Readiness to change smoking behavior in adolescents with psychiatric disorders
Readiness to change smoking behavior in adolescents with psychiatric disorders
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DOI：
10.1016/j.addbeh.2006.07.016
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发表时间：
2007-06-01
影响因子：
4.4
通讯作者：
Brown, Richard A.
中科院分区：
文献类型：
--
作者：
Apodaca, Timothy R.;Abrantes, Ana M.;Brown, Richard A.
最近，人们越来越有兴趣利用动机访谈（MI）来提高青少年戒烟的准备度，但迄今为止影响戒烟率的尝试却令人沮丧。在接受任何干预之前更好地了解与青少年准备戒烟相关的因素可能会为调整未来的 MI 干预措施提供指导，以提高其对该人群的有效性。入住精神病医院并参加评估 MI 的临床试验的青少年吸烟者 (N=191) 完成了评估吸烟行为和被认为与吸烟相关的变量的调查问卷。戒烟的信心和对吸烟的消极信念是青少年戒烟基线准备度的重要预测因素。未能证明健康后果和准备状态之间的关系表明，在使用反馈时可能需要谨慎，反馈是基于 MI 的干预措施的常见组成部分。此类反馈往往侧重于健康后果，这与当前研究中青少年改变吸烟行为的基线准备程度无关。考虑到为青少年吸烟者制定更有效的基于 MI 的干预措施，讨论了当前结果与计划行为理论之间的相似之处。 (c) 2006 Elsevier Ltd. 保留所有权利。
There has been recent increased interest in utilizing motivational interviewing (MI) to increase adolescent readiness to quit smoking, but attempts to impact quit rates have thus far been discouraging. A better understanding of factors associated with adolescent readiness to quit smoking prior to receiving any intervention may provide guidance when tailoring future MI interventions in order to increase their effectiveness with this population. Adolescent smokers (N=191) who had been admitted to a psychiatric hospital and enrolled in a clinical trial evaluating MI completed questionnaires that assessed smoking behavior and variables thought to be related to smoking. Confidence to quit smoking and negative beliefs about smoking were significant predictors of adolescents' baseline readiness to quit smoking. The failure to demonstrate relationships between health consequences and readiness suggest that caution may be warranted in the use of feedback, a common component of MI-based interventions. Such feedback tends to focus on health consequences, which was unrelated to adolescent baseline readiness to change smoking behavior in the current study. Parallels between current results and the Theory of Planned Behavior are discussed in consideration of developing more effective MI-based interventions for adolescent smokers. (c) 2006 Elsevier Ltd. All rights reserved.