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Program on Quitting Smoking

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The setting for the current program is a rural community in which many of the constituents smoke. The program is designed to address the issue of smoking as an avoidable cause of illness and encourage members of the community to cease the practice. One of the goals of Healthy People 2000 is to increase to 75 percent the percentage of primary healthcare workers who routinely advise patients to stop smoking (Neely, 2004). The Surgeon General of the United States has said that the use of tobacco is the single largest preventable cause of illness and death in the United States.

The population to be initiated into the program are adults attending an outpatient clinic in Far Hills, Nebraska, a town with a population of 10,000 people. It is a farming community and many people use the clinic as an emergency room for accidents and injuries sustained on the farms because there is no local hospital. Most of the people are heavy smokers, despite the availability of radio, television and printed materials warning of the dangers of smoking and the negative health consequences. Patients attending the clinic will be asked to fill out a questionnaire based on the National Cancer Institute's manual on How To Help Your Patient Stop Smoking. The questionnaire consists of five pages with 37 questions following the NCI guidelines for counseling for stopping smoking. The data will be analyzed and descriptive statistics used to organize and present the results.

. . .
t will encourage people not to smoke. There is also an assumption that self-initiated reconfiguration of person-environment interactive patterns is essential for behavioral change to occur - people need to want to stop smoking because they see what it is doing to their health and to the environment. Health professionals are a part of the environment and so can exert pressure on people to take this action. The Pender HPM presents six behavior-specific cognitions and affect that affect health promoting behavioral change (Neely, 2004). The first of these is the perceived benefit of the action taken, which is a mental picture of the positive consequences of stopping smoking. The second looks at the perceived barriers to stopping smoking: such things as real or imagined hurdles that could cause the patient to opt out of the plan. The third is perceived self-efficacy: a judgement of ones ability to go through with the program to stop smoking. The fourth is an activity-related affect: how the person feels prior to, during, and while they are going through the process of stopping smoking. The fifth is interpersonal influences: how the person feels about the ideas and beliefs of others. The last one is situational influences:
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Approximate Word count = 1495
Approximate Pages = 6 (250 words per page)

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