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Smoking cessation with teenagers: The relationship between impulsivity, emotional problems, program retention and effectiveness.

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Title: Smoking cessation with teenagers: The relationship between impulsivity, emotional problems, program retention and effectiveness.
Authors: Wegmann L (AUTHOR), Bühler A (AUTHOR), Strunk M (AUTHOR), Lang P (AUTHOR), Nowak D (AUTHOR)
Source: Addictive Behaviors. Apr2012, Vol. 37 Issue 4, p463-468. 6p.
Abstract: AIMS: This study examines whether individual differences in impulsivity and emotional problems in adolescent smokers are related to initial smoking characteristics of participants, acceptance, retention and outcome of a school-based smoking cessation program. DESIGN: The data was obtained from a feasibility study of a youth-specific, cognitive-behavioral and motivation enhancing program at 22 schools with 139 participating teenage smokers in Germany. A one-group-pre-posttest design was realized. MEASUREMENT: Impulsivity levels were assessed by use of the impulsivity scale of the IVE ('Inventar zur Erfassung von Impulsivität, Risikoverhalten und Empathie', Stadler, Janke, & Schmeck, 2004). To evaluate the extent of emotional problems, the corresponding 5-items scale of the SDQ-Deu ('Strength and difficulties questionnaire', Klasen et al., 2000) was applied. Smoking behavior and acceptance of the program were assessed by students' self-reports. FINDINGS: Acceptance and retention did not differ with regard to impulsivity and emotional problems, but initial smoking status did. Cessation rates varied with level of impulsivity: compared to non-impulsive participants, impulsive adolescents succeeded in quitting smoking less often. Emotional problems were not related to the rate of quitting. CONCLUSIONS: Impulsive adolescents were similarly compliant to the offered cessation intervention as less impulsive smokers. In spite of their general positive evaluation, impulsive adolescents seem to benefit less from a smoking cessation program than their non-impulsive counterparts. Specific elements supporting impulsive teenage smokers in their goal to quit should be incorporated into youth-specific cessation programs. [ABSTRACT FROM AUTHOR]
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Database: Education Research Complete
Description
Abstract:AIMS: This study examines whether individual differences in impulsivity and emotional problems in adolescent smokers are related to initial smoking characteristics of participants, acceptance, retention and outcome of a school-based smoking cessation program. DESIGN: The data was obtained from a feasibility study of a youth-specific, cognitive-behavioral and motivation enhancing program at 22 schools with 139 participating teenage smokers in Germany. A one-group-pre-posttest design was realized. MEASUREMENT: Impulsivity levels were assessed by use of the impulsivity scale of the IVE ('Inventar zur Erfassung von Impulsivität, Risikoverhalten und Empathie', Stadler, Janke, & Schmeck, 2004). To evaluate the extent of emotional problems, the corresponding 5-items scale of the SDQ-Deu ('Strength and difficulties questionnaire', Klasen et al., 2000) was applied. Smoking behavior and acceptance of the program were assessed by students' self-reports. FINDINGS: Acceptance and retention did not differ with regard to impulsivity and emotional problems, but initial smoking status did. Cessation rates varied with level of impulsivity: compared to non-impulsive participants, impulsive adolescents succeeded in quitting smoking less often. Emotional problems were not related to the rate of quitting. CONCLUSIONS: Impulsive adolescents were similarly compliant to the offered cessation intervention as less impulsive smokers. In spite of their general positive evaluation, impulsive adolescents seem to benefit less from a smoking cessation program than their non-impulsive counterparts. Specific elements supporting impulsive teenage smokers in their goal to quit should be incorporated into youth-specific cessation programs. [ABSTRACT FROM AUTHOR]
ISSN:03064603