Facilitating autonomous motivation for smoking cessation.
Facilitating autonomous motivation for smoking cessation.
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DOI：
10.1037/0278-6133.21.1.40
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发表时间：
2002
期刊：
影响因子：
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通讯作者：
Geoffrey C. Williams;Marylène Gagné;Richard M. Ryan;E. Deci
中科院分区：
文献类型：
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作者：
Geoffrey C. Williams;Marylène Gagné;Richard M. Ryan;E. Deci
医生根据美国国家癌症研究所的指导方针，采用自主支持型或控制型的人际关系方式为吸烟者提供咨询。医生的自主支持度由录音带评定，患者的感知能力和自主戒烟动机在问卷中自我报告。对6个月、12个月和30个月以及连续戒烟的有效点患病率进行了检查。干预对戒烟率没有直接影响；然而，结构方程模型支持戒烟的自我决定过程模型。该模型表明，自主支持干预被评为更自主支持，自主支持评级预测自主动机，自主动机预测在所有时间点的戒烟。感知能力仅在6个月时为戒烟贡献了独立方差。
Physicians used either an autonomy-supportive or a controlling interpersonal style to counsel smokers based on National Cancer Institute guidelines. Physician autonomy support was rated from audiotapes, and patients' perceived competence and autonomous motivation for quitting were self-reported on questionnaires. Validated point prevalences for 6, 12, and 30 months and for continuous cessation were examined. The intervention did not have a direct effect on quit rates; however, structural equation modeling supported the self-determination process model of smoking cessation. The model indicated that the autonomy-supportive intervention was rated as more autonomy supportive, that rated autonomy support predicted autonomous motivation, and that autonomous motivation predicted cessation at all points in time. Perceived competence contributed independent variance to cessation only at 6 months.