Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2020 , Vol 11, Issue 3
Development of The Smoking Cessation Scale According To Health Belief Model
Mehmet Ali Kurcer1,2,Zeynep Erdogan2
1Bülent Ecevit Üniversitesi Tıp Fakütesi, Halk Sağlığı, Zonguldak, Türkiye
2Bülent Ecevit Üniversitesi Ahmet Erdoğan Sağlık Hizmetleri Meslek Yüksekokulu, Hemşirelik, Zonguldak, Türkiye
DOI : 10.31067/0.2020.296 Introduction and Objectives: Ensure that young people start smoking cessation is one of the most effective ways to prevent the fight against smoking in public. Today, the Health Belief Model (HBM) is one of the most common methods used to explain preventive health behaviors. The aim of this study was to develop the scale of "Smoking Cessation according to the HBM" (HBM-SSC) and to explain the perceptions and behaviors of students about smoking cessation.

Materials and Methods: The sample of this study consisted of 417 students who studied, smoked and quit during the 2017?2018 academic year at Bülent Ecevit University. According to the opinion of 12 physicians who are experts on the subject of the draft scale which was created for the development of HBM-SSC, a 24-item form was obtained by subtracting the items whose content validity rate was below 0.80. After factor analysis; 5 items were removed. Thus; The scale of HBM-SSC which contains 19 items was developed. Data are expressed as mean ± standard deviation and one-way ANOVA using SPSS 11.5 software for statistical evaluation, post hoc LSD test, Kaiser-Meyer- Olkin (KMO) coefficient, Bartlett Sphericity test, item-total correlation and Cronbach"s alpha were used. To examine the factor structure, Direct Oblimin rotation was used.

Results: Five items were removed from the 24 items in the scale depending on the factor analysis for construct validity. The scale which contains 19 items was taken into consideration. According to the HBM-SSC, Cronbach"s Alpha value for the whole scale demonstration of internal consistency is Cr?=0.820. Cr? values of the subscales were between 0.796?0.831. A total of 171 (41%) students reported that they were considering smoking cessation. Students who have high perceived benefits, perceived severity, perceived susceptibility and cue to action from HBM subscales are more likely to apply to smoking cessation outpatient clinics. There was no significant difference in the perceived barriers and self-efficacy subscales.

Conclusion: HBM-SSC is a valid and reliable measurement tool. This scale will provide ease of counseling and treatment, and ease in determining the factors that will make it easier for smokers to quit. Keywords : Smoking cessation, health belief model, scale