scholarly journals Predictors of Smoking Cessation Attempts and Success Following Motivation-Phase Interventions Among People Initially Unwilling to Quit Smoking

2020 ◽  
Vol 22 (9) ◽  
pp. 1446-1452 ◽  
Author(s):  
Elias M Klemperer ◽  
Robin Mermelstein ◽  
Timothy B Baker ◽  
John R Hughes ◽  
Michael C Fiore ◽  
...  
Keyword(s):  
Self Efficacy ◽  
Secondary Analysis ◽  
Intervention Development ◽  
Experimental Tests ◽  
Success Predictors ◽  
Quit Attempt ◽  
Quit Smoking ◽  
Motivation To Quit ◽  
Factorial Trial ◽  
Primary Care Patients

Abstract Introduction Most people who smoke cigarettes are not willing (ie, not ready) to make a quit attempt (QA) at any given time. Unfortunately, interventions intended to increase QAs and the success of QAs are only modestly effective. Identifying processes leading to QAs and quitting success could guide intervention development. Aims and Methods This is a secondary analysis of a randomized factorial trial of 6 weeks of motivation-phase interventions among primary care patients (N = 517) who were initially unwilling to quit but were willing to reduce their smoking. Using logistic regression, we controlled for treatment condition and tested whether baseline or change in smoking-related constructs after 6 weeks of treatment predicted (1) making an at least 24 h QA between weeks 6 and 26 and (2) quitting success at week 26 (7-day point-prevalence abstinence among those who made a QA). Predictors included cigarettes/day, time to first cigarette, motivation to quit, quitting self-efficacy, anticipated urges to smoke if quit, positive affect, negative affect, and time spent around others who smoke. Results In multivariable models that included all smoking-related constructs, changes in the following variables predicted initiating a QA above and beyond other variables: greater baseline time to first cigarette (odds ratio [OR] = 1.60), increases in time to first cigarette (OR = 1.27), and increases in quitting self-efficacy (OR = 1.14). Increased motivation to quit predicted conversion of a QA into quitting success at 26 weeks (OR = 1.36). Conclusion Predictors of making a QA differed from predictors of quitting success. Predictors of QAs and success could each serve as important treatment targets of motivation-phase interventions. Implications Motivation-phase interventions for people initially unwilling to quit smoking cigarettes may be improved by striving to increase their (1) time to first cigarette and quitting self-efficacy to promote QAs and (2) motivation to quit to promote quit success. Future experimental tests of such interventions are needed to identify causal determinants of QAs and quitting success.

scholarly journals Behavioral and Subjective Effects of Reducing Nicotine in Cigarettes: A Cessation Commentary

2019 ◽  
Vol 21 (Supplement_1) ◽  
pp. S19-S21 ◽  
Author(s):  
Megan E Piper ◽  
David J Drobes ◽  
Natalie Walker
Keyword(s):  
Subjective Effects ◽  
Smoking Behavior ◽  
Limited Evidence ◽  
Moderate Evidence ◽  
Quit Attempt ◽  
Quit Smoking ◽  
Quit Attempts ◽  
Motivation To Quit ◽  
Cigarette Dependence ◽  
The Impact

Abstract This commentary addresses critical questions regarding the impact of the reduction of nicotine on changes in smoking behavior. There appears to be moderate evidence that use of reduced nicotine cigarettes (RNC) increases the likelihood of making a quit attempt among smokers unmotivated to quit and among smokers motivated to quit who also used nicotine replacement therapy (NRT). There was limited evidence that RNC combined with NRT increased smoking abstinence, regardless of motivation to quit. Several plausible mechanisms via which RNC may influence smoking behavior, including reducing dependence, are reviewed. The moderate evidence that abrupt reduction in nicotine reduces self-reported dependence as well as smoking behavior and likelihood of relapse is also reviewed. The data reviewed here suggest that abrupt switching to, and extended use of, RNC can reduce cigarette dependence and several related constructs, including the ability to quit smoking. The data reviewed in this commentary suggest that abrupt reduction in the level of nicotine in combustible cigarettes could reduce smoking behavior, nicotine dependence, and other related constructs and increase quit attempts and eventual smoking cessation.

scholarly journals Roll-your-own cigarette use and smoking cessation behaviour: a cross-sectional population study in England

BMJ Open ◽  
2018 ◽  
Vol 8 (12) ◽  
pp. e025370 ◽  
Author(s):  
Sarah E Jackson ◽  
Lion Shahab ◽  
Robert West ◽  
Jamie Brown
Keyword(s):  
Lower Incidence ◽  
Cigarette Use ◽  
Cross Sectional ◽  
Cigarette Smokers ◽  
Quit Attempt ◽  
Quit Smoking ◽  
Quit Attempts ◽  
Motivation To Quit ◽  
The Impact ◽  
Motivation To Quit Smoking

ObjectivesRoll-your-own (RYO) cigarettes have become popular in the UK and reduce the cost of smoking, potentially mitigating the impact of tax increases on quitting. We examined whether RYO cigarette use was associated with reduced motivation to quit smoking, incidence of quit attempts and quit success.DesignCross-sectional survey.SettingEngland.Participants38 590 adults who reported currently smoking or having stopped within the past 12 months.Main outcome measuresMotivation to quit smoking, quit attempt in the last year, motives for quitting and quit success were regressed onto RYO cigarette use, adjusting for sociodemographic variables and level of cigarette addiction. Mediation by weekly spending on smoking was tested.ResultsCompared with manufactured cigarette smokers, RYO smokers had lower odds of high motivation to quit (OR=0.77, 95% CI 0.73 to 0.81) or having made a quit attempt (OR=0.87, 95% CI 0.84 to 0.91). Among those who had attempted to quit smoking, quit success did not differ by cigarette type (OR=1.00, 95% CI 0.89 to 1.12), but RYO smokers were less likely to report cost of smoking as a motive to quit (OR=0.68, 95% CI 0.61 to 0.74). Spending on smoking mediated the association between RYO use and quit attempts (β=−0.02, SE=0.003, 95% CI −0.03 to −0.02).ConclusionsIn England, compared with smokers of manufactured cigarettes, RYO cigarette smokers appear to have lower motivation to quit and lower incidence of quit attempts but similar success of quit attempts. The lower cost of RYO smoking appears to mediate the lower incidence of quit attempts among RYO users.

scholarly journals Pain self-efficacy, race, and motivation to quit smoking among persons living with HIV (PLWH)

2020 ◽  
Vol 105 ◽  
pp. 106318 ◽  
Author(s):  
Lisa R. LaRowe ◽  
Yvette Rother ◽  
Jessica M. Powers ◽  
Michael J. Zvolensky ◽  
Peter A. Vanable ◽  
...  
Keyword(s):  
Self Efficacy ◽  
Quit Smoking ◽  
Persons Living With Hiv ◽  
Motivation To Quit ◽  
Living With Hiv ◽  
Motivation To Quit Smoking

Associations of Weight Concerns With Self-Efficacy and Motivation to Quit Smoking: A Population-Based Study Among Finnish Daily Smokers

2014 ◽  
Vol 17 (9) ◽  
pp. 1134-1141 ◽  
Author(s):  
Eeva-Liisa Tuovinen ◽  
Suoma E Saarni ◽  
Taru H Kinnunen ◽  
Ari Haukkala ◽  
Pekka Jousilahti ◽  
...  
Keyword(s):  
Self Efficacy ◽  
Population Based ◽  
Weight Concerns ◽  
Population Based Study ◽  
Quit Smoking ◽  
Motivation To Quit ◽  
Motivation To Quit Smoking

scholarly journals Changes in Cigarette Smoking and Vaping in Response to the COVID-19 Pandemic in the UK: Findings from Baseline and 12-Month Follow up of HEBECO Study

2022 ◽  
Vol 19 (2) ◽  
pp. 630
Author(s):  
Dimitra Kale ◽  
Olga Perski ◽  
Aleksandra Herbec ◽  
Emma Beard ◽  
Lion Shahab
Keyword(s):  
Cigarette Smoking ◽  
Similar Proportion ◽  
Quit Attempt ◽  
Quit Smoking ◽  
Quit Rate ◽  
Motivation To Quit ◽  
Reported Data ◽  
The Uk ◽  
Motivation To Quit Smoking

This study investigated UK adults’ changes in cigarette smoking and vaping during the COVID-19 pandemic and factors associated with any changes. Data were from an online longitudinal study. A self-selected sample (n = 332) of 228 smokers and 155 vapers (51 participants were both smokers and vapers) completed 5 surveys between April 2020 and June 2021. Participants self-reported data on sociodemographics, COVID-19-related, and smoking/vaping characteristics. During the 12 months of observations, among smokers, 45% self-reported a quit attempt (27.5% due to COVID-19-related reasons) since the onset of COVID-19 pandemic and the quit rate was 17.5%. At 12 months, 35.1% of continuing smokers (n = 174) reported smoking less and 37.9% the same, while 27.0% reported an increase in the number of cigarettes smoked/day. Among vapers, 25.0% self-reported a quit attempt (16.1% due to COVID-19-related reasons) and the quit rate was 18.1%. At 12 months, 47.7% of continuing vapers (n = 109) reported no change in the frequency of vaping/hour, while a similar proportion reported vaping less (27.5%) and more (24.8%). Motivation to quit smoking and being younger were associated with making a smoking quit attempt and smoking cessation. Being a cigarette smoker was associated with vaping cessation. Among a self-selected sample, COVID-19 stimulated more interest in reducing or quitting cigarette smoking than vaping.

The Roles of Temptation Strength and Self-efficacy in Predicting Smoking Cessation Attempts

1995 ◽  
Vol 12 (4) ◽  
pp. 191-195 ◽  
Author(s):  
Lucila Zentner ◽  
Ron Borland
Keyword(s):  
Self Efficacy ◽  
Multivariate Analyses ◽  
Self Report ◽  
Telephone Service ◽  
Quit Attempt ◽  
Quit Smoking ◽  
Stop Smoking ◽  
Quit Attempts ◽  
Made In ◽  
Do So

This paper examines the predictive value of self-efficacy and strength of temptations in determining whether a person will try to give up smoking, and successfully do so for at least one day. Participants were 62 smokers calling a quit-smoking telephone service. They were assessed by self-report questionnaires by telephone. Fifty-six per cent had made an attempt to stop smoking within 3 weeks. Measures of self-efficacy to quit smoking and strength of temptations to smoke were not closely related. Multivariate analyses revealed that after intention to quit entered the equation, self-efficacy was inversely related to making a quit attempt, as was temptation strength and extent of addiction. This study extends previous work that showed self-efficacy has a complex relationship with making quit attempts by showing that self-efficacy operates quite differently from strength of temptations. This may be because measures of self-efficacy, when made in the context of intention to act, contain a motivational component as well as an assessment of skills to resist temptations.

Development of a multimedia intervention to improve pneumoconiosis prevention in construction workers using RE-AIM framework

2021 ◽  
Author(s):  
Jieling Chen ◽  
Cho Lee Wong ◽  
Bernard Man Hin Law ◽  
Winnie Kwok Wei So ◽  
Doris Yin Ping Leung ◽  
...  
Keyword(s):  
South Asian ◽  
Educational Intervention ◽  
Self Efficacy ◽  
Intervention Mapping ◽  
Intervention Development ◽  
Educational Interventions ◽  
Construction Workers ◽  
Post Intervention ◽  
Cohen’S D ◽  
Cohen's D

Summary Pneumoconiosis is a common occupational lung disease among construction workers. Educational interventions targeting specific ethnic groups of construction workers are of benefit for pneumoconiosis prevention. The aim of this study was to develop a multimedia educational intervention for pneumoconiosis prevention for South Asian construction workers, and to evaluate its feasibility, acceptability and effectiveness in increasing knowledge of pneumoconiosis, modifying beliefs about pneumoconiosis, and enhancing intention to implement measures for its prevention among the workers. This evaluation was performed using the Reach-Effectiveness-Adoption-Implementation-Maintenance framework. A one-group design was adopted and intervention mapping was used to guide the process of intervention development, while the Health Belief Model guided the development of intervention content. The intervention was delivered at construction sites, ethnic minority associations and South Asian community centres. Data were collected via surveys completed at pre-intervention, post-intervention and 3 months after the intervention. A total of 1002 South Asian construction workers participated in the intervention. The participants reported a moderate-to-large increase in knowledge, perceived susceptibility, perceived severity, perceived benefits, cues to action and self-efficacy (Cohen’s d: 0.37–0.89), a small reduction in perceived barriers (Cohen’s d = 0.12) and a moderate improvement in attitudes and intention to practice (Cohen’s d: 0.45, 0.51) at post-intervention. A follow-up survey of 121 participants found that the implementation of preventive measures appeared to increase. Overall, the findings demonstrate that the implementation of a culturally adapted multimedia educational intervention could be an effective approach to improving knowledge, self-efficacy and intention regarding pneumoconiosis prevention among South Asian construction workers.

Facebook usage, participation patterns, and social support from Facebook activity among smokers with mobility impairments

2021 ◽  
Author(s):  
Belinda Borrelli ◽  
Romano Endrighi ◽  
Lisa M Quintiliani ◽  
Rosemary B Hughes ◽  
Sherry Pagoto
Keyword(s):  
Social Support ◽  
Online Survey ◽  
Daily Routine ◽  
Mobility Impairments ◽  
Social And Emotional ◽  
Quit Smoking ◽  
Patterns Of Use ◽  
Motivation To Quit ◽  
Facebook Use ◽  
Motivation To Quit Smoking

Abstract People with mobility impairments (MIs; use assistive devices to ambulate) have twice the smoking prevalence versus the general population. A Facebook intervention could improve reach to smokers with MIs, but use and patterns of use are unknown. The study examined: (a) Facebook use and relationship with Facebook-based social support and (b) whether Facebook use differs by motivation to quit smoking. Participants (N = 510; 56.3% female, mean age = 42.4 years) were recruited via a recruitment company to complete a one-time online survey assessing motivation to quit within 30 days, Facebook use (Facebook Activities Scale), reasons for use (Facebook Motives Scale), attitudes (Facebook Intensity Scale), and social support (Facebook Measure of Social Support). The vast majority said that Facebook is part of their daily routine (92.9%), 83% checked Facebook >once a day, and 69% spent >30 min/day on Facebook. Facebook was used to connect with similar others (68.4%), participate in groups (72.9%), decrease loneliness (69.2%), and obtain health information (62.5%); 88% said that they would join a Facebook program to help them quit smoking. A greater number of Facebook friends (rs = .18–.22, p < .001) and greater Facebook use (rs = .20 to rs = .59; p < .001) were correlated with greater perceived social and emotional support. Those motivated to quit posted more frequently (odds ratio [OR] = 1.56, 95% confidence interval [CI] = 1.10, 2.22) and were more likely to indicate that they would join a Facebook group for smoking cessation (OR = 4.15, 95% CI = 2.05, 8.38) than those not motivated. Facebook could circumvent disability and environmental barriers to accessing cessation among this health disparity population.

scholarly journals A Descriptive Analysis of Transitions from Smoking to Electronic Nicotine Delivery System (ENDS) Use: A Daily Diary Investigation

2021 ◽  
Vol 18 (12) ◽  
pp. 6301
Author(s):  
Tamlin S. Conner ◽  
Jiaxu Zeng ◽  
Mei-Ling Blank ◽  
Vicky He ◽  
Janet Hoek
Keyword(s):  
Delivery System ◽  
Descriptive Analysis ◽  
Daily Diary ◽  
Extended Period ◽  
Dual Use ◽  
Quit Attempt ◽  
Quit Smoking ◽  
Nicotine Delivery ◽  
Study Participants ◽  
Tobacco Usage

Objectives: We aimed to examine patterns in smoking and electronic nicotine delivery system (ENDS) use over an extended period of time (up to 20 weeks) in people who smoked and who had never previously made a successful quit attempt using an ENDS. Design and setting: We conducted a longitudinal mixed-methods study in Dunedin, New Zealand, during 2018 and 2019. Participants: Purposively selected participants (N = 45; age (≥18 years), gender, ethnicities, cigarettes/day) who wished to quit smoking. Interventions: Participants were provided with a second-generation ENDS device (vape pen or starter “tank” device) at the start of their quit attempt, and asked to complete smartphone-based daily diary surveys assessing smoking and ENDS use. Outcome measures: Sunburst plots and a sequence plot were used to describe weekly and daily patterns of smoking and ENDS use (smoking only, ENDS use only, dual use, abstinent). Results: The most frequently reported movements among participants, classified according to their study week behaviour, occurred between dual use and exclusive ENDS use (and vice versa). A smaller group reported moving from dual use to exclusive smoking (and often back to dual use), and a small number reported moving between abstinence and different ENDS and smoked tobacco usage behaviours. Data visualisations focussing on those participants who had provided data during each of weeks 9–12 indicate that only a minority reported sustained dual use; instead, most participants indicated varied smoked tobacco and ENDS use, which included periods of dual use. Conclusions: The considerable variety observed within and between study participants suggests that high variability is typical rather than exceptional. Transitions from smoking to ENDS use may involve considerable periods of dual use, which is likely to be dynamic and potentially sustained over several months.

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