Transition towards a 'non-smoker' identity following smoking cessation: An interpretative phenomenological analysis
Transition towards a 'non-smoker' identity following smoking cessation: An interpretative phenomenological analysis
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DOI：
10.1111/j.2044-8287.2011.02031.x
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发表时间：
2012-02-01
影响因子：
7.9
通讯作者：
West, Robert
中科院分区：
文献类型：
--
作者：
Vangeli, Eleni;West, Robert
objective.最近的动机理论（PRIME理论）提出，形成一个非吸烟者的身份是必要的长期戒烟。本研究旨在探讨戒烟后吸烟者身份认同感的变化。设计这是一个定性的，半结构化的访谈研究，有目的的个人戒烟样本。一个解释现象学的方法，以引起深入的帐户的参与者的理解吸烟，停止，并保持禁欲。方法. 10名参与者在英国国家卫生服务（NHS）戒烟服务的支持下戒烟，一年后仍然戒烟。对访谈记录进行了解释性现象学分析。从参与者在第一次小组会议上完成的临床评估表中也获得了动机和其他变量的前瞻性背景细节。结果一个过程中的身份变化被观察到对一个“非吸烟者”，协助最初由一个短暂的身份“团队戒烟者”伴随着成就感。所有参与者都保留了对吸烟的残余吸引力，这表明这个过程并不完整，反映了“前吸烟者”的身份。参与者将自己标记为非吸烟者，无论发生了多少转变。结论.区分"不吸烟者"身份的两个层次似乎是有用的：表面层次包括简单的标签，而深层层次则由经常相互冲突的想法和对自己与吸烟有关的感受组成。一个完全一致的“非吸烟者”身份似乎并不是长期戒烟所必需的。
Objective. A recent theory of motivation (PRIME theory) has proposed that the formation of a non-smoker identity is necessary for long-term abstinence. This study aimed to explore how a smoker's sense of identity changes following smoking cessation. Design. This was a qualitative, semi-structured interview study with a purposive sample of individuals who had quit smoking. An interpretative phenomenological approach was taken to elicit in-depth accounts of the participants' understanding of smoking, stopping, and maintaining abstinence. Methods. Ten participants who quit smoking with the support of a National Health Service (NHS) stop-smoking service in England and were still abstinent a year later were interviewed. An interpretative phenomenological analysis of the interview transcripts was conducted. Prospective contextual detail of motivational and other variables prequit were also obtained from the clinic assessment form that participants completed at the first group session. Results. A process of identity change was observed towards that of a 'non-smoker', assisted initially by a transient identity of 'team stop-smoker' accompanied by a sense of achievement. All participants retained a residual attraction to smoking suggesting that the process was not complete and reflecting an 'ex-smoker' identity. Participants labelled themselves as non-smokers regardless of how much transition had occurred. Conclusions. It appears useful to distinguish two levels of 'non-smoker' identity: a surface level comprising the simple label and a deep level made up of often conflicting thoughts and feelings about oneself in relation to smoking. A total coherent 'non-smoker' identity does not appear to be necessary for long-term abstinence.