Decisional balance proportion: Quantifying qualitative data to represent motivation to change among treatment-seeking smokers
Decisional balance proportion: Quantifying qualitative data to represent motivation to change among treatment-seeking smokers
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DOI：
10.1016/j.drugalcdep.2010.03.012
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发表时间：
2010-09-01
影响因子：
4.2
通讯作者：
Batra, Anil
中科院分区：
文献类型：
--
作者：
Collins, Susan E.;Eck, Sandra;Batra, Anil
这项研究测试了一种新的改变动机的衡量标准，作为戒烟治疗后吸烟行为的预测指标。参与者是参加德国西南部随机戒烟试验的成年经常吸烟者 (N = 191)（Batra 等，2010）。参与者在为期 6 周的戒烟治疗前后完成了吸烟和心理自我报告测量。在这些措施中，开放式决策平衡工作表引出了参与者提出的吸烟与戒烟的利弊。将利弊计数合并为决策平衡比例（DBP），反映了参与者当前对吸烟行为改变的平衡。在 12 个月的随访期间进行了额外的吸烟评估。在控制群体效应和基线吸烟后，DBP 变化评分（治疗后-治疗前）反映了治疗期间更大的变化，预测了首次戒烟时间以及 12 个月随访期间的戒烟时间。较高的 DBP 变化分数也预示着 12 个月的随访期间戒烟频率和强度较低。研究结果表明，参与者从决策平衡工作表中生成的定性数据可以被量化，以产生吸烟者改变动机的有效衡量标准。该措施可以告知干预内容，并可能用于为吸烟者匹配适当的治疗。 (C) 2010 Elsevier Ireland Ltd. 保留所有权利。
This study tested a new measure of motivation to change as a predictor of smoking behavior following smoking cessation treatment. Participants were adult, regular smokers (N = 191) who took part in a randomized smoking cessation trial in southwestern Germany (Batra et al., 2010). Participants completed smoking and psychological self-report measures before and after a 6-week smoking cessation treatment. Among these measures, the open-ended decisional balance worksheet elicited participant-generated pros and cons of smoking versus abstinence. Counts of the pros and cons were combined into the decisional balance proportion (DBP), which reflected participants' current balance towards smoking behavior change. Additional smoking assessments were conducted up to the 12-month follow-up. After controlling for group effects and baseline smoking, DBP change scores (posttreatment-pretreatment) reflecting greater movement towards change during treatment predicted time to first smoking lapse as well as abstinence up to the 12-month follow-up. Higher DBP change scores also predicted lower frequency and intensity of smoking lapses during the 12-month follow-up. Findings indicated that participant-generated, qualitative data from a decisional balance worksheet can be quantified to produce a valid measure of motivation to change among smokers. This measure can inform intervention content and may potentially be used to match smokers to appropriate treatments. (C) 2010 Elsevier Ireland Ltd. All rights reserved.