Is self-efficacy for smoking abstinence a cause of, or a reflection on, smoking behavior change?

Abstract Introduction Compared with the general smoking population, low-income smokers face elevated challenges to success in evidence-based smoking cessation treatment. Moreover, their children bear increased disease burden. Understanding behavioral mechanisms related to successful reduction of child tobacco smoke exposure (TSE) could inform future smoking interventions in vulnerable, underserved populations. Methods Smoking parents were recruited from pediatric clinics in low-income communities and randomized into a multilevel intervention including a pediatric clinic intervention framed in best clinical practice guidelines (“Ask, Advise, Refer” [AAR]) plus individualized telephone counseling (AAR + counseling), or AAR + control. Mediation analysis included treatment condition (independent variable), 12-month child cotinine (TSE biomarker, criterion), and four mediators: 3-month end-of-treatment self-efficacy to protect children from TSE and smoking urge coping skills, and 12-month perceived program (intra-treatment) support and bioverified smoking abstinence. Analyses controlled for baseline nicotine dependence, depressive symptoms, child age, and presence of other residential smokers. Results Participants (n = 327) included 83% women and 83% African Americans. Multilevel AAR + counseling was associated with significantly higher levels of all four mediators (ps < .05). Baseline nicotine dependence (p < .05), 3-month self-efficacy (p < .05) and 12-month bioverified smoking abstinence (p < .001) related significantly to 12-month child cotinine outcome. The indirect effects of AAR + counseling intervention on cotinine via self-efficacy for child TSE protection and smoking abstinence (ps < .05) suggested mediation through these pathways. Conclusions Compared with AAR + control, multilevel AAR + counseling improved all putative mediators. Findings suggest that fostering TSE protection self-efficacy during intervention and encouraging parental smoking abstinence may be key to promoting long-term child TSE-reduction in populations of smokers with elevated challenges to quitting smoking. Implications Pediatric harm reduction interventions to protect children of smokers from tobacco smoke have emerged to address tobacco-related health disparities in underserved populations. Low-income smokers experience greater tobacco-related disease burden and more difficulty with smoking behavior change in standard evidence-based interventions than the general population of smokers. Therefore, improving knowledge about putative behavioral mechanisms of smoking behavior change that results in lower child exposure risk could inform future intervention improvements.

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Perceived Pain and Smoking Interrelations and Expectancies Are Associated With Pain and Smoking Cessation in Individuals With Mobility Impairments

Nicotine & Tobacco Research ◽

10.1093/ntr/ntz111 ◽

2019 ◽

Cited By ~ 2

Author(s):

Romano Endrighi ◽

Nicolle Rueras ◽

Shira I Dunsiger ◽

Belinda Borrelli

Keyword(s):

Chronic Pain ◽

Smoking Cessation ◽

Self Efficacy ◽

Smoking Behavior ◽

Lower Probability ◽

Smoking Abstinence ◽

Cross Sectional ◽

Mobility Impairments ◽

Quit Smoking ◽

Perceived Pain

Abstract Introduction Smoking and pain are highly prevalent among individuals with mobility impairments (MIs; use assistive devices to ambulate). The role of pain-related smoking motives and expectancies in smoking cessation is unknown. We examined cross-sectional and prospective associations between a novel measure of pain-related smoking motives (how smokers with pain perceive their pain and smoking to be interrelated) and pain and smoking behavior in smokers with MI. Methods This is a secondary data analysis of a smoking cessation induction trial (N = 263; 55% female) in smokers with MI. Participants did not have to want to quit to enroll. Pain-related smoking motives and expectancies were assessed at baseline with the pain and smoking inventory (PSI) which measures perceived pain and smoking interrelations in three distinct but related domains (smoking to cope with pain, pain as a motivator of smoking and as a barrier to cessation). Other measures included pain occurrence and interference, nicotine dependence, motivation and self-efficacy to quit smoking, and number of cigarettes per day. Biochemically verified smoking abstinence was assessed at 6 months. Results PSI scores were significantly higher among smokers with chronic pain occurrence compared to occasional and to no occurrence (p < .002) and were associated with greater pain interference (ps < .01) and lower self-efficacy to quit smoking (ps < .01). In prospective analyses adjusted for age, treatment group, and chronic pain, only expectancies of smoking to help cope with pain predicted lower odds of abstinence. Conclusions Targeting expectancies of smoking as a mechanism to cope with pain may be useful in increasing smoking cessation in pain populations. Implications Individuals with MI have a high prevalence of smoking and pain, yet the extent to which this population perceives pain and smoking to be interrelated is unknown. This is the first article to examine prospective associations between a novel measure of perceived pain and smoking interrelations (PSI) and smoking outcomes. The PSI was associated with greater pain and lower self-efficacy for quitting. Prospectively, the PSI subscale tapping into expectancies that smoking help coping with pain predicted a lower probability of smoking abstinence. In smokers with MI, expectancies of smoking as pain-coping mechanism may be an important clinical target.

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Effectiveness of a Large, Nation-Wide Smoking Abstinence Campaign in the Netherlands: A Longitudinal Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16030378 ◽

2019 ◽

Vol 16 (3) ◽

pp. 378 ◽

Cited By ~ 3

Author(s):

Sigrid Troelstra ◽

Janneke Harting ◽

Anton Kunst

Keyword(s):

The Netherlands ◽

Self Efficacy ◽

Smoking Habit ◽

Smoking Behavior ◽

Habit Strength ◽

Smoking Abstinence ◽

Behavioral Determinants ◽

Quit Smoking ◽

Quit Attempts ◽

Related Stress

From 2014, the 28-day smoking abstinence campaign ‘Stoptober’ is held in the Netherlands. Each year, more than 50,000 people participate in what has become a nation-wide collective cessation attempt. This study aims to determine the short-term effects of ‘Stoptober’ on participants’ smoking behavior and behavioral determinants. Stoptober participants completed online surveys before the start of the campaign (n = 6856) and three months later (n = 1127). Descriptive statistics and t-tests were performed to determine changes in smoking and behavioral determinants. Logistic regression analyses were used to identify differences between subgroups. After three months, 71.8% of respondents had quit smoking and consumption was reduced among sustained smokers. Cessation rates were similar for subgroups by age, sex and educational level. Cessation was positively associated with confidence and self-efficacy at baseline and negatively associated with past year quit attempts and addiction level at baseline. For quitters, we found favorable changes in attitude towards cessation related stress, social norms, social pressure to smoke, self-efficacy to quit, smoking habit strength and smoker identity. For sustained smokers, we found favorable changes in attitude towards cessation related stress, self-efficacy and smoking habit strength. These results suggest that an abstinence campaign with a wide reach in a national population may be effective in decreasing smoking prevalence and cigarette consumption among a broad range of participants.

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Effects of Resistance Training on Smoking Abstinence Self-Efficacy in Sedentary Smokers

Internet Journal of Allied Health Sciences and Practice ◽

10.46743/1540-580x/2020.1910 ◽

2020 ◽

Author(s):

Scott Richardson ◽

Brent Alvar ◽

Daniel Dodd ◽

Uma Nair ◽

Ryan Seltzer

Keyword(s):

Resistance Training ◽

Cigarette Smoking ◽

Self Efficacy ◽

Smoking Behavior ◽

Withdrawal Symptoms ◽

Smoking Abstinence ◽

Control Groups

Introduction: Cigarette smoking is prevalent with 40 million Americans smoking and one in five deaths attributed to this behavior. Aims: This study examined effects of a resistance training (RT) program on smoking abstinence self-efficacy. Methods: Forty (40) participants were randomized into intervention or control groups. Smoking abstinence self-efficacy, withdrawal symptoms, and smoking behavior were measured. Results/Findings: RT group presented with statistically significant greater increases in self-efficacy compared to control. RT group participants also presented with non-significantly greater decreases in smoking behavior and withdrawal symptoms compared to control. Conclusions: This study demonstrates effectiveness of RT in improving smoking abstinence self-efficacy.

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Development of a Smoking Abstinence Self-efficacy Questionnaire

International Journal of Behavioral Medicine ◽

10.1007/s12529-012-9229-2 ◽

2012 ◽

Vol 20 (3) ◽

pp. 444-449 ◽

Cited By ~ 32

Author(s):

Viola Spek ◽

Fieke Lemmens ◽

Marlène Chatrou ◽

Suzanne van Kempen ◽

François Pouwer ◽

...

Keyword(s):

Self Efficacy ◽

Smoking Abstinence

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The Determination of Predictive Construct of Physical Behavior Change on Osteoporosis Prevention Women Aged 30-50: A Trans-Theoretical Method Study

Global Journal of Health Science ◽

10.5539/gjhs.v8n3p183 ◽

2015 ◽

Vol 8 (3) ◽

pp. 183 ◽

Cited By ~ 3

Author(s):

Farideh Malekshahi ◽

Alirezad Hidarnia ◽

Shamseddin Niknami ◽

Frakhondeh Aminshokravi

Keyword(s):

Physical Activity ◽

Behavior Change ◽

Self Efficacy ◽

Educational Interventions ◽

Decisional Balance ◽

Systematic Sampling ◽

Preventive Behavior ◽

Osteoporosis Prevention ◽

Activity Data ◽

The Mean

<p>Osteoporosis is a major public health priority in Iran and throughout the world. The prevention of osteoporosis has recently become the ultimate goal of many health professionals. Behavior change is one of the most powerful strategies to prevent osteoporosis. This study aimed to determine the predictive construct of physical preventive behavior of osteoporosis in women aged 30-50 in Khorramabad, west of Iran. This study included 269 women selected from all the health centers of Khorramabad city according to the inclusion criteria of the study and through random cluster and systematic sampling. The data gathering tools were valid and reliable questionnaires of demographic information, stages of change, decisional balance, self-efficacy, and physical activity. Data were analyzed using descriptive and inferential statistics. The mean of the subjects’ age was 38.72±7.003, and the mean of light weekly physical activity was 38.83±56.400. The results showed that the construct of self-efficacy had the highest predictive power of the preventive behavior. The results also showed that self-efficacy among the constructs of the Trans-theoretical Model was the only predictive construct for osteoporosis prevention behavior. Therefore, the findings of this study can serve as a base for educational interventions in behavioral changes to prevent of osteoporosis by health authorities.</p>

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Associations Between Smoking Abstinence, Inhibitory Control, and Smoking Behavior: An fMRI Study

Frontiers in Psychiatry ◽

10.3389/fpsyt.2021.592443 ◽

2021 ◽

Vol 12 ◽

Author(s):

Spencer Bell ◽

Brett Froeliger

Keyword(s):

Task Performance ◽

Inhibitory Control ◽

Inferior Frontal Gyrus ◽

Smoking Behavior ◽

Smoking Abstinence ◽

Monetary Rewards ◽

Fmri Study ◽

Main Effect ◽

The Right ◽

Post Hoc

Nicotine addiction is associated with dysregulated inhibitory control (IC), mediated by corticothalamic circuitry including the right inferior frontal gyrus (rIFG). Among sated smokers, worse IC task performance and greater IC-related rIFG activity have been shown to be associated with greater relapse vulnerability. The present study investigated the effects of smoking abstinence on associations between IC task performance, rIFG activation, and smoking behavior. Smokers (N = 26, 15 female) completed an IC task (Go/Go/No-go) during fMRI scanning followed by a laboratory-based smoking relapse analog task (SRT) on two visits: once when sated and once following 24 h of smoking abstinence. During the SRT, smokers were provided with monetary rewards for incrementally delaying smoking. A significant main effect of No-go accuracy on latency to smoke during the SRT was observed when collapsing across smoking states (abstinent vs. sated). Similarly, a significant main effect of IC-related activation in rIFG on SRT performance was observed across states. The main effect of state, however, was non-significant in both of these models. Furthermore, the interaction between smoking state and No-go accuracy on SRT performance was non-significant, indicating a similar relationship between IC and lapse vulnerability under both sated and abstinent conditions. The state X rIFG activation interaction on SRT performance was likewise non-significant. Post-hoc whole brain analyses indicated that abstinence resulted in greater IC-related activity in the right middle frontal gyrus (MFG) and insula. Activation during IC in these regions was significantly associated with decreased No-go accuracy. Moreover, greater abstinence induced activity in right MFG during IC was associated with smoking sooner on the SRT. These findings are bolstered by the extant literature on the effects of nicotine on executive function and also contribute novel insights on how individual differences in behavioral and neuroimaging measures of IC may influence relapse propensity independent of smoking state.

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Self Efficacy: Performance Accomplishment dan Perilaku Merokok Remaja

Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan ◽

10.34008/jurhesti.v5i1.187 ◽

2020 ◽

Vol 5 (1) ◽

pp. 78

Author(s):

Wiwin Haryati ◽

Asnawi Abdullah ◽

Bakhtiar Bakhtiar

Keyword(s):

Self Efficacy ◽

Smoking Behavior ◽

Sampling Technique ◽

Total Sample ◽

Observational Research ◽

Bivariate Analysis ◽

Chi Square ◽

Smoking Behaviors ◽

Aceh Province ◽

Chi Square Test

Smoking behavior among teenagers has been increasing worldwide, triggering youth morbidity and mortality rates associated with smoking illnesses. Performance accomplishment, source of self-efficacy, has a significant influence on the high proportion of teenage smoking behavior. The purpose of this study was to assess the relationship between performance accomplishment and teenage smoking behaviors. The study was conducted on April 16 – 23, 2015 in Aceh Province, Indonesia. Data were collected by disseminating a Likert scale questionnaire, consisting of general perceived self-efficacy, including performance accomplishment. The population of this study were 4,856 students, with a total sample of 368 students from 13 senior high schools. The study employed an analytic observational research design with the stratified proportional random sampling technique. Bivariate analysis by Chi-square test was applied to examine the data, processed by using SPSS version 20.0. The results indicated that there were significant relationships between self-efficacy and teenage smoking behavior (p=0.0001) and between performance accomplishment and teenage smoking behavior (p=0.0001). This study concluded that performance accomplishment has been strongly associated with the smoking behavior among young adults.

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