Health Clients Research Articles

EMPOWERMENT OF HEALTH CADRES IN SUPPORTING THE WELLBEING OF CLIENTS WITH CHRONIC KIDNEY DISEASE (PGK) IN SURABAYA, INDONESIA

Chronic kidney disease (CKD) is a public health problem with an increasing prevalence and incidence of CKD. This increase in incidence is in line with the increase in the incidence of hypertension and diabetes mellitus. Health cadre support for clients with CKD has never been done because specific knowledge about efforts to support health in clients with CKD has never been done. Objective To increase the potential of health cadres through empowerment in order to provide support and motivation for Chronic Kidney Disease clients towards wellbeing. The method used was training including lectures, questions and answers, discussions, role play, pre tests and post tests and the media used: modules and needs identification sheets for CKD clients. Implementation of activities for 3 meetings which are divided into stages of providing material, assigning cadres to identify the support needs of clients, the second meeting discussing the results of identifying needs divided into groups, and the last meeting cadres role play to provide support to clients. The results showed that there was an increase in knowledge before and after empowerment through training. Based on the results of the pre-test assessment, the highest score was 93 and the lowest score was 60, the average score was 70.2, while the highest post-test score was 100 and the lowest score was 67, the average score was 80.4. The difference between post-test and pre-test results ranged from 0-26 points. It was found that more social support needs are needed by CKD clients Empowerment carried out on health cadres is one way to improve wellbeing conditions in CKD clients through various supports. ,

Ryan White HIV/AIDS Part B and AIDS Drug Assistance Programs during COVID-19: safety net public health programs' challenges and innovations.

We characterized the challenges and innovations of states' Ryan White HIV/AIDS Program (RWHAP) Part B programs, including AIDS Drug Assistance Programs (ADAPs), during the COVID-19 pandemic. In the United States, these are important safety net programs for HIV healthcare, providing essential medical and support services, and medications, to people with HIV with low incomes who are uninsured/underinsured. Data were collected via the 2021-2022 NASTAD National RWHAP Part B and ADAP Monitoring Project Report, a cross-sectional survey of state, district, and territorial programs through a mixed method study design. For quantitative data, we used descriptive statistics. Qualitative responses were coded and analyzed using content analysis. Forty-seven RWHAP Part B and ADAPs responded (92% response rate). The majority of respondents reported that maintaining client eligibility (78%) and working remotely (70%) were the most challenging aspects of the pandemic, particularly in regards to implementing new telehealth and e-certification platforms. In response to COVID-19, programs introduced enrollment "grace periods" (19%), bolstered client outreach (11%), allowed more than a 30 day supply of medications (79%), and supported medication home delivery for clients (80%). Despite the challenges of the COVID-19 pandemic, RWHAP Part B and ADAPs implemented several operational innovations in order to continue providing essential medicines and services. Other public health programs may adopt similar innovations, including digital innovations, for greater public health benefit. Future studies should assess the retention of policy innovations over time, their impact on the individual client level satisfaction or health outcomes, and what factors may improve the acceptability of telehealth and e-certification platforms.

Who does what and why? Exploring the Music, Health and Wellbeing Continuum: a Role-Agent model

Confusion frequently exists around the various uses of music for health and wellbeing, and the roles of different agents using music for health benefits. This confusion is often based on a lack of definition and understanding of the many different applications and how they can fit together with training and experience. Our Music, Health and Wellbeing Continuum Model has been collaboratively developed at Western Sydney University, Australia, to incorporate the many uses of music for health benefits across a broad spectrum of roles, agents and applications. This ranges from environmental and personal through to community, health practitioners and qualified music therapists. This article outlines and identifies the many different roles within this Continuum, providing examples and evidence of how this conceptual framework can contribute to and support everyday practice around the uses of music and music therapy to improve health and wellbeing for clients and patients. We extend this into systematic feedback from Key Informants with discussions of applications and a further Annexe to delineate the potential multiple roles of each individual. Consequently, we propose that our entire Model contributes to increased understanding of the many roles and agents using music for health and wellbeing benefits in our community.

Effect of a Hospital-To-Home Transitional Intervention Based on an Interaction Model of Client Health Behavior for Adult Patients with Stroke

ABSTRACT To develop and identify the effectiveness of a hospital-to-home transitional intervention based on an interaction model of client health behavior in adult patients with stroke. A non-equivalent control group pretest-posttest. Thirty-eight patients participated (18=intervention, 20=control); the intervention group received 12 weeks of the intervention. The intervention influenced anxiety, disease severity, health behavior adherence, patient satisfaction, and quality of life in adult patients with stroke. Transitional programs have potential to improve the health behaviors of subjects, and community health nurses can assist in the implementation of these programs. Health behaviors and quality of life scores were significantly higher in the intervention group than in the control group; these findings support the need for continuity of nursing care during the transitional period for patients with stroke. Given the challenges faced by adult stroke patients after stroke, community nurses should pay attention to patients’ transitional experiences.

Identifying thresholds for clinically meaningful change among clients of drug and alcohol services using the Australian Treatment Outcomes Profile.

The Austraian Treatment Outcomes Profile (ATOP) is a brief clinical outcomes tool used widely in the Australian alcohol and other drugs treatment sector to monitor clients' substance use, health, wellbeing and clinical risk factors. It has demonstrated reliability and validity, and has recommended clinical cut-offs for assessing single-occasion client-rated health scores. This study determined clinically meaningful change thresholds for ATOP substance use and health and wellbeing variables for use by clinicians in monitoring client progress, and for quality improvement and service evaluation. A framework for assessing clinically meaningful changes scores was developed by (1) calculating statistically reliable change thresholds using data-driven techniques with a reference sample of clinical ATOP data and (2) conducting a multi-disciplinary subject matter expert group to review the utility and validity of data-derived clinically meaningful change. The study was conducted within Outpatient Alcohol and Other Drug treatment services in New South Wales, Australia. The reference sample comprised 6100 ATOPs from clients at entry to public outpatient Alcohol and Other Drug treatment services; the subject matter expert group comprised 29 key stakeholders from the specialist alcohol and other drug treatment sector. We used the Reliable Change Index method to calculate clinically meaningful change thresholds for ATOP variables. For substance use variables, a change of 30% in days of use in the last 28 (minimum 4days) was the threshold for clinically meaningful change for substance use; for health and wellbeing variables, a change of 2 or more points in psychological health, physical health or quality of life scores (measured on 0-10 scales) was the minimum clinically meaningful change. Clinically meaningful change thresholds have been proposed for Australian Treatment Outcomes Profile substance use and health and wellbeing items, based on statistical reliability and subject matter expert assessment. These will be used in the development of an outcomes metric for assessing change and assigning meaning in aggregated data for evaluation of services.

Therapeutic Drumming for Mental Health in the Autism Community: A Scoping Review

Abstract Date Presented 04/20/2023 This scoping review analyzed the available evidence for a therapeutic drumming intervention to improve mental health in autistic clients across the life span. Analysis revealed consistency in implementation, with variability of outcome instrumentation. Primary Author and Speaker: Dina Prisco Additional Authors and Speakers: Zahava Friedman Contributing Authors: Jorge Ochoa

Investigating Social Factors Affecting Social Health Among Clients Covered by Welfare Organization in Nowshahr City, Iran

Objective Social health, along with physical and mental health, is one of the pillars of health and represents one’s assessment of social life. Therefore, the purpose of this study was to investigate the social factors affecting the social health of the clients covered by the Nowshahr Well-being. Materials & Methods The research method in this study was the descriptive follow-up. The research community was formed by female clients 18 to 60 years old under the cover of the Nowshahr Well-being with 3951 people. 350 samples were selected using the Morgan table and simple random sampling method. The data collection tool consisted of two valid keyes social health questionnaires (1) and Babapour et al. (2010). The reliability of the questionnaires was calculated using Cronbach’s alpha method, according to which the coefficient of research variables and its dimensions were more than 0.7 and was evaluated as suitable. For research data analysis, correlation coefficient and regression analysis with SPSS software, version 24 was used. Results According to the findings of the research, there is a positive and significant relationship between all the variables, that is, between the independent variables of the research, which include social integration, social skills, social participation, and social acceptance, with the dependent variable of the research, social health. Using regression, the effect of social integration variables (β=0.137), social skills (β=0.157), social participation (β=0.156), and social acceptance (β=0.120) on social health was determined. The value of the multiple correlation coefficient of the dimensions of social integration, social skills, social participation and social acceptance with the variable of social health and its estimated value under the final regression model is equal to (0.612). The value of the coefficient of multiple determination in the final model was equal to (0.567), which indicates that 57 percent of the changes in social health can be explained by the independent variables included in the model, namely the dimensions of social integration, social skills, social participation, and social acceptance. which indicates the good fit of the model. The estimation of the coefficients of the final regression model shows that the investigated variables are all significant and each of them has different weights. Also, the regression coefficients showed that the variable of social skills (β=0.157) has the greatest impact. Conclusion According to the findings of the research, social integration, social skills, social participation, and social acceptance is an effective factors in promoting social health and feeling good and improving the quality of life and social health of clients covered by Nowshahr welfare department, so with Increasing the level of awareness and social skills of clients will also provide the basis for improving their social health.

Effects of Reality Therapy on Drug Cravings and Mental Health of Clients of Therapeutic Community Centers

Background: Substance abuse disorders are associated with serious medical and psychiatric problems. Besides the undesirable side effects following drug-assisted treatment in drug abusers, sudden discontinuation of drug use can cause unpleasant symptoms. This study investigated the impact of reality therapy (RT) on drug cravings and mental health among clients of therapeutic community (TC) centers in Ahvaz City, Iran, in 2022. Methods: This quasi-experimental study adopted a pre-test-post-test design with a control group. The study population consisted of all clients of TC centers of Ahvaz in 2022. Of whom 40 clients were selected as the sample using convenience sampling. In the next step, they were randomly assigned into the experimental and control groups (20 subjects in each group). The data were collected by using the desires for drug questionnaire (DDQ) and the general health questionnaire 28 (GHQ-28). The subjects in the experimental group attended eight 90-minute sessions of RT, whereas those in the control group received no intervention. The obtained data were analyzed using analysis of covariance. The significance level of all tests was considered to be ≤0.05. Results: RT significantly affected drug cravings and mental health of the clients of TC centers (P<0.001). Conclusion: Based on the study findings, RT is recommended for reducing drug cravings and improving mental health of people undergoing drug rehabilitation.

Interpersonal Communication Training of Anti-Retroviral Therapy Providers Promotes Patients’ Satisfaction: A Case Study of Public Hospitals in Gombe State, Nigeria

Interpersonal Communication (IPC)between healthcare practitioners and patients enhances client satisfaction, adherence, and health outcomes. In developed countries, effective IPC improves health, but little is known about Nigeria. Using a quasi-experimental approach, this study investigated the influence of interpersonal communication training for ART practitioners on patient satisfaction in Gombe state public ART hospitals. The study looked at clients’ satisfaction before and after IPC training for ART providers. Six public ART hospitals were chosen at random; three were assigned to intervention and control groups, respectively, and 250 HIV patients receiving treatment at these facilities were chosen at random; 125 from each of the three intervention and control facilities. At both the intervention and control locations, levels of satisfaction were evaluated both before and six weeks after IPC training. The data were obtained using a Patient Satisfaction Questionnaire (PSQ), and the reliability of the questionnaire was determined using the Cronbach Alpha test (0.76). For data analysis, SPSS 22 was used. Findings revealed that, 42.4% of the clients had been living with HIV for 1-5 years and the mean client satisfaction score with their providers' IPC training was 87.5 in the intervention group and 76.45 in the control group (P = 0.05) while, the mean difference before and after training in the intervention and control groups were 0.46 and 11.05, respectively and a p-value 0.000 was obtained. Therefore, there was a positive association between higher client satisfaction with ART services and training of ART providers on IPC. It is recommended that ART facilities should receive IPC training on a regular basis. Keywords: Anti-retroviral, Client-satisfaction, HIV/AIDS, Health-Personnel, Therapy.

Assessment of Client's Knowledge, Attitude and Health Seeking Behavior Towards Tuberculosis at Serrekunda Health Center and Brikama District Hospital.

Assessment of Client's Knowledge, Attitude and Health Seeking Behavior Towards Tuberculosis at Serrekunda Health Center and Brikama District Hospital.

Asuhan Keperawatan pada Ibu Post Sectio Caesarea Di Ruangan Kebidanan RSUD Poso

Introduction: post sectio caesarean delivery has a five times greater risk of complications compared to normal delivery, problems that commonly occur in post section caesarean mothers are postpartum bleeding, infection, and swollen breasts. For this reason, comprehensive nursing care is needed and improving health in clients can be done by a nursing care approach. The purpose of this study was to provide nursing care for post sectio caesarea mothers in the obstetrics room at Poso Hospital. Methods : The research method is using a descriptive method with a case study approach of 1 patient of post sectio caesarea mother. Results: assessment of the patient complained of pain in the abdomen after cesarean section surgery, the pain was felt like stabbing, the pain disappeared, the patient looked grimacing, there was a surgical wound, there were 14 stitches, wound size 11 cm, wound width 0.2 cm, pain scale 8, blood pressure 110/80 mmhg, breathing 20x / m, pulse 80x / m, temperature 37 ̊C post section caesarea 6 hours. The patient said the milk had not come out, the patient said the baby cried when breastfed, the milk did not gush or drip, the nipples looked flat, the baby did not want to suck. Nursing problems acute pain, ineffective breastfeeding. Nursing Interventions Pain management, relaxation therapy, positioning, mobilization support, analgesic breastfeeding education, and giving the baby the opportunity to breastfeed. Implementation was carried out for 5 evaluation results showed reduced pain, the patient said he could do activities, the patient no longer complained of pain in the abdomen, pain scale 3, the patient said the milk had started to come out, the patient said the baby had not cried when breastfed, the milk had come out, the patient looked more relaxed and comfortable. Conclusion: pain management, relaxation therapy, positioning, mobilization support, giving analgesic breastfeeding education, and providing opportunities for babies to breastfeed are effective in providing nursing care to post section caesarea mothers. Suggestions patients can carry out nursing interventions independently according to what is taught by researchers.

ForWhen Australian perinatal and infant mental health navigation programme: evaluation protocol

IntroductionMany parents and carers experience mental health challenges during pregnancy and early postpartum years, and there are cumulative shortfalls in the identification, follow-up, and treatment of those experiencing perinatal and...

Health promotion interventions in informal caregivers and their impact on health promoting behaviors in patients with cardiovascular disease

Abstract Funding Acknowledgements Type of funding sources: None. Introduction Health behaviors are considered a key element in the prevention of cardiovascular disease. Less than optimal self-care for cardiovascular disease is associated with adverse health outcomes and lower quality of life. Support from an informal caregiver is important for patients with cardiovascular disease. The caregiver, as the person who directly cares for the chronically ill patient, has the greatest influence on the development of the patient's attitude toward health. Purpose The purpose of this study was to analyze the factors that influence the intensity of health behaviors among informal caregivers of patients with cardiovascular disease and to evaluate the effects of health-promoting interventions among caregivers on the health behaviors of their charges. Methods The study was conducted with 193 patients with chronic cardiovascular disease and their 161 informal caregivers. The author interviewed them using a questionnaire and the Health Behavior Inventory (HBI). Spearman's rank correlation coefficient test and logistic regression were used for the analyzes. Results The strongest predictors influencing lower health behavior expression in informal caregivers were male gender (p < 0.001), level of relationship with patient (p = 0.016), professional activity (p = 0.028), lack of expectations of the PHC physician (p = 0.028), family nurse practitioner (p = 0.003), and social worker (p = 0.008), and lower client health care efficiency (p = 0.036). Higher severity of caregiver health behaviors was associated with higher odds of better client health care efficiency (odds ratio (OR) 1.60 (1.06;2.56). Conclusions Comprehensive caregiver education using modern technologies (Internet) and advanced ICT systems to promote health behaviors and specifically for the above caregivers could provide innovative solutions to promote and sustain health behavior change in patients with cardiovascular disease. A breakthrough is now needed in health and social care, where digital health solutions show promise but have not yet been fully implemented.

Compassion Fatigue and Family Caregivers Caring in End-Stage Heart Failure.

Background: Compassion fatigue is a negative consequence impacting caregivers of chronic illness, such as heart failure. Reliance on family caregivers is expected to rise, placing importance on recognizing family caregiver characteristics that contribute to compassion fatigue. Purpose: This study specifically examined the associations of characteristics of family caregivers caring for end-stage heart failure, compassion satisfaction, social desirability, and the family caregiver-nursing provider relationship on compassion fatigue. Methods: An adapted interaction model of client health behavior guided this cross-sectional survey, which comprised a demographic questionnaire, the Professional Quality-of-Life Scale, the caregiver-provider relationship assessment, the Marlowe-Crowne Social Desirability Scale Short Form (Form C), and the Bakas Caregiving Outcomes Scale. Results: There were 127 family caregivers (FCGs), primarily those who have been a caregiver for longer than 1 year (78.4%), who completed the entire survey. Increased compassion satisfaction and positive caregiving effects were associated with decreased compassion fatigue (p < .001), while increased social desirability was associated with increased compassion fatigue (p < .001). A positive family caregiver-nursing provider relationship was related to decreased compassion fatigue (p < .001). More compassion fatigue was seen with lower spiritual status (p < .001). Implications: The chronic progression of heart failure presents opportunities for nursing providers to assess caregivers and offer frequent interventions. Family caregivers may not ask for help. Nursing providers must foster relationships with family caregivers to prevent negative consequences and mitigate compassion fatigue. Future research on the nursing provider relationship and FCGs is needed.

The impact of operational factors on degradation of formaldehyde as a human carcinogen using Ag3 PO4 /TiO2 photocatalyst.

Background: The International Agency for Research on Cancer (IARC) identified formaldehyde as a carcinogen in 2004, yet formaldehyde is widely used in health care settings and various industries. In recent years, photocatalytic oxidation has been developed as a potential technique for removing pollutants arising from organic chemical agents and consequently promoting the health indices. This study investigated the effect of operational factors in optimizing formaldehyde removal from the air using Ag3 PO4 /TiO2 photocatalyst. Methods: An experimental study was designed to investigate the effect of operational factors on the efficiency of formaldehyde degradation. The variables investigated in this study include pollutant retention time, initial pollutant concentration and relative humidity. Sol-gel method was used to synthesize the nano-composite photocatalyst. An ideal experimental design was carried out based on Box-Behnken design (BBD) with response surface methodology (RSM). The sample size in this study includes all the glasses coated with Ag3 PO4 /TiO2 photocatalyst. Results: The maximum formaldehyde degradation of 32% was obtained at the initial concentration of 2 ppm, 20% relative humidity, and 90 minutes of retention time. Based on the statistical results, the correlation coefficient of the present study for the impact of operational factors on formaldehyde degradation was 0.9635, which means that there is only 3.65% probability of error in the model. Conclusion: The operational factors examined in this study (retention time, relative humidity, and initial formaldehyde concentration) were significantly influential in the degradation efficiency of formaldehyde by the photocatalyst. Due to the high exposure of employees and clients of health and treatment centers to formaldehyde as a carcinogenic substance, the results of this study can be used in ventilation systems to remove environmental pollutants in health care centers and other occupational settings.

Will ChatGPT undermine ethical values in nursing education, research, and practice?

Will ChatGPT undermine ethical values in nursing education, research, and practice?

Основні тренди маркетингової діяльності: світовий погляд

Abstract. Introduction. The penetration of new technologies into our lives has fundamentally changed the very values of marketing, making the aspect of safety and care for the client's health a priority, and not just obtaining commercial profit. In addition, the onset of the crisis showed for all market players how important it is to develop their adaptive capabilities and be ready for new challenges in the future. Purpose. The purpose of the article is to reveal the essence of trends in marketing activity; determination of marketing trends in 2020-2023. Results. The article attempts to understand and formulate the processes taking place today in the market of marketing communications: changes in the needs, habits and other characteristics of consumers, new ways of winning their loyalty and competitive features, strengthening the role of socially responsible behavior of companies and brands, active development of educational communications, etc. The problem of changing marketing communications and trends in 2023 towards wider use of Internet communications and digital technologies is formulated. The purpose of the study is to present an overview of trends in the development of marketing communications in 2020-2023. The need to develop methods for evaluating new instruments is considered, creating a platform for future research. Conclusions. Among the limitations, one can single out dynamic changes in marketing communications, which makes it difficult to track current trends and complicate their integration into the marketing activities of companies. Moreover, the narrowness of the development of trends does not allow finding new personnel and methods of quick adaptation to changes. The coronavirus pandemic at the beginning of 2020 changed the entire model of the usual world. Previous marketing strategies, including on the Internet, will now also be effective. Many brands have significantly changed their approaches to marketing in general, and new trends have emerged in the field of digital communications. The digital environment lives by its own laws, it changes and formats our reality. To gain a competitive advantage in this environment, you need to learn to constantly adapt to it. Prospective areas of research will create a basis for evaluating new marketing trends.

Family Burden and Family Support among Caregivers of Clients with Schizophrenia: A Descriptive Study

Introduction: Schizophrenia is a very incapacitating mental disorder that has far-reaching consequences for both the patient and their loved ones. A caregiver's responsibilities typically encompass all but the most basic aspects of a client's health and well-being. The purpose of this research is to measure the family burden and family support among caregivers of schizophrenic patients. Materials and Methodology: The study was of a quantitative and descriptive in nature. 50 caregivers of patients with schizophrenia were selected using a convenience sampling technique from the outpatient departments of three psychiatric institutions in South India. Research study lasted for a total of 4 weeks. Caretakers of patients with schizophrenia between the ages of 18 and 60 were considered. Non-relative caregivers were not allowed to participate. Statistical information was gathered with the aid of the Socio-Demographic Scale, the Modified Family Burden Assessment Scale, and the Family Support Assessment Scale. The data was entered into a Microsoft Excel spreadsheet and analysed with IBM SPSS version 26. Results: The results shows that about 66% and 34% of the study participants were having moderate and severe family burden respectively. Regarding family support 76% of the participants were having low level of family support and 24% having moderate family support. Conclusion: Caregivers of people with schizophrenia would benefit greatly from having family support, according to the study's findings. The nurse administrator plays a pivotal role in educating the caregivers.

Medical Nutrition Therapy Interventions Provided by Dietitians for Adult Overweight and Obesity Management: An Academy of Nutrition and Dietetics Evidence-Based Practice Guideline.

Overweight and obesity affect most adults living in the United States and are causally linked to several adverse health outcomes. Registered dietitian nutritionists or international equivalents (dietitians) collaborate with each client and other health care professionals to meet client-centered goals, informed by the best available evidence, and translated through a lens of clinical expertise and client circumstances and preferences. Since the last iteration of the Academy of Nutrition and Dietetics guideline on adult weight management in 2014, considerable research has been conducted and circumstances confronting dietitians have evolved. Thus, updated guidance is needed. The objective of this evidence-based practice guideline is to provide recommendations for dietitians who deliver medical nutrition therapy behavioral interventions for adults (18 years and older) with overweight and obesity to improve cardiometabolic outcomes, quality of life, and weight outcomes, when appropriate for and desired by the client. Recommendations in this guideline highlight the importance of considering complex contributors to overweight and obesity and individualizing interventions to client-centered goals based on specific needs and preferences and shared decision making. The described recommendations have the potential to increase access to care and decrease costs through utilization of telehealth and group counseling as effective delivery methods, and to address other barriers to overweight and obesity management interventions. It is essential for dietitians to collaborate with clients and interprofessional health care teams to provide high-quality medical nutrition therapy interventions using the nutrition care process to promote attainment of client-centered outcomes for adults with overweight or obesity.

Effects of an Interactive Smoking Cessation Coaching Program on Smoking in Female College Students

Purpose: This study aimed to examine the effects of an interactive smoking cessation coaching program on smoking cessation motivation, smoking knowledge, smoking shame, urine cotinine levels, tobacco craving and smoking abstinence self-efficacy. The conceptual framework of the study applied Cox’s interaction model of client health behavior for female college students who smoked.Methods: This was a before-and-after experimental design study with a non-equivalent control group. The participants were smoking female college students, who were assigned either to an experimental group (n=22) or a control group (n=24). The interaction model of client health behavior was the theoretical basis. The core tactic of smart management and strategy for health was applied as a coaching technique. The experimental group attended 11 sessions of an interactive smoking cessation coaching program, (60 to 120 minutes per session) for 6 weeks, and the control group received education regarding smoking cessation after the program finished. The data collection period was from January 23, 2019 to March 7, 2019.Results: This study showed differences in smoking cessation motivation (F=71.09, &lt;i&gt;p&lt;/i&gt;&lt;.001), smoking knowledge (F=20.77, &lt;i&gt;p&lt;/i&gt;&lt;.001), smoking shame (t=5.11, &lt;i&gt;p&lt;/i&gt;&lt;.001), urine cotinine levels (t=-9.58, &lt;i&gt;p&lt;/i&gt;&lt;.001) and smoking abstinence self-efficacy (t=11.68, &lt;i&gt;p&lt;/i&gt;&lt;.001). However, no difference in tobacco cravings (t=-1.57, &lt;i&gt;p&lt;/i&gt;=.127) was found.Conclusion: As a result of the interactive smoking cessation coaching program, statistically significant differences were found in smoking cessation motivation, smoking knowledge, smoking shame, urine cotinine levels and smoking abstinence self-efficacy. However, further research is needed because there was no statistically significant difference in tobacco cravings.