Saime Erol

Application of a stage based motivational interviewing approach to adolescent smoking cessation: The Transtheoretical Model-based study

OBJECTIVE To evaluate the results of stage-based motivational interviewing (MI) efforts to help adolescents quit smoking using the three constructs of Transtheoretical Models (TTM). The validity of Turkish translations of two key scales was also assessed. METHODS A methodological and single group pre-post test study design was utilized. 275 adolescent smokers from one high school were recruited for validation of the scales and 60 of them participated in MI intervention. Change in smoking stage, interpretation of pros and cons of smoking, temptations, and smoking status were measured prior to the intervention, and follow-up was conducted at 3 and 6 months after intervention. RESULTS The scales showed adequate reliability and validity for use in Turkish adolescent. Of the MI participants, 40% and 55% had made positive movements in stage at 3 and 6 months, respectively. The interpretations of the cons of smoking significantly increased and temptations dropped toward the action stage at 3 months, and pros of smoking and temptations decreased at 6 months consistently with TTM. The percentages of those who had quit smoking at 3 and 6 months were 18.3% and 33.3% respectively. CONCLUSION A modest, short-term benefit of the intervention was provided to students towards stopping smoking and positive movement in stages was apparent. PRACTICAL IMPLICATIONS Using the MI principles in specific stages based on TTM, health care providers can influence and empower adolescent smokers positively for quitting smoking.

Being a Nurse Instead of Personnel in a Family Health Center

* A Sezer Balcı, Araş. Gör.; S Erol, Doç. Dr Marmara Üniversitesi Sağlık Bilimleri Fakültesi, Halk Sağlığı Hemşireliği Anabilim Dalı Yazışma Adresi / Address for Correspondence: Ayşe Sezer Balcı Marmara Üniversitesi Sağlık Bilimleri Fakültesi, Başı Büyük Kampüsü Başıbüyük Mah. Maltepe Başıbüyük Yolu Sk. No:9-4-1 Maltepe / İstanbul Tel.: 0 216 330 20 70 Faks: 0 216 399 62 42 e-posta: ayses_18_9@hotmail.com ÖZ

Reliability and Validity of the Turkish Version of the Situational Self-Efficacy Scale for Fruit and Vegetable Consumption in Adolescents

Purpose. The purpose of this research was to examine the psychometric properties of the Turkish version of the situational self-efficacy scale for vegetable and fruit consumption in adolescents. Design. This was a methodological study. Setting. The study was conducted in four public secondary schools in Istanbul, Turkey. Subjects. Subjects were 1586 adolescents. Measures. Content and construct validity were assessed to test the validity of the scale. The reliability was assessed in terms of internal consistency and test-retest reliability. Analysis. For confirmatory factor analysis, χ2 statistics plus other fit indices were used, including the goodness-of-fit index, the adjusted goodness-of-fit index, the nonnormed fit index, the comparative fit index, the standardized root mean residual, and the root mean square error of approximation. Pearsons correlation was used for test-retest reliability and item total correlation. The internal consistency was assessed by using Cronbach α. Results. Confirmatory factor analysis strongly supported the three-component structure representing positive social situations (α = .81), negative effect situations (α = .93), and difficult situations (α = .78). Psychometric analyses of the Turkish version of the situational self-efficacy scale indicate high reliability and good content and construct validity. Conclusion. Researchers and health professionals will find it useful to employ the Turkish situational self-efficacy scale in evaluating situational self-efficacy for fruit and vegetable consumption in Turkish adolescents.