On quitting smoking: Development of two scales measuring the use of self-change strategies in current and former smokers (SCS-CS and SCS-FS)

On quitting smoking: Development of two scales measuring the use of self-change strategies in current and former smokers (SCS-CS and SCS-FS)
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DOI:
10.1016/s0306-4603(00)00068-x
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发表时间:
2000-07-01
影响因子:
4.4
通讯作者:
Perneger, TV
Perneger, TV
中科院分区:
医学2区
文献类型:
--
作者:
Etter, JF;Bergman, MM;Perneger, TV

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如果戒烟建议基于自行戒烟的人所使用的策略,可能会更有效且更容易被接受。本研究的目的是确定这些自我改变策略,并开发和验证测量当前和以前吸烟者使用这些策略的频率的调查问卷。问卷项目的制定基于 120 名当前吸烟者和前吸烟者提供的定性数据,并在 1996 年至 1998 年间通过邮寄方式对瑞士日内瓦的 638 名吸烟者和前吸烟者进行了验证研究。我们在当前吸烟者中确定了 5 种独特且可解释的自我改变策略,在前吸烟者中确定了 5 种策略,并通过当前吸烟者中包含 19 项的问卷(SCS-CS)和 17 项问卷来测量其使用频率。前吸烟者的项目问卷(SCS-FS)。现在和以前吸烟者共有 8 个项目和 2 个策略。该量表满足重测信度、内容、结构和预测有效性的标准。在基线调查和 1 个月随访期间戒烟的参与者在所有自我改变策略上的基线得分(+0.65 至 +1.16 个标准差单位)高于在随访期间仍吸烟的参与者。这些量表可用于描述和理解戒烟和复吸的过程,以及为计算机系统生成输入数据,从而产生个性化的戒烟建议。 (C) 2000 爱思唯尔科学有限公司。
Smoking-cessation advice may be more effective and acceptable if it is based on strategies used by people who quit smoking on their own. The objective of this study was to identify these self-change strategies and to develop and validate questionnaires measuring the frequency of their use in current and former smokers. Development of questionnaire items was based on qualitative data provided by 120 current and former smokers, and the validation study was conducted by mail in 638 smokers and ex-smokers in Geneva, Switzerland, from 1996 to 1998. We identified 5 distinct and interpretable self-change strategies in current smokers and 5 strategies in former smokers, and measured their frequency of use with a 19-item questionnaire in current smoker (SCS-CS) and with a 17 item questionnaire in former smokers (SCS-FS). Eight items and 2 strategies were common to both current and former smokers. the scales fulfilled criteria of test-retest reliability, and content, construct, and predictive validity. Participants who quit smoking between the baseline survey and the 1-month follow-up had higher baseline scores for all self-change strategies (+0.65 to +1.16 standard deviation units') than participants who remained smokers at follow-up. These scales may be used to describe and understand the processes of smoking cessation and relapse, as well as to produce input data for computer systems which produce individually-tailored smoking cessation advice. (C) 2000 Elsevier Science Ltd.