage. The British Psychological Society. British Journal of Health Psychology (2006), 11, 263–278 q 2006 The British Psychological Society, 2006.
[08] C. Di Clemente Scoot K. Fairhurst, Mary M. Velasquez, James O. Prochaska, Wayne F. Velicer Carlo C. Di Clemente, K. Fairhurst, Mary M. Velasquez, and Joseph S. Rossi, Investigate The process of smoking an analysis of precontemplation, contemplation and preparation stage of change. University of Houston and Cancer prevention research center university of Rhode Island. Journal of consulting and clinical psychology 1991, Vol. 59. No. 2, 295. American psychological association, USA. 1991.
[09] Aveyard, P, Cheng, K K., Almond, J., Sherratt, E., Lancashire, R., Lawrence, T, Griffin, C., Evans, O, Cluster randomized controlled trial of expert system based on the transtheoretical (“stages of change”) model for smoking prevention and cessation in schools. Editorial by Reid, Department of Public Health and Epidemiology, University of Birmingham, Birmingham B15 2TT. BMJ volume 319 9 October 1999.
[10] James O. Prochaska, Carlo C. DiClemente, Wayne F. Velicer, and Joseph S. Ross, Standardized, Individualized, Interactive, and Personalized Self-Help Programs for Smoking Cessation, published on Health psychology journal in 1993. Vol, 12. No. 5, 399-405. American Psychological Association, Inc., and the Division of Health Psychology/0278-6133/93/$3.00.
[11] Lawrence, T, Aveyard, P, Cheng, KK, A cluster randomized controlled trial of smoking cessation in pregnant women comparing interventions based on the transtheoretical (stages of change) model to standard care. Terry Lawrence, Department of Public Health and Epidemiology, University of Birmingham, Birmingham B15 2TT, UK;, P O Evans, K K, 2003.
[12] Prochaska, J. O., Norcross, J. C., & DiClemente, C. C. (2004b). Changing for Good. New York, NY: William Morrow.
[13] Linda E. Carlsona*, Paul Taenzera, b, b, Jan Koopmansa, Predictive value of aspects of the Transtheoratical Model on smoking cessation in a community-based, large-group cognitive behavioral program Chronic Pain Centre journal of science direct. Addictive Behaviors 28 (2003) 725–740), Calgary Health Region, Calgary, Alberta, Canada, 2003.
[14] Ellard, J, Smoking Cessation Interventions: A Literature Review. January 2010. Australian federation of AIDS organization INC, 2010.
[15] Stephen B, Understanding and Using The Transtheoratical Stages of Change Model. 2nd ed 2000. Ottawa. Carleton health department. Canada, 2000
[16] University Directory Worldwide. social media with University of Elimam Elmahdi. Social networking worldwide.
[17] Wikipedia, the free encyclopedia. White Nile State.
[18] FSTS, Food security technical secretariat ministry of agriculture FAO-Sudan integrated food security information for action (SIFSIA) Food security in the White Nile State of Sudan, Khartoum Sudan June - 2012, analysis of 2010 State level baseline household survey.,2012.
[19] UNDP, Socio-economic and opportunity mapping Assessment report for White Nile State Joint mission.26th -28 October 2010
[20] Global Youth Tobacco Survey (GYTS), Datasets. High-school Students. Bulletin of the World Health Organization, 77 (6): 509-14.,2008.
[21] WHO & CDC. Global health professional study survey, 2012.
[22] American Academy of Pediatrics (AAP). Help Teens Quit. Tobacco history questionnaire., March 12, 2008.
[23] Prochaska, J. O., & DiClemente, C. C, Transtheoratical therapy toward a more integrative model of change. Psychotherapy: Theory, Research and Practice, 19 (3), 276-287, 2004.
[24] P. Datta, S. Sood, S. Sharma, Indian Journal of Dental Education, Volume 5 Number 2, April - June 2012, Tobacco Initiation to Intervention in Youth: Implication for Oral Health Professionals. P. Datta, S. Sood, S. Sharma, 2012.
[25] Goddard, E, Why Children Start Smoking. Office of Population Censuses and Surveys (Social Survey Division). HMSO, London. 216-233, 1990.
[26] Canga, N, Iralia, J, Vara, E, Duaso, M, Ferrer, A, Gonzalez, M, A, Intervention Study for Smoking Cessation in Diabetic Patients. Diabetes care, volume 23, number 10, October 2000.
[27] Glanz, K., Lewis, F. M., & Rimer, B. K. Eds, Health Behavior and Health Education: Theory Research and Practice. San Francisco, CA: Jossey-Bass Publishers, 2007.
[28] Sudanese Universities Information Network (SUIN), [Sudan], 2013.
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