Predicting increases in readiness to quit smoking: A prospective analysis using the contemplation ladder

被引:52
作者
Herzog, TA
Abrams, DB
Emmons, KM
Linnan, L
机构
[1] H Lee Moffit Canc Ctr & Res Inst, Tobacco Res & Intervent Program, Tampa, FL 33617 USA
[2] Miriam Hosp, Div Behav & Prevent Med, Providence, RI 02906 USA
[3] Dana Farber Canc Inst, Boston, MA 02115 USA
关键词
smoking cessation; transtheoretical model; social-cognitive theory; motivation;
D O I
10.1080/08870440008401999
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Most smokers are not motivated to quit. The transtheoretical model posits mechanisms (processes of change and pros and cons) by which smokers might increase their stage of readiness to quit. While cross-sectional relationships among the stages of change, processes of change, and pros and cons are well established, there is little evidence that processes of change and pros and cons predict progressive stage movements. This study uses data from a large worksite-based cancer prevention study (the Working Well Trial) to test the hypothesis that processes of change and the pros and cons of smoking predict progressive movement up the contemplation ladder, which is an alternative measure of motivation to quit smoking based on social cognitive theory. The results indicate that experiential processes of change promote increases in readiness to quit smoking. This study provides further evidence for the predictive validity of the contemplation ladder and sheds light on how unmotivated, nonvolunteer smokers can be motivated to consider cessation.
引用
收藏
页码:369 / 381
页数:13
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