In Taiwan, the prevalence of smoking among teenagers has led to a required smoking cessation program in schools. Students caught smoking in school are required to participate in a weekly smoking cessation class. The purpose of this study was to explore the experience of high school students in a smoking cessation program. Fifteen adolescents participated in a one-on-one in-depth semistructured interview, and the content was analyzed for patterns based on the methods of Miles and Huberman. In addition, Lewin’s change theory of drive forces and restraining forces was used to describe the change in behavior as a result of the program. Five major themes were identified: the onset of smoking—change influenced by families and friends; intention to quit smoking—driving force; the irresistible temptation to smoke—restraining force; limited change effects—more attention and assistance needed; and change in attitude rather than behavior—smoking remained unchanged. Changes were seen in the perceptions and attitudes of these students toward smoking at the end of the program; however, none of them were able to really quit. Most participants revealed that they used improper means to pass the carbon monoxide test requirement that was used as a measure of not smoking. Alternative future intervention strategies for further study include change in health policy to support nicotine replacement methods for heavy adolescent smoker, use of teacher support, and exercise programs to support students going through the smoking cessation period.
Chi-Ping Chang, PhD, RN, Department of Nursing, Tzu Chi College of Technology, Hualien, Taiwan.
Ting-Ting Lee, PhD, RN, School ofNursing,National Taipei University of Nursing & Health Sciences, Taiwan.
Mary Etta Mills, ScD, RN, School of Nursing, University of Maryland, Baltimore.
The authors report no conflicts of interests. The authors alone are responsible for the content and writing of the article.
Correspondence related to content to: Ting-Ting Lee, Department of Nursing, School of Nursing, National Taipei University of Nursing & Health Sciences, 365 Ming Td Road, Taipei 11219, Taiwan. E-mail: firstname.lastname@example.org