Background: We evaluated whether providing health risk appraisal for Koreans (KHRA) in terms of 'health age' during smoking cessation program would effectively help smokers quit smoking or not. Materials and Methods: A total of 332 male smokers aged between 30-65 years old, registered for a smoking cessation program in a public health center in a city, were recruited and underwent a baseline survey from January 2010 to February 2011. They were then prospectively randomized to a conventional counseling group (n=165) or a KHRA group (n=167), and received conventional counseling or KHRA-based counseling for six months. Abstinence rates were identified through carbon monoxide measurement (at the 4 th and 24 th weeks) or urinary cotinine level (at the 12 th week). Results: The abstinence rate confirmed by exhaled carbon monoxide was significantly higher in the KHRA group (61.1%) than the control group (49.1%) at the 4 th week (absolute difference 12.0%, 95% CI: 1.4%-22.6%). However, there was no difference in abstinence rates between the two groups at the 12th and 24th weeks. The predicting factors of 24 week's smoking cessation success were age, older than 50 years old (OR 2.02, 95% CI: 1.16-3.52), lower Fagerström Test for Nicotine Dependence score less than 4 (OR 1.84, 95% CI: 1.03-3.29), and higher Self Efficacy/Temptation score (OR 1.79, 95% CI: 1.05-3.06). Conclusions: Smoking cessation counseling with KHRA could be effective compared to conventional counseling in the short period of smoking cessation. Further study is needed to evaluate the long-term efficacy of KHRA in tobacco dependence treatment and to establish the indication and target population of this tool.
Background:As the number of smartphone users is increasing, smartphone addiction is a recent concern. The purpose of the present study was to examine the mediating effect of loneliness on the relationship between smartphone addiction and dependent/ avoidant personality trait in Adults. Methods: A total of 550 adults (male 116, female 434) were selected and rated smartphone addiction scale, dependent and avoidant personality trait scales, and loneliness scale. Pearson correlation coefficients, Structural Equation Model Analysis and Sobel test using SPSS version 21.0 (IBM, New York, NY, USA) and AMOS version 21.0 (IBM, New York, NY, USA) were conducted. Results: Dependent and avoidant personality significantly were related smartphone addiction and loneliness. Finding in structural equation modeling indicated that the loneliness partially mediated the relationship between dependent personality and smartphone addiction, but did not mediated the relationship between avoidant personality and smartphone addiction. Conclusions: This study confirmed partial mediation effect of loneliness on the relationship between smartphone addiction and dependent personality. This finding suggests that future intervention for smartphone addiction should focus on reducing of loneliness and proper coping with loneliness.
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