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Thesis/Dissertation Information
- Degree Disciplines:
- Nursing
Notes
- Abstract:
- Approximately 46 million people in the United States smoke tobacco. Although smoking has declined over the past 10 years, it remains a major contributor to lung and other cancers, heart disease, and stroke. Minority low-income smokers are at special risk. This retrospective, longitudinal study involved 223 randomly selected ethnic minority (African American and Hispanic), low-income participants in an established smoking cessation program from 2001 through 2005. The program was located in a large southeastern U.S. metropolitan area, and at preintervention all participants had a baseline CT scan for lung cancer. Despite much research on smoking cessation programs, no studies have focused on this population in an early lung cancer and smoking cessation program. This study described the sample characteristics and examined selected factors (level of activity, physical health, emotional health, and stages of change) predictive of smoking cessation 12 months postintervention. Two research questions were formulated: (a) Was there a significant change in participants’ self-reports on the five variables preintervention and at 12-month postintervention? (b) If there was a significant change in these variables, what were the relative contributions of postintervention scores in predicting smoking status at 12-month follow-up? Two instruments were administered at baseline preintervention and postintervention: the Early Lung Cancer Action Program (ELCAP) Intake and Follow-Up Surveys. Results of t tests and logistic regression indicated that for Research Question 1, general health and physical health significantly improved, and emotional health significantly declined. Further, 57% of the participants reported not smoking at all in the month following postintervention. For Research Question 2, none of the five variables predicted smoking cessation at postintervention. Therefore, the program was partially effective in contributing to participants’ decreased smoking and increased general and physical health. A major limitation was the instruments, constructed from the ELCAP program surveys, which are used exclusively for diagnosis. Further instrument validity and reliability testing is warranted. The ELCAP program has been primarily a medical model, and this study may provide a first step toward a nursing model. Further research is suggested with similar populations in other geographic areas, especially with minority, low-income participants at high risk for lung cancer.
- Thesis:
- Thesis (Ph.D.)--Barry University, 2007.
- Bibliography:
- Includes bibliographical references (leaves 101-117).
Record Information
- Source Institution:
- Barry University
- Holding Location:
- Barry University Archives and Special Collections
- Rights Management:
- Copyright Mary M. Campbell. Permission granted to Barry University to digitize, archive and distribute this item for non-profit research and educational purposes. Any reuse of this item in excess of fair use or other copyright exemptions requires permission of the copyright holder.
- Resource Identifier:
- HV5740.C36.2007_CampbellMary ( BU-Local )
- Classification:
- HV5740.C36.2007 ( lcc )
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