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Qualitative
Adolescents struggled to maintain a sense of control over their cigarette smoking through a 4 phase cycle

https://doi.org/10.1136/ebn.8.3.92

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    Johnson JL, Kalaw C, Lovato CY, et al. Crossing the line: adolescents’ experiences of controlling their tobacco use. Qual Health Res 2004;14:1276–91.OpenUrlCrossRefPubMedWeb of Science

    Q What is the process by which adolescents who smoke come to understand that their smoking is a problem and subsequently limit tobacco use by cutting down or quitting altogether?

    DESIGN

    Qualitative study using grounded theory.

    SETTING

    Vancouver, British Columbia, Canada

    PARTICIPANTS

    35 adolescents (mean age 16 y, 51% girls) with varied smoking experiences contributed to the initial dataset that examined youth transitions from experimental to regular smoking. The initial dataset was supplemented by follow up interviews with 12 (mean age 18 y, 75% boys) of the original 35 participants and subsequently reanalysed for this study. An additional 11 adolescents (mean age 16 y, 66% girls) participated in the validation process.

    METHODS

    The study began as a secondary analysis of 35 interviews with adolescents with varied experiences of smoking. 1 year later, follow up interviews were done with 12 original participants. All interviews were audiotaped and transcribed verbatim. Participants’ experiences with “stopping” and “quitting” smoking were examined using grounded theory. Emerging themes were validated in 3 interviews and 2 focus groups with 11 additional adolescents.

    MAIN FINDINGS

    Participants struggled to maintain a sense of control in relation …

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    Footnotes

    • For correspondence: Dr J L Johnson, University of British Columbia, Vancouver, British Columbia, Canada. jjohinterchange.ubc.ca

    • Sources of funding: National Cancer Institute of Canada and Canadian Cancer Society.